Evidence map›Paper›PMID 28874236›Full record

ArticleSexual health2018

Funding antiretroviral treatment for HIV-positive temporary residents in Australia prevents transmission and is inexpensive.

Richard T Gray, Jo Watson, Aaron J Cogle, Don E Smith, Jennifer F Hoy, Lisa A Bastian, Robert Finlayson, Fraser M Drummond, Bill Whittaker, Matthew G Law and 1 more

Open access · greenAbstract read
In one paragraph

Article in Sexual health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
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

11 authors at 2 institutions in 2 countries.

Richard T GrayThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
Jo WatsonNational Association of People with HIV Australia (NAPWHA), Sydney, NSW 2042, Australia.
Aaron J CogleNational Association of People with HIV Australia (NAPWHA), Sydney, NSW 2042, Australia.
Don E SmithAlbion Centre, Sydney, NSW 2010, Australia.
Jennifer F HoyDepartment of Infectious Diseases, The Alfred Hospital and Monash University, Melbourne Vic. 3181, Australia.
Lisa A BastianWestern Australian Department of Health, Perth, WA 6004, Australia.
Robert FinlaysonTaylor Square Private Clinic, Taylor Square, Sydney, NSW 2010, Australia.
Fraser M DrummondViiV Healthcare, Abbotsford, VIC 3067, Australia.
Bill WhittakerNational Association of People with HIV Australia (NAPWHA), Sydney, NSW 2042, Australia.
Matthew G LawThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
Kathy PetoumenosThe Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
UNSW Sydney · AUUnifor · NO

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
NIAID NIH HHS U01 AI069907
6 · The paper itself

Abstract

Background The aim of this study is to estimate the reduction in new HIV infections and resultant cost outcomes of providing antiretroviral treatment (ART) through Australia's 'universal access' health scheme to all temporary residents with HIV infection living legally in Australia, but currently deemed ineligible to access subsidised ART via this scheme.

methodsA mathematical model to estimate the number of new HIV infections averted and the associated lifetime costs over 5 years if all HIV-positive temporary residents in Australia had access to ART and subsidised medical care was developed. Input data came from a cohort of 180 HIV-positive temporary residents living in Australia who are receiving free ART donated by pharmaceutical companies for up to 4 years.

resultsExpanding ART access to an estimated total 450 HIV+ temporary residents in Australia for 5 years could avert 80 new infections. The model estimated the total median discounted (5%) cost for ART and associated care to be A$36million, while the total savings in lifetime-discounted costs for the new infections averted was A$22million.

conclusionsIt is estimated that expanded access to ART for all HIV-positive temporary residents in Australia will substantially reduce HIV transmission to their sexual partners at little additional cost. In the context of Australia's National HIV strategy and Australia's endorsement of global goals to provide universal access to ART for all people with HIV, this is an important measure to remove inequities in the provision of HIV-related treatment and care.

Indexed as

AdultAmbulatory CareAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveAustraliaCost-Benefit AnalysisHealth Care CostsHealth Services AccessibilityHIV InfectionsHumansMaleMass ScreeningNational Health ProgramsAnti-HIV Agents

Identifiers

PMID28874236
PMCPMC5839982
OpenAlexW2753279561

What OpenQuestion holds

Textmetadata
LicenceTDM
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.