在瑞士艾滋病毒队列研究 (SHCS) 和瑞士一般人口中的死亡率
Christian Jaggy1, Jan von Overbeck, Bruno Ledergerber
1Swiss Re, Zurich, Switzerland.
Lancet (London, England)
|September 19, 2003
概括
成功治疗HIV-1感染的患者,没有C型肝炎共感染,死亡率与一般人群相比. 这表明他们应该有资格获得生命保险,类似于癌症幸存者.
科学领域:
- 医学 医学 医学 医学 医学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 从历史上看,与人类免疫缺陷病毒1型 (HIV-1) 感染相关的高死亡率使患者无法获得人寿保险.
- 最近的治疗进展显著改变了艾滋病毒-1感染者的预后.
研究的目的:
- 评估瑞士HIV-1患者当前的死亡率.
- 为了将这些比例与瑞士一般人口进行比较.
- 评估对人寿保险资格的影响.
主要方法:
- 利用了从1997年至2001年的瑞士艾滋病毒队列研究 (SHCS) 的数据.
- 将HIV-1患者的死亡率与瑞士参考人口的死亡率进行比较.
主要成果:
- 对于成功治疗了人类免疫缺陷病毒1型 (HIV-1) 感染,并且没有同时感染C型肝炎病毒 (HCV) 的患者,过度死亡率低于每年每千人中的五人.
- 这些过度死亡率与在成功治疗癌症的患者中观察到的死亡率相当.
结论:
- 在没有HCV共感染的情况下成功治疗的HIV-1患者的死亡风险与一般人群相似.
- 目前的风险概况表明,这些人不应该被排除在人寿保险政策之外.
- 这一发现挑战了基于过时的HIV-1死亡率数据的历史承保实践.
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