Evidence map›Paper›PMID 24711925›Full record

ArticleAIDS research and treatment2014

Resource Utilization and Costs of Care prior to ART Initiation for Pediatric Patients in Zambia.

Hari S Iyer, Callie A Scott, Deophine Lembela Bwalya, Gesine Meyer-Rath, Crispin Moyo, Carolyn Bolton Moore, Bruce A Larson, Sydney Rosen

Abstract read
In one paragraph

Article in AIDS research and treatment, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
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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

8 authors.

Hari S IyerZambia Center for Applied Health Research and Development, 10100 Lusaka, Zambia.
Callie A ScottZambia Center for Applied Health Research and Development, 10100 Lusaka, Zambia ; Center for Global Health and Development, Boston University, Boston, MA 02118, USA.
Deophine Lembela BwalyaZambia Center for Applied Health Research and Development, 10100 Lusaka, Zambia.
Gesine Meyer-RathCenter for Global Health and Development, Boston University, Boston, MA 02118, USA ; Health Economics and Epidemiology Research Office, Wits Health Consortium, Department of Clinical Medicine, School of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2198, South Africa.
Crispin MoyoZambian Ministry of Health, 10100 Lusaka, Zambia.
Carolyn Bolton MooreDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA ; Centre for Infectious Disease Research in Zambia, 101000 Lusaka, Zambia.
Bruce A LarsonCenter for Global Health and Development, Boston University, Boston, MA 02118, USA ; Department of International Health, School of Public Health, Boston University, Boston, MA 02118, USA.
Sydney RosenCenter for Global Health and Development, Boston University, Boston, MA 02118, USA ; Health Economics and Epidemiology Research Office, Wits Health Consortium, Department of Clinical Medicine, School of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2198, South Africa.ORCID 0000-0002-6560-2964

Funding

NCHHSTP CDC HHS U2G PS001418
6 · The paper itself

Abstract

Objective. We estimated time to initiation, outpatient resource use, and costs of outpatient care during the 6 months prior to ART initiation for HIV-infected pediatric patients in Zambia. Methods. We enrolled 1,102 children who initiated ART at <15 years of age between 2006 and 2011 at 5 study sites. Of these, 832 initiated ART ≤6 months after first presenting to care at the study sites. Data on time in care and resources utilized during the 6 months prior to ART initiation were extracted from patient medical records. Costs were estimated from the provider's perspective and are reported in 2011 USD. Results. For the patients who initiated ART ≤6 months after presenting to care, median age at presentation to care was 3.9 years; median CD4 percentage was 13%. Median time to ART initiation was 26 days. Patients made, on average, 2.38 clinic visits prior to ART initiation and received 0.81 CD4 tests, 0.74 full blood count tests, and 0.49 blood chemistry tests. The mean cost of pre-ART care was $20 per patient. Conclusions. Zambian pediatric patients initiating ART ≤6 months after presenting to care do so quickly, utilize fewer resources than mandated by national guidelines, and accrue low costs.

Identifiers

PMID24711925
PMCPMC3966317

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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.