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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

Screening surgeons for HIV infection. A cost-effectiveness analysis

D K Owens¹, R A Harris, P M Scott

¹Department of Veterans Affairs Medical Center, Palo Alto, California, USA.

Annals of Internal Medicine

|May 1, 1995

Summary

Screening surgeons for human immunodeficiency virus (HIV) infection is costly and not as effective as other health interventions. Continued surveillance is recommended to monitor rare cases of HIV transmission from surgeons to patients.

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Area of Science:

Public Health
Infectious Disease Epidemiology
Health Economics

Background:

Healthcare-associated transmission of human immunodeficiency virus (HIV) from infected surgeons to patients undergoing invasive procedures is a significant public health concern.
Policies for screening surgeons for HIV infection have been proposed to mitigate this risk.

Purpose of the Study:

To conduct a cost-effectiveness analysis of implementing a policy to screen surgeons for HIV infection.
To evaluate the economic impact of preventing HIV transmission from surgeons to patients during invasive procedures.

Main Methods:

Cost-effectiveness analysis was employed to model the financial implications of different HIV screening strategies for surgeons.
The analysis considered direct and induced costs associated with screening programs and estimated the cost per year of life saved.

Keywords:

Empirical Approach Health Care and Public Health

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Main Results:

A one-time national screening program for surgeons is estimated to cost $8.1 million directly and $44 million in induced costs, preventing a small number of HIV infections.
The cost-effectiveness of a one-time screening program is estimated at $458,000 per year of life saved, while annual screening is significantly more expensive.
Even with increased HIV prevalence in surgeons or higher seroconversion rates, annual screening remains a costly intervention.

Conclusions:

Screening surgeons for HIV infection to prevent patient transmission is considerably more expensive per year of life saved compared to most established health interventions.
Continued surveillance of patients treated by HIV-infected surgeons is recommended to accurately assess the rarity of HIV transmission in this context.