Evidence map›Paper›PMID 11252549›Full record

ArticlePharmacoEconomics2001

Economic analysis of initial HIV treatment. Efavirenz- versus indinavir-containing triple therapy.

J J Caro, J A O'Brien, K Migliaccio-Walle, G Raggio

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in PharmacoEconomics, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

J J CaroCaro Research, Concord, Massachusetts, USA. jcaro@caroresearch.com
J A O'Brien
K Migliaccio-Walle
G Raggio
Concord Consortium · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the clinical and economic outcomes associated with triple therapy containing efavirenz or indinavir and 2 nucleoside reverse transcriptase inhibitors (NRTIs; zidovudine and lamivudine) in HIV-positive patients. DESIGN AND

settingAn economic model based on viral load and CD4+ cell counts to predict long term outcomes such as progression to AIDS and AIDS-related death was developed and then analysed using data from a randomised clinical trial. Cost estimates from the healthcare system perspective were based on data from 6 state, all-payor databases, the AIDS Cost and Services Utilisation Study, and other literature. Analyses were carried out for time horizons between 5 and 15 years. PATIENTS AND

interventionsHIV-positive patients with limited exposure to NRTIs. Initial regimens consisted of efavirenz or indinavir, each combined with 2 NRTIs. A maximum of 2 switches to other regimens was permitted. MAIN OUTCOME MEASURES AND

resultsThe efavirenz-containing triple therapy regimen was predicted to prolong survival at a savings of up to 10,923 US dollars (1998 values) relative to initial therapy with the indinavir-containing regimen. Patients who receive efavirenz are expected to have 11% greater survival at 5 years and fewer treatment failures (28 vs 52%, at 2 years). Overall, the economic and health benefits predicted for the efavirenz-containing regimen were robust to reasonable variation in key parameters.

conclusionsThe superior clinical trial outcomes for efavirenz-containing regimens should translate into substantial economic and health benefits.

Indexed as

Acquired Immunodeficiency SyndromeAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesDisease ProgressionDrug CostsDrug Therapy, CombinationHealth Care CostsHIV InfectionsHIV Protease InhibitorsHumansIndinavirModels, EconomicOxazinesReverse Transcriptase InhibitorsAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesefavirenzHIV Protease InhibitorsIndinavirOxazinesReverse Transcriptase Inhibitors

Identifiers

PMID11252549
OpenAlexW2093002176

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.