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

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 Bogotá 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. © 2016 The Author(s). Published by Informa UK Limited, trading as Taylor and Francis Group.

• Fecha de publicación: 2017
• Institución: Universidad del Rosario
• Repositorio: Repositorio EdocUR - U. Rosario
• Idioma: eng
• OAI Identifier: oai:repository.urosario.edu.co:10336/24045
• Acceso en línea: https://doi.org/10.1080/14737167.2017.1246185; https://repository.urosario.edu.co/handle/10336/24045
• Palabra clave: Colombia; Comorbidity; Cross-sectional study; Family; Human; Human immunodeficiency virus; Major clinical study; Medical record; Model; Multiple regression; Nonhuman; Outpatient department; Quality of life; Statistical significance; Adult; Ambulatory care; Colombia; Comorbidity; Economics; Female; Health care cost; HIV Infections; Male; Middle aged; Pathophysiology; Regression analysis; Adult; Ambulatory Care; Colombia; Comorbidity; Cross-Sectional Studies; Female; Health Care Costs; HIV Infections; Humans; Male; Middle Aged; Quality of Life; Regression Analysis; Acquired Immune Deficiency Syndrome (AIDS); Bogotá; Burden of disease; Colombia; Health-related quality of life (HRQOL); Healthcare costs; Human Immunodeficiency Virus (HIV); Patient and family costs; Utility
• License: Abierto (Texto Completo)