Table 1. Baseline input parameters for a simulation study of the years of life lost due to suboptimal HIV care in the United States.
Variable | Baseline input | Source | |||
---|---|---|---|---|---|
Age at seroconversion, mean years (SD) | 33.0 (7.5) | Multicenter AIDS Cohort Study [23] | |||
HIV RNA, mean log10 copies/ml (SD) | 4.8 (0.6) | Staszewski, et al. [63] | |||
CD4 count, mean cells/μl (SD) † | 534 (164) | Walensky, et al. [33] | |||
Antiretroviral regimens | % suppressed at 48 weeks | CD4 increase at 48 weeks (cells/μl) | Source | ||
1. Efavirenz + tenofovir DF + emtricitabine | 84 | 190 | Gallant, et al. [64] | ||
2. Atazanavir/ritonavir + 2 NRTIs | 71 | 110 | Johnson, et al. [29] | ||
3. Regimen 3* | 66 | 121 | Johnson, et al. [29] | ||
4. Regimen 4* | 65 (24 weeks) | 102 (24 weeks) | Grinsztejn, et al. [65] | ||
5. Regimen 5* | 40 (24 weeks) | 121 | Nelson, et al. [31] Lalezari, et al. [66] |
||
Discontinuation rates for ART | White | Black | Hispanic | ||
Women | 5% | 10% | 14% | Anastos, et al. [3] Ahdieh-Grant, et al. [37] |
|
Men | 5% | 5% | 5% | Li, et al. [9] | |
Variable | Baseline input | ||||
CD4 count at ART initiation (%) ‡ | |||||
Subgroup | Percent of cohort (%) | ≥ 200 cells/μl | 50 – 199 cells/μl | < 50 cells/μl | |
Overall | Total | 100.0 | 57.9 | 22.6 | 19.5 |
Women | 25.0 | 62.9 | 20.2 | 16.9 | |
Men | 75.0 | 56.3 | 23.4 | 20.3 | |
Black | Total | 49.6 ¶ | 55.8 | 21.9 | 22.3 |
Women | 16.9 | 61.3 | 20.8 | 17.9 | |
Male | 32.6 | 53.0 | 22.4 | 24.6 | |
Hispanic | Total | 20.6 ¶ | 54.4 | 24.8 | 20.7 |
Women | 4.3 | 63.0 | 19.4 | 17.6 | |
Men | 16.2 | 52.1 | 26.3 | 21.5 | |
White | Total | 27.2 ¶ | 63.6 | 22.8 | 13.6 |
Women | 3.5 | 70.6 | 19.0 | 10.4 | |
Men | 23.6 | 62.7 | 23.3 | 14.1 |
ART: antiretroviral therapy; SD: standard deviation; NRTI: nucleoside reverse transcriptase inhibitor.
Regimen selection is based on results of genotype analysis.
CD4 count at time of seroconversion
Data from HIV Research Network [13].
Data do not sum to 100%, since 3% were identified as “Other” and excluded from the analysis.