2021, Number 2
Antiretroviral therapy schemes and their cost for the health system in Colombia
Language: Spanish
References: 11
Page: 1-10
PDF size: 264.73 Kb.
ABSTRACT
Introduction: Human immunodeficiency virus infection is a pandemic with a health, social and economic impact. Antiretroviral therapy is the only effective alternative to treat patients. Supply of such a therapy poses a great economic burden to health systems in low-income countries.Objective: Describe the antiretroviral therapy schemes formulated and their economic impact on the Colombian health system.
Methods: A descriptive cross-sectional study and secondary source review were conducted. The study sample was 446 adult patients of both sexes with a confirmed diagnosis who attended control sessions in a specialized clinic in the city of Villavicencio, Colombia, in the year 2018. The variables analyzed were demographic characteristics, laboratory results, antiretroviral therapy formulated and cost of each scheme.
Results: The population studied was mostly male, with a mean age of 35.8 years. 56% of the patients were under appropriate virological control. Fifteen different antiretroviral therapy schemes were found. The economic cost of each scheme ranged between 74 dollars/month and 467 dollars/month.
Conclusions: The antiretroviral therapy formulation complies with the recommendations contained in the Colombian guide. However, it does not achieve optimal virological control and poses a high economic cost to the Colombian health care system.
REFERENCES
Ministerio de Salud y Protección Social. Guía de práctica clínica basada en la evidencia para la atención de la infección por VIH / Sida en adolescentes (con 13 años o más de edad) y adultos. 2014. p. 141-50. [acceso: 02/08/2020]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/GPC-corta-VIH-ADOLESCENTES-ADULTOS-final.pdf
Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. Department of Health and Human Services, 2019. p. 370-9. [acceso: 02/08/2020]. Disponible en: https://clinicalinfo.hiv.gov/sites/default/files/guidelines/documents/AdultandAdolescentGL.pdf
Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS / Organizacion Mundial de la Salud. Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos. Vol. 1,; 2017. p.130-36 [acceso: 02/08/2020]. Disponible en:. https://cioms.ch/wp-content/uploads/2017/12/CIOMS-EthicalGuideline_SP_INTERIOR-FINAL.pdf
Pérez-Molina JA, Martínez E, Blasco AJ, Arribas JR, Domingo P, Iribarren JA, et al. Análisis de Costes y de Coste/Eficacia de las Pautas Recomendadas por GESIDA/Plan Nacional sobre el Sida en 2018 Para el Tratamiento Antirretroviral Inicial en Adultos Infectados Por el VIH. Enferm Infecc Microbiol Clin. 2018;37(3):151-9.
Unidad de Vigilancia de VIH y Comportamientos de Riesgo. Vigilancia Epidemiológica del VIH y SIDA en España 2018: Sistema de Información sobre Nuevos Diagnósticos de VIH y Registro Nacional de Casos de Sida. Plan Nacional sobre el Sida - D.G. de Salud Pública, Calidad e Innovación / Centro Nacional de Epidemiología - ISCIII. Madrid, nov 2019.