The impact of comorbidities on costs, utilities and health-related quality of life among HIV patients in a clinical setting in Bogota

Mark J. M. Van Duin, Rafael Conde, Ben Wijnen, Silvia M. A. A. Evers, Javier L. Gonzalez-Rodriguez, Mark J. G. Govers, Mickal Hiligsmann*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: This study aimed to assess the impact of comorbidities (CMs) on costs, utilities and health-related quality of life (HRQOL) among HIV patients in Colombia.Methods: A cross-sectional study was conducted among 138 HIV patients at an outpatient clinic in Bogota to assess their costs, utilities (EQ5D-5L) and HRQOL (EQ-VAS). CMs and other covariates were gathered from patient records. Multiple regression models were conducted to assess the impact of CMs.Results: Of all patients, 72% experienced CMs; of these, half experienced 2 CMs (N=49). CMs had a statistically significant impact on utilities when the EQ5D-5L (P=0.022) was applied among patient with 2 CMs. No statistical significance was found for the impact of CMs on costs.Conclusion: This study suggests that having multiple CMs significantly influences utility, and CMs have some impact on HRQOL measured using the EQ-VAS but this effect is at the border of significance. No significant impact was observed on costs.

Original languageEnglish
Pages (from-to)303-310
Number of pages8
JournalExpert Review of Pharmacoeconomics & Outcomes Research
Volume17
Issue number3
DOIs
Publication statusPublished - 2017

Keywords

  • Human Immunodeficiency Virus (HIV)
  • Acquired Immune Deficiency Syndrome (AIDS)
  • burden of disease
  • healthcare costs
  • patient and family costs
  • utility
  • health-related quality of life (HRQOL)
  • bogota
  • Colombia
  • GLOBAL BURDEN
  • HIV/AIDS
  • DISEASE
  • DEPRESSION
  • AIDS
  • PREVALENCE
  • INFECTION
  • COLOMBIA
  • EXPENDITURES
  • INDIVIDUALS

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