Table 1.
Input | Value | Sensitivity Range | Source Data | |
---|---|---|---|---|
Life Expectancy, in years |
|
|
|
|
CD4 = 50-200 |
9.60 |
8.16 |
11.04 |
[19] |
CD4 = 200-350 |
19.30 |
16.41 |
22.20 |
[19] |
CD4 tests per year |
2 |
|
|
[20] |
Median CD4 cell decline, per 6 months |
45.75 |
30.65 |
62.35 |
[21] |
DALY Adjustmenta |
|
|
|
|
HIV |
0.123 |
|
|
[22] |
AIDS |
0.5 |
|
|
[22] |
Years of AIDS before death |
1 |
|
|
Assumption |
Annual Number of Inpatient Days with OIb,c |
|
|
|
|
CD4 > 350 (on cART) |
0.37 |
0.19 |
0.56 |
[23] |
CD4 > 350 (off cART) |
5.7 |
2.85 |
8.55 |
[23] |
CD4 = 201-350 (on cART) |
0.52 |
0.26 |
0.78 |
[23] |
CD4 = 201-350 (off cART) |
10.8 |
5.4 |
16.2 |
[23] |
Annual Number of Inpatient Days without OIb,c |
|
|
|
|
CD4 > 350 (on cART) |
0.14 |
0.07 |
0.21 |
[23] |
CD4 > 350 (off cART) |
1.9 |
0.95 |
2.85 |
[23] |
CD4 = 201-350 (on cART) |
0.39 |
0.2 |
0.59 |
[23] |
CD4 = 201-350 (off cART) |
3 |
1.5 |
4.5 |
[23] |
Costs |
|
|
|
|
cART drug cost, per yeard |
$192.44 |
$100 |
$300 |
[24] |
cART maintenance cost, year |
$113.40 |
$50 |
$200 |
[25] |
Total Treatment cost, sum |
$305.84 |
$150 |
$500 |
[24,25] |
Annual costs incurred while waiting |
|
|
|
|
Clinic Personel |
$14.32 |
|
|
[25] |
Lab |
$35.04 |
|
|
[25] |
Other Medication |
$33.72 |
|
|
[25] |
Radiology |
$1.68 |
|
|
[25] |
Sum |
$84.76 |
$0 |
$150 |
[25] |
Cost per Inpatient Day |
$31.48 |
|
|
[26] |
Discount Rate | 3% | 0% | 6% | [18] |
aDALY - Disability Adjusted Life Years.
b OI – Opportunistic infections.
c The sensitivity range is not reported in [23]. In our model, we assume a 50% decrease and 50% increase in OI’s relative to the base case.
dcART- combination antiretroviral therapy, containing: AZT – zidovudine ; 3TC – lamivudine; EFV- efavirenz.