The impact of HIV-associated lipodystrophy on healthcare utilization and costs
2008

Impact of HIV Lipodystrophy on Healthcare Costs

Sample size: 181 publication Evidence: moderate

Author Information

Author(s): Jeannie S. Huang, Karen Becerra, Susan Fernandez, Daniel Lee, WC Mathews

Primary Institution: University of California, San Diego

Hypothesis

HIV-infected patients with lipodystrophy will demonstrate increased utilization of healthcare services with an associated increase in healthcare expenditures compared to those without lipodystrophy.

Conclusion

Patients with HIV-associated lipodystrophy demonstrate increased healthcare utilization and costs compared to those without lipodystrophy.

Supporting Evidence

  • 92 out of 181 participants had clinical evidence of lipodystrophy.
  • Healthcare utilization was significantly greater among patients with lipodystrophy.
  • Patients with lipodystrophy spent $1,718 more on healthcare than those without.

Takeaway

People with HIV who have body changes called lipodystrophy go to the doctor more often and spend more money on healthcare than those who don't have these changes.

Methodology

Healthcare utilization and costs were collected from accounting records for HIV-infected patients, with lipodystrophy assessed by physical examination and body image surveys.

Potential Biases

Participants may have self-selected due to increased anxiety regarding body image.

Limitations

The study was limited to one medical entity and only assessed lipodystrophy at a single time point.

Participant Demographics

Participants were HIV-infected individuals, with 51% showing clinical evidence of lipodystrophy.

Statistical Information

P-Value

0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1742-6405-5-14

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