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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/18978

Title: An Economic Evaluation of HIV-associated Facial Lipoatrophy Treatments: A Cost-utility Analysis
Authors: Peyasantiwong, Sirianong
Advisor: Coyte, Peter C.
Department: Health Policy, Management and Evaluation
Keywords: facial lipoatrophy
a cost-utility analysis
Issue Date: 16-Feb-2010
Abstract: Introduction: Facial lipoatrophy is a stigmatizing hallmark for HIV-positive status, and can lead to poor social functioning. Information gleaned from an economic evaluation of facial lipoatrophy treatments would inform policy decision making concerning potential public insurance coverage. Methods: A decision-analytic model was used to estimate the lifetime costs and Quality Adjusted Life Years (QALYs) gained from treatments using either poly-l-lactic or and polyalkylimide gel for HIV positive patients. Disease progression probabilities and utilities were derived from the literature. Costs were obtained from interviews with physicians and product distributors. Findings: Incremental costs per QALY were $66,409 CAD/$57,352 CAD for poly-l-lactic acid, and $48,715 CAD/$45,457 CAD for polyalkylimide gelĀ® (Societal perspective/Ministry of Health perspective). Sensitivity analysis did not have a significant effect on the lower incremental costs per QALY reported for polyalkylimide gel. Conclusion: Our base-case analysis revealed that treatments using polyalkylimide gel offers lower ICUR than treatments using poly-l-lactic acid.
URI: http://hdl.handle.net/1807/18978
Appears in Collections:Master
The Institute of Health Policy, Management and Evaluation - Master theses

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