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. 2006 Jul 19;2006(3):CD004348. doi: 10.1002/14651858.CD004348.pub2

Le 1998.

Methods Retrospective cohort
Participants 4977 total subjects in study 
 (230 subjects at KPMC‐SRO, 4747 patients at KMPC‐Others) 
 SRO: mean age 40 
 age range 22‐72 
 Others ‐ mean age 39 
 age range 18‐86 
 KPMC‐SRO 93.5% Male 
 KPMC‐SRO 6.5% Female 
 KPMC Others 92% Male 
 KPMC Other 
 7.5% Female 
 KPMC‐SRO 
 Demographics 
 87.4% white 
 1.3% Af Am 
 3.0% Hispanic 
 Others‐ 
 62.5% White 
 15% ‐ Black 
 8% ‐ Hispanic
Interventions MULTIDISCIPLINARY CLINIC: 
 KPMC‐SRO Interdisciplinary team clinical care path (see figure 1 p. 648). Pts of the clinical care path (inter care) had access to: 
 HIV coordinator/manager 
 Nurse practitioner 
 Social Worker 
 Vocational Nurse 
 Nutritionist 
 Psychologist 
 SRO was compared to Others
Outcomes HEALTHCARE UTILIZATION: 
 a)ED Visits: 
 SRO‐69/100 patient years 
 Others‐78/100 patient years 
 (RR = .92; CI .71‐1.16) 
 b)Length of hospital stay 
 per 100 person years all HIV and AIDS pts 
 Days in hospital per 100 person years 
 SRO‐157 
 Others‐284 
 Median length of stay per admission: 
 SRO ‐ 3 days (1‐25) 
 Others ‐ 4 days (1‐76) 
 Median total days in hospital per person ‐ 
 SRO ‐ 4 days (136) 
 Others ‐ 7 days (1‐100) 
 Number of hospital admissions: 
 SRO = 21% 
 Others = 24% 
 (OR=.63; CI .46‐.85) 
 Visits to all physicians 
 SRO ‐ 1064 per 100 patient years 
 Others ‐ 1015 per 100 patient years 
 (RR=1.01; CI .89‐1.13) 
 2) Costs of treating pts ‐ cost of HIV‐related drugs 
 SRO‐$2343 
 Others‐$3289
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used