Evidence map›Paper›PMID 40490607›Full record

ArticlePharmacoEconomics - open2025

Estimation of Lifetime Costs Among Insured Persons with HIV in the United States.

Joshua P Cohen, Vamshi Ruthwik Anupindi, Riddhi Doshi, Jason Yeaw, Xiaoyu Zhou, Mary J Christoph, Megan Chen, Paresh Chaudhari, Cassidy Trom, Woodie Zachry

Abstract read
In one paragraph

Article in PharmacoEconomics - open, 2025. 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
–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

7 citing papers in PubMed.

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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

10 authors.

Joshua P CohenIndependent Healthcare Analyst (Former Research Associate Professor, Tufts University), Boston, MA, USA.
Vamshi Ruthwik AnupindiIQVIA Inc., 2400 Ellis Rd, Durham, NC, 27703, USA. [email protected].ORCID http://orcid.org/0000-0002-0385-8657
Riddhi DoshiIQVIA Inc., 2400 Ellis Rd, Durham, NC, 27703, USA.
Jason YeawIQVIA Inc., 2400 Ellis Rd, Durham, NC, 27703, USA.
Xiaoyu ZhouIQVIA Inc., 2400 Ellis Rd, Durham, NC, 27703, USA.
Mary J ChristophGilead Sciences, Inc., Foster City, CA, USA.
Megan ChenGilead Sciences, Inc., Foster City, CA, USA.
Paresh ChaudhariGilead Sciences, Inc., Foster City, CA, USA.
Cassidy TromGilead Sciences, Inc., Foster City, CA, USA.
Woodie ZachryGilead Sciences, Inc., Foster City, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveWith recent advances in human immunodeficiency virus (HIV) management and prevention, it is critical to understand the lifetime costs (LTC) of HIV. The objective of the study was to evaluate all-cause LTC, annual costs and healthcare resource utilization (HCRU) among persons with HIV (PWH) versus a matched non-HIV cohort in the United States (US).

methodsThis observational study included persons (≥ 18 years) with an HIV diagnosis, antiretroviral treatment (ART), and continuous enrollment (CE) within each year (2018-2023) in the PWH cohort, and with no HIV diagnosis/ART and CE in the non-HIV cohort, identified using a US commercial claims database (IQVIA PharMetrics

resultsPerson counts ranged from 45,465 to 54,530 in the PWH cohort and 136,395 to 163,590 in the non-HIV cohort from 2018 to 2023. Mean undiscounted LTC were $2,895,020 (CI 2,847,453-2,947,867) and $482,522 (CI 453,114-513,44) for PWH and non-HIV cohorts, respectively, with an incremental cost difference of $2,412,498 (CI 2,354,674-2,474,024). Mean discounted LTC were $1,299,210 (CI 1,279,397-1,321,458) and $181,481 (CI 169,392-194,036) for PWH and non-HIV cohorts, respectively, with an incremental cost difference of $1,117,729 (CI 1,093,606-1,143,350). Mean annual total costs were six to seven times higher among PWH than the non-HIV cohort each year; with higher costs among older persons. HCRU was higher among PWH.

conclusionsAmong a sample of primarily commercially insured US adults, HIV conferred an estimated incremental LTC difference of over $2.4 million (undiscounted) and $1.1 million (discounted), with annual costs being six to seven times higher for PWH compared to non-HIV persons.

Identifiers

PMID40490607
PMCPMC12559537

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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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 Socratic graph.