Characteristics and short- and long-term direct medical costs among adults with timely and delayed presentation for HIV care in the Netherlands

In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year af...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:PloS one Jg. 18; H. 2; S. e0280877
Hauptverfasser: Popping, Stephanie, Versteegh, Lisbeth, Nichols, Brooke E., van de Vijver, David A. M. C., van Sighem, Ard, Reiss, Peter, Geerlings, Suzanne, Boucher, Charles A. B., Verbon, Annelies
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Public Library of Science 08.02.2023
Public Library of Science (PLoS)
Schlagworte:
ISSN:1932-6203, 1932-6203
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Abstract In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation. We included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/μL), late presentation (CD4 200-350cells/μL or >350cells/μL with AIDS-defining illness) and very late presentation (CD4<200cells/μL). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests). From 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was €12,902 (SD€11,098), of which about two-thirds due to ART (€8,250 (SD€3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation (€4,749 (SD€8,009)) and very late presentation (€15,886 (SD€ 21,834)), compared with timely presentation (€2,407(SD€4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation. Very late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.
AbstractList In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation.INTRODUCTIONIn Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation.We included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/μL), late presentation (CD4 200-350cells/μL or >350cells/μL with AIDS-defining illness) and very late presentation (CD4<200cells/μL). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests).MATERIAL AND METHODSWe included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/μL), late presentation (CD4 200-350cells/μL or >350cells/μL with AIDS-defining illness) and very late presentation (CD4<200cells/μL). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests).From 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was €12,902 (SD€11,098), of which about two-thirds due to ART (€8,250 (SD€3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation (€4,749 (SD€8,009)) and very late presentation (€15,886 (SD€ 21,834)), compared with timely presentation (€2,407(SD€4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation.RESULTSFrom 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was €12,902 (SD€11,098), of which about two-thirds due to ART (€8,250 (SD€3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation (€4,749 (SD€8,009)) and very late presentation (€15,886 (SD€ 21,834)), compared with timely presentation (€2,407(SD€4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation.Very late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.CONCLUSIONVery late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.
In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation. We included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/[mu]L), late presentation (CD4 200-350cells/[mu]L or >350cells/[mu]L with AIDS-defining illness) and very late presentation (CD4<200cells/[mu]L). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests). From 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was [euro]12,902 (SD[euro]11,098), of which about two-thirds due to ART ([euro]8,250 (SD[euro]3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation ([euro]4,749 (SD[euro]8,009)) and very late presentation ([euro]15,886 (SD[euro] 21,834)), compared with timely presentation ([euro]2,407(SD[euro]4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation. Very late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.
Introduction In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation. Material and methods We included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/μL), late presentation (CD4 200-350cells/μL or >350cells/μL with AIDS-defining illness) and very late presentation (CD4<200cells/μL). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests). Results From 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was €12,902 (SD€11,098), of which about two-thirds due to ART (€8,250 (SD€3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation (€4,749 (SD€8,009)) and very late presentation (€15,886 (SD€ 21,834)), compared with timely presentation (€2,407(SD€4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation. Conclusion Very late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.
Introduction In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation. Material and methods We included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/[mu]L), late presentation (CD4 200-350cells/[mu]L or >350cells/[mu]L with AIDS-defining illness) and very late presentation (CD4<200cells/[mu]L). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests). Results From 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was [euro]12,902 (SD[euro]11,098), of which about two-thirds due to ART ([euro]8,250 (SD[euro]3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation ([euro]4,749 (SD[euro]8,009)) and very late presentation ([euro]15,886 (SD[euro] 21,834)), compared with timely presentation ([euro]2,407(SD[euro]4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation. Conclusion Very late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.
In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation. We included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/μL), late presentation (CD4 200-350cells/μL or >350cells/μL with AIDS-defining illness) and very late presentation (CD4<200cells/μL). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests). From 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was €12,902 (SD€11,098), of which about two-thirds due to ART (€8,250 (SD€3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation (€4,749 (SD€8,009)) and very late presentation (€15,886 (SD€ 21,834)), compared with timely presentation (€2,407(SD€4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation. Very late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.
Introduction In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and long-term costs of HIV-care based on time of presentation and identify other factors contributing to higher costs in the first and fifth year after antiretroviral therapy (ART) initiation. Material and methods We included ATHENA cohort data which prospectively includes 98% of PLWH in the Netherlands. PLWH who initiated ART in 2013 were included and followed over five years. PLWH were divided in three categories based on CD4 cell-count at time of ART initiation: timely presentation (CD4>350cells/μL), late presentation (CD4 200-350cells/μL or >350cells/μL with AIDS-defining illness) and very late presentation (CD4<200cells/μL). The total HIV-care cost was calculated distinguishing ART medication and non-ART medication costs (hospitalization, outpatient clinic visits, co-medications, and HIV-laboratory tests). Results From 1,296 PLWH, 273 (21%) presented late and 179 (14%) very late. Nearly half of those who entered HIV-care in a very late stage were of non-Dutch origin, with 21% originating from sub-Saharan Africa. The mean cost per patient in the first year was €12,902 (SD€11,098), of which about two-thirds due to ART (€8,250 (SD€3,142)). ART costs in the first and fifth year were comparable regardless of time of presentation. During the first year on treatment, non-ART medication costs were substantially higher among those with late presentation (€4,749 (SD€8,009)) and very late presentation (€15,886 (SD€ 21,834)), compared with timely presentation (€2,407(SD€4,511)). Higher non-ART costs were attributable to hospitalization and co-medication. The total non-ART costs incurred across five years on treatment were 56% and 246% higher for late and very late presentation respectively as compared to timely presentation. Conclusion Very late presentation is associated with substantial costs, with non-ART costs nearly seven times higher than for those presenting timely. Hospitalization and co-medication costs are likely to continue to drive higher costs for individuals with late presentation into the future. Programs that identify individuals earlier will therefore likely provide significant short- and long-term health cost savings.
Audience Academic
Author Popping, Stephanie
van Sighem, Ard
Nichols, Brooke E.
Verbon, Annelies
van de Vijver, David A. M. C.
Reiss, Peter
Boucher, Charles A. B.
Versteegh, Lisbeth
Geerlings, Suzanne
AuthorAffiliation 6 Stichting HIV Monitoring, Amsterdam, the Netherlands
3 Department of Global Health, Boston University, Boston, MA, United States of America
University of Catania: Universita degli Studi di Catania, ITALY
9 Department of Internal Medicine and Infectious Diseases, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
5 Department of Medical Microbiology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands
4 Health Economics and Epidemiology Research Office, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
2 Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, Rotterdam, the Netherlands
7 Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity Amsterdam, Amsterdam University Medical Center, Amsterdam, the Netherlands
1 Department of Viroscience, Erasmus Medical Center, Rott
AuthorAffiliation_xml – name: 6 Stichting HIV Monitoring, Amsterdam, the Netherlands
– name: 2 Department of Medical Microbiology and Infectious Diseases, Erasmus Medical Center, Rotterdam, the Netherlands
– name: University of Catania: Universita degli Studi di Catania, ITALY
– name: 1 Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
– name: 9 Department of Internal Medicine and Infectious Diseases, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
– name: 4 Health Economics and Epidemiology Research Office, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
– name: 3 Department of Global Health, Boston University, Boston, MA, United States of America
– name: 8 Department of Global Health, Amsterdam University Medical Centers, University of Amsterdam and Amsterdam Institute for Global Health and Development, Amsterdam, the Netherlands
– name: 7 Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity Amsterdam, Amsterdam University Medical Center, Amsterdam, the Netherlands
– name: 5 Department of Medical Microbiology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands
Author_xml – sequence: 1
  givenname: Stephanie
  orcidid: 0000-0002-8959-4671
  surname: Popping
  fullname: Popping, Stephanie
– sequence: 2
  givenname: Lisbeth
  surname: Versteegh
  fullname: Versteegh, Lisbeth
– sequence: 3
  givenname: Brooke E.
  surname: Nichols
  fullname: Nichols, Brooke E.
– sequence: 4
  givenname: David A. M. C.
  surname: van de Vijver
  fullname: van de Vijver, David A. M. C.
– sequence: 5
  givenname: Ard
  orcidid: 0000-0002-6656-0516
  surname: van Sighem
  fullname: van Sighem, Ard
– sequence: 6
  givenname: Peter
  orcidid: 0000-0001-7896-6428
  surname: Reiss
  fullname: Reiss, Peter
– sequence: 7
  givenname: Suzanne
  surname: Geerlings
  fullname: Geerlings, Suzanne
– sequence: 8
  givenname: Charles A. B.
  surname: Boucher
  fullname: Boucher, Charles A. B.
– sequence: 9
  givenname: Annelies
  surname: Verbon
  fullname: Verbon, Annelies
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36753495$$D View this record in MEDLINE/PubMed
BookMark eNqNk2trFDEUhgdR7EX_gWhAEP2way4zmcQPQilqF4oFL_0azmYyOymZyZpk1P4K_7LZ7rR0SxEZmEnOed6Tycs5B8XDwQ-mKJ4RPCesJm8v_BgGcPN1Ds8xFVjU9YNin0hGZ5xi9vDWeq84iPEC44oJzh8Xe4zXFStltV_8Oe4ggE4m2JisjgiGBsXOhzS7Wjo_rGY526PGBqMT6k1jNTikfUyZ7nMeQTO6vPllU4eS7Y27vNI2xsGladA6mGiGBMn6AbU-oJPFOdIQDLIDSp1Bn01-B5c18UnxqAUXzdPpe1h8__jh2_HJ7PTs0-L46HSmuaRpJqVphKi0ENBUraDAMGtoVcmSs4powoFQDqVkspWlaHljyiUI0IbVragoZYfFi23dtfNRTV5GReu6LDnGZEMstkTj4UKtg-0hXCoPVl0FfFgpCNkyZxTIZQ3EyIaytpQglrXkpGZAMJdtK9tc6_102rjMBursRgC3U3Q3M9hOrfxPJSWuBalygddTgeB_jCYm1duojcueGT9O_y25YHVGX95B77_dRK0gX8AOrc_n6k1RdVQzTiWVmGVqfg-Vn8b0VufGa22O7wje7Agyk8zvtIIxRrX4-uX_2bPzXfbVLbYz4FIXvRs3LRV3wee3nb6x-LrjM1BuAR18jMG0NwjBajNY13apzWCpabCy7N0dmbbbjs6OWPdv8V-qfCob
CitedBy_id crossref_primary_10_3389_fpubh_2024_1334881
crossref_primary_10_3390_microorganisms12020254
crossref_primary_10_1038_s41598_024_73648_6
crossref_primary_10_1002_jia2_26516
crossref_primary_10_1016_j_cmi_2025_02_036
crossref_primary_10_1093_eurpub_ckaf057
crossref_primary_10_1186_s12889_024_18499_6
Cites_doi 10.1097/QAD.0000000000000382
10.1056/NEJMoa1506816
10.1136/bmjopen-2018-022516
10.1007/s10461-018-2082-9
10.1097/01.aids.0000233579.79714.8d
10.1016/j.vhri.2014.07.005
10.1111/hiv.12430
10.1111/hiv.13121
10.1177/0956462418770014
10.7448/IAS.18.1.20317
10.1111/j.1468-1293.2004.00193.x
10.1371/journal.pone.0142576
10.1097/QCO.0000000000000415
10.7861/clinmedicine.16-2-175
10.1111/j.1468-1293.2010.00857.x
10.1016/S0140-6736(09)60612-7
10.1186/s12879-017-2279-y
10.1371/journal.pone.0052845
10.1136/sextrans-2018-053583
10.1186/s12879-021-06183-8
10.1016/j.eclinm.2021.100877
10.1186/s12981-016-0129-4
10.1097/MLR.0b013e3181f81c4a
10.1521/aeap.14.1.17.24333
10.3109/00365548.2011.626440
10.1016/S1470-2045(09)70282-7
10.1111/hiv.12686
ContentType Journal Article
Copyright Copyright: © 2023 Popping et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
COPYRIGHT 2023 Public Library of Science
2023 Popping et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
2023 Popping et al 2023 Popping et al
2023 Popping et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright_xml – notice: Copyright: © 2023 Popping et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
– notice: COPYRIGHT 2023 Public Library of Science
– notice: 2023 Popping et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: 2023 Popping et al 2023 Popping et al
– notice: 2023 Popping et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
CorporateAuthor on behalf of the ATHENA observational cohort
ATHENA observational cohort
CorporateAuthor_xml – name: on behalf of the ATHENA observational cohort
– name: ATHENA observational cohort
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
IOV
ISR
3V.
7QG
7QL
7QO
7RV
7SN
7SS
7T5
7TG
7TM
7U9
7X2
7X7
7XB
88E
8AO
8C1
8FD
8FE
8FG
8FH
8FI
8FJ
8FK
ABJCF
ABUWG
AEUYN
AFKRA
ARAPS
ATCPS
AZQEC
BBNVY
BENPR
BGLVJ
BHPHI
C1K
CCPQU
D1I
DWQXO
FR3
FYUFA
GHDGH
GNUQQ
H94
HCIFZ
K9.
KB.
KB0
KL.
L6V
LK8
M0K
M0S
M1P
M7N
M7P
M7S
NAPCQ
P5Z
P62
P64
PATMY
PDBOC
PHGZM
PHGZT
PIMPY
PJZUB
PKEHL
PPXIY
PQEST
PQGLB
PQQKQ
PQUKI
PTHSS
PYCSY
RC3
7X8
5PM
DOA
DOI 10.1371/journal.pone.0280877
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
Gale In Context: Opposing Viewpoints
Gale In Context: Science
ProQuest Central (Corporate)
Animal Behavior Abstracts
Bacteriology Abstracts (Microbiology B)
Biotechnology Research Abstracts
Nursing & Allied Health Database
Ecology Abstracts
Entomology Abstracts (Full archive)
Immunology Abstracts
Meteorological & Geoastrophysical Abstracts
Nucleic Acids Abstracts
Virology and AIDS Abstracts
Agricultural Science Collection
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Medical Database (Alumni Edition)
ProQuest Pharma Collection
Public Health Database
Technology Research Database
ProQuest SciTech Collection
ProQuest Technology Collection
ProQuest Natural Science Collection
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
Materials Science & Engineering Collection
ProQuest Central (Alumni)
ProQuest One Sustainability
ProQuest Central UK/Ireland
Advanced Technologies & Aerospace Database‎ (1962 - current)
Agricultural & Environmental Science Collection
ProQuest Central Essentials - QC
Biological Science Collection
ProQuest Central
Technology collection
Natural Science Collection
Environmental Sciences and Pollution Management
ProQuest One Community College
ProQuest Materials Science Collection
ProQuest Central Korea
Engineering Research Database
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Central Student
AIDS and Cancer Research Abstracts
SciTech Premium Collection
ProQuest Health & Medical Complete (Alumni)
Materials Science Database
Nursing & Allied Health Database (Alumni Edition)
Meteorological & Geoastrophysical Abstracts - Academic
ProQuest Engineering Collection
Biological Sciences
Agricultural Science Database
ProQuest Health & Medical Collection
Medical Database
Algology Mycology and Protozoology Abstracts (Microbiology C)
Biological Science Database (ProQuest)
Engineering Database
Nursing & Allied Health Premium
Advanced Technologies & Aerospace Database
ProQuest Advanced Technologies & Aerospace Collection
Biotechnology and BioEngineering Abstracts
Environmental Science Database
Materials Science Collection
ProQuest Central Premium
ProQuest One Academic
ProQuest Publicly Available Content Database
ProQuest Health & Medical Research Collection
ProQuest One Academic Middle East (New)
ProQuest One Health & Nursing
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Applied & Life Sciences
ProQuest One Academic (retired)
ProQuest One Academic UKI Edition
Engineering Collection
Environmental Science Collection
Genetics Abstracts
MEDLINE - Academic
PubMed Central (Full Participant titles)
DOAJ Directory of Open Access Journals
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
Agricultural Science Database
Publicly Available Content Database
ProQuest Central Student
ProQuest Advanced Technologies & Aerospace Collection
ProQuest Central Essentials
Nucleic Acids Abstracts
SciTech Premium Collection
Environmental Sciences and Pollution Management
ProQuest One Applied & Life Sciences
ProQuest One Sustainability
Health Research Premium Collection
Meteorological & Geoastrophysical Abstracts
Natural Science Collection
Health & Medical Research Collection
Biological Science Collection
ProQuest Central (New)
ProQuest Medical Library (Alumni)
Engineering Collection
Advanced Technologies & Aerospace Collection
Engineering Database
Virology and AIDS Abstracts
ProQuest Biological Science Collection
ProQuest One Academic Eastern Edition
Agricultural Science Collection
ProQuest Hospital Collection
ProQuest Technology Collection
Health Research Premium Collection (Alumni)
Biological Science Database
Ecology Abstracts
ProQuest Hospital Collection (Alumni)
Biotechnology and BioEngineering Abstracts
Environmental Science Collection
Entomology Abstracts
Nursing & Allied Health Premium
ProQuest Health & Medical Complete
ProQuest One Academic UKI Edition
Environmental Science Database
ProQuest Nursing & Allied Health Source (Alumni)
Engineering Research Database
ProQuest One Academic
Meteorological & Geoastrophysical Abstracts - Academic
ProQuest One Academic (New)
Technology Collection
Technology Research Database
ProQuest One Academic Middle East (New)
Materials Science Collection
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest One Health & Nursing
ProQuest Natural Science Collection
ProQuest Pharma Collection
ProQuest Central
ProQuest Health & Medical Research Collection
Genetics Abstracts
ProQuest Engineering Collection
Biotechnology Research Abstracts
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
Bacteriology Abstracts (Microbiology B)
Algology Mycology and Protozoology Abstracts (Microbiology C)
Agricultural & Environmental Science Collection
AIDS and Cancer Research Abstracts
Materials Science Database
ProQuest Materials Science Collection
ProQuest Public Health
ProQuest Nursing & Allied Health Source
ProQuest SciTech Collection
Advanced Technologies & Aerospace Database
ProQuest Medical Library
Animal Behavior Abstracts
Materials Science & Engineering Collection
Immunology Abstracts
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic


Agricultural Science Database



MEDLINE


Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: PIMPY
  name: Publicly Available Content Database
  url: http://search.proquest.com/publiccontent
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Sciences (General)
Public Health
DocumentTitleAlternate Cost of late presentation of HIV
EISSN 1932-6203
ExternalDocumentID 2774460012
oai_doaj_org_article_a9b7a1e9d23f49a8b796173a1069ff9f
PMC9907815
A736292903
36753495
10_1371_journal_pone_0280877
Genre Research Support, Non-U.S. Gov't
Journal Article
GeographicLocations Netherlands
Europe
United States
GeographicLocations_xml – name: Netherlands
– name: Europe
– name: United States
GrantInformation_xml – fundername: ;
  grantid: 215001269
– fundername: ;
  grantid: SDD 343462
– fundername: ;
  grantid: 771290
– fundername: ;
  grantid: 14-0614-ViiV
GroupedDBID ---
123
29O
2WC
53G
5VS
7RV
7X2
7X7
7XC
88E
8AO
8C1
8CJ
8FE
8FG
8FH
8FI
8FJ
A8Z
AAFWJ
AAUCC
AAWOE
AAYXX
ABDBF
ABIVO
ABJCF
ABUWG
ACCTH
ACGFO
ACIHN
ACIWK
ACPRK
ACUHS
ADBBV
AEAQA
AENEX
AEUYN
AFFHD
AFKRA
AFPKN
AFRAH
AHMBA
ALMA_UNASSIGNED_HOLDINGS
AOIJS
APEBS
ARAPS
ATCPS
BAIFH
BAWUL
BBNVY
BBTPI
BCNDV
BENPR
BGLVJ
BHPHI
BKEYQ
BPHCQ
BVXVI
BWKFM
CCPQU
CITATION
CS3
D1I
D1J
D1K
DIK
DU5
E3Z
EAP
EAS
EBD
EMOBN
ESX
EX3
F5P
FPL
FYUFA
GROUPED_DOAJ
GX1
HCIFZ
HH5
HMCUK
HYE
IAO
IEA
IGS
IHR
IHW
INH
INR
IOV
IPY
ISE
ISR
ITC
K6-
KB.
KQ8
L6V
LK5
LK8
M0K
M1P
M48
M7P
M7R
M7S
M~E
NAPCQ
O5R
O5S
OK1
OVT
P2P
P62
PATMY
PDBOC
PHGZM
PHGZT
PIMPY
PJZUB
PPXIY
PQGLB
PQQKQ
PROAC
PSQYO
PTHSS
PV9
PYCSY
RNS
RPM
RZL
SV3
TR2
UKHRP
WOQ
WOW
~02
~KM
ADRAZ
ALIPV
BBORY
CGR
CUY
CVF
ECM
EIF
IPNFZ
NPM
RIG
3V.
7QG
7QL
7QO
7SN
7SS
7T5
7TG
7TM
7U9
7XB
8FD
8FK
AZQEC
C1K
DWQXO
ESTFP
FR3
GNUQQ
H94
K9.
KL.
M7N
P64
PKEHL
PQEST
PQUKI
RC3
7X8
PUEGO
5PM
AAPBV
ABPTK
ID FETCH-LOGICAL-c692t-99ed885c88ad5f82a303d255946351c16a126a4939f948f6de4ba8ace37f85223
IEDL.DBID P5Z
ISICitedReferencesCount 9
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000966728400001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1932-6203
IngestDate Sun Oct 01 00:11:32 EDT 2023
Fri Oct 03 12:50:35 EDT 2025
Tue Nov 04 02:07:10 EST 2025
Thu Oct 02 12:05:09 EDT 2025
Tue Oct 07 07:45:34 EDT 2025
Sat Nov 29 12:59:15 EST 2025
Sat Nov 29 10:16:16 EST 2025
Wed Nov 26 11:28:03 EST 2025
Wed Nov 26 11:29:09 EST 2025
Thu May 22 21:22:25 EDT 2025
Thu Apr 03 07:03:25 EDT 2025
Sat Nov 29 03:40:52 EST 2025
Tue Nov 18 21:53:42 EST 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Language English
License Copyright: © 2023 Popping et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Creative Commons Attribution License
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c692t-99ed885c88ad5f82a303d255946351c16a126a4939f948f6de4ba8ace37f85223
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
Competing Interests: DvdV reports unrestricted research grant from Gilead Sciences, Merck Sharp & Dohm, ViiV and Janssen Pharmaceuticals. CAB reports personal fees from speaker honoraria from ViiV outside the submitted work; AvS reports grants from Dutch Ministry of Health, Welfare and Sport, during the conduct of the study; grants from European Centre for Disease Prevention and Control, outside the submitted work. PR reports independent scientific grant support from Gilead Sciences, Merck Sharp & Dohm, and ViiV Healthcare through his institution; scientific advisory board participation for Gilead Sciences, ViiV Healthcare, Merck Sharp & Dohm., and Teva Pharmaceutical Industries Ltd., for which his institution has received remuneration. SP, LV, BN, SG, AV have nothing to disclose. This does not alter our adherence to PLOS ONE policies on sharing data and materials. Data can be shared upon request to the corresponding author.
Membership of the ATHENA observational cohort is listed in the Acknowledgments.
ORCID 0000-0002-6656-0516
0000-0001-7896-6428
0000-0002-8959-4671
OpenAccessLink https://www.proquest.com/docview/2774460012?pq-origsite=%requestingapplication%
PMID 36753495
PQID 2774460012
PQPubID 1436336
PageCount e0280877
ParticipantIDs plos_journals_2774460012
doaj_primary_oai_doaj_org_article_a9b7a1e9d23f49a8b796173a1069ff9f
pubmedcentral_primary_oai_pubmedcentral_nih_gov_9907815
proquest_miscellaneous_2774496837
proquest_journals_2774460012
gale_infotracmisc_A736292903
gale_infotracacademiconefile_A736292903
gale_incontextgauss_ISR_A736292903
gale_incontextgauss_IOV_A736292903
gale_healthsolutions_A736292903
pubmed_primary_36753495
crossref_primary_10_1371_journal_pone_0280877
crossref_citationtrail_10_1371_journal_pone_0280877
PublicationCentury 2000
PublicationDate 2023-02-08
PublicationDateYYYYMMDD 2023-02-08
PublicationDate_xml – month: 02
  year: 2023
  text: 2023-02-08
  day: 08
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: San Francisco
– name: San Francisco, CA USA
PublicationTitle PloS one
PublicationTitleAlternate PLoS One
PublicationYear 2023
Publisher Public Library of Science
Public Library of Science (PLoS)
Publisher_xml – name: Public Library of Science
– name: Public Library of Science (PLoS)
References Late presenters working group in CiE (pone.0280877.ref014) 2015; 20
L Bull (pone.0280877.ref026) 2016; 16
LG Ard van Sighem (pone.0280877.ref016) 2014
J Wilton (pone.0280877.ref023) 2019; 20
E Lord (pone.0280877.ref031) 2017; 18
A Antinori (pone.0280877.ref001) 2011; 12
SB Brogly (pone.0280877.ref006) 2002; 14
A.I. van Sighem (pone.0280877.ref018) 2020
ZN National Healthcare Institute (pone.0280877.ref020) 2022
SJ Bogers (pone.0280877.ref025) 2021; 21
IK Joore (pone.0280877.ref032) 2017; 17
C den Daas (pone.0280877.ref033) 2018; 29
BE Nichols (pone.0280877.ref034) 2015; 10
J Ross (pone.0280877.ref029) 2018; 31
C When To Start (pone.0280877.ref003) 2009; 373
HB Krentz (pone.0280877.ref011) 2012; 2012
ISS Group (pone.0280877.ref002) 2015; 373
M Guiguet (pone.0280877.ref004) 2009; 10
N Boubouchairopoulou (pone.0280877.ref010) 2014; 4
AK Sullivan (pone.0280877.ref024) 2013; 8
SEM van Opstal (pone.0280877.ref022) 2018; 22
G Marks (pone.0280877.ref007) 2006; 20
G Guaraldi (pone.0280877.ref009) 2017; 14
M Helleberg (pone.0280877.ref021) 2012; 44
SJ Bogers (pone.0280877.ref027) 2021; 35
MJ Gill (pone.0280877.ref028) 2021; 22
JP Bil (pone.0280877.ref030) 2019; 95
M Hleyhel (pone.0280877.ref005) 2014; 28
JA Fleishman (pone.0280877.ref012) 2010; 48
ECDC (pone.0280877.ref013) 2019; 2019
O. World Health (pone.0280877.ref017) 2013
TS Boender (pone.0280877.ref019) 2018; 8
A Hachfeld (pone.0280877.ref015) 2015; 18
HB Krentz (pone.0280877.ref008) 2004; 5
References_xml – volume: 20
  issue: 47
  year: 2015
  ident: pone.0280877.ref014
  article-title: Late presentation for HIV care across Europe: update from the Collaboration of Observational HIV Epidemiological Research Europe (COHERE) study, 2010 to 2013.
  publication-title: Euro Surveill
– year: 2020
  ident: pone.0280877.ref018
  article-title: The 2020 Monitoring report on Human Immunodeficiency Virus (HIV) Infection in the Netherlands.
  publication-title: Stichting HIV Monitoring (SHM),
– volume: 28
  start-page: 2109
  issue: 14
  year: 2014
  ident: pone.0280877.ref005
  article-title: Risk of non-AIDS-defining cancers among HIV-1-infected individuals in France between 1997 and 2009: results from a French cohort
  publication-title: Aids
  doi: 10.1097/QAD.0000000000000382
– volume: 373
  start-page: 795
  issue: 9
  year: 2015
  ident: pone.0280877.ref002
  article-title: Initiation of Antiretroviral Therapy in Early Asymptomatic HIV Infection
  publication-title: N Engl J Med
  doi: 10.1056/NEJMoa1506816
– volume: 8
  start-page: e022516
  issue: 9
  year: 2018
  ident: pone.0280877.ref019
  article-title: AIDS Therapy Evaluation in the Netherlands (ATHENA) national observational HIV cohort: cohort profile.
  publication-title: BMJ Open
  doi: 10.1136/bmjopen-2018-022516
– volume: 22
  start-page: 2593
  issue: 8
  year: 2018
  ident: pone.0280877.ref022
  article-title: Late Presentation of HIV Infection in the Netherlands: Reasons for Late Diagnoses and Impact on Vocational Functioning
  publication-title: AIDS Behav
  doi: 10.1007/s10461-018-2082-9
– year: 2013
  ident: pone.0280877.ref017
  article-title: Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection
  publication-title: Recommendations for a public health approach. World Health Organization
– volume: 20
  start-page: 1447
  issue: 10
  year: 2006
  ident: pone.0280877.ref007
  article-title: Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA
  publication-title: Aids
  doi: 10.1097/01.aids.0000233579.79714.8d
– volume: 4
  start-page: 82
  year: 2014
  ident: pone.0280877.ref010
  article-title: Estimation of the Direct Cost of HIV-Infected Patients in Greece on an Annual Basis.
  publication-title: Value in Health Regional Issues.
  doi: 10.1016/j.vhri.2014.07.005
– volume: 18
  start-page: 300
  issue: 4
  year: 2017
  ident: pone.0280877.ref031
  article-title: Evaluation of HIV testing recommendations in specialty guidelines for the management of HIV indicator conditions.
  publication-title: HIV Med.
  doi: 10.1111/hiv.12430
– volume: 2019
  year: 2019
  ident: pone.0280877.ref013
  article-title: HIV/AIDS surveillance in Europe.
  publication-title: European Centre for Disease Prevention and Control (ECDC)
– volume: 22
  start-page: 723
  issue: 8
  year: 2021
  ident: pone.0280877.ref028
  article-title: Economic impact on direct healthcare costs of missing opportunities for diagnosing HIV within healthcare settings.
  publication-title: HIV Med
  doi: 10.1111/hiv.13121
– volume: 29
  start-page: 1057
  issue: 11
  year: 2018
  ident: pone.0280877.ref033
  article-title: Increasing awareness and prompting HIV testing: Contributions of Amsterdam HIV Testing Week 2016
  publication-title: Int J STD AIDS
  doi: 10.1177/0956462418770014
– volume: 2012
  start-page: 757135
  year: 2012
  ident: pone.0280877.ref011
  article-title: The Direct Medical Costs of Late Presentation (<350/mm) of HIV Infection over a 15-Year Period.
  publication-title: AIDS Res Treat
– volume: 18
  start-page: 20317
  year: 2015
  ident: pone.0280877.ref015
  article-title: Reasons for late presentation to HIV care in Switzerland.
  publication-title: J Int AIDS Soc
  doi: 10.7448/IAS.18.1.20317
– volume: 5
  start-page: 93
  issue: 2
  year: 2004
  ident: pone.0280877.ref008
  article-title: The high cost of medical care for patients who present late (CD4 <200 cells/microL) with HIV infection.
  publication-title: HIV Med.
  doi: 10.1111/j.1468-1293.2004.00193.x
– volume: 10
  start-page: e0142576
  issue: 11
  year: 2015
  ident: pone.0280877.ref034
  article-title: Partner Notification for Reduction of HIV-1 Transmission and Related Costs among Men Who Have Sex with Men: A Mathematical Modeling Study.
  publication-title: PLoS One.
  doi: 10.1371/journal.pone.0142576
– volume: 31
  start-page: 25
  issue: 1
  year: 2018
  ident: pone.0280877.ref029
  article-title: HIV outcomes among migrants from low-income and middle-income countries living in high-income countries: a review of recent evidence.
  publication-title: Curr Opin Infect Dis
  doi: 10.1097/QCO.0000000000000415
– year: 2022
  ident: pone.0280877.ref020
  article-title: Medication cost (Medicatie Kosten) Diemen
– volume: 16
  start-page: 175
  issue: 2
  year: 2016
  ident: pone.0280877.ref026
  article-title: HIV-indicator-condition-driven HIV testing: clinically effective but still rarely implemented.
  publication-title: Clin Med (Lond).
  doi: 10.7861/clinmedicine.16-2-175
– volume: 12
  start-page: 61
  issue: 1
  year: 2011
  ident: pone.0280877.ref001
  article-title: Late presentation of HIV infection: a consensus definition.
  publication-title: HIV Med
  doi: 10.1111/j.1468-1293.2010.00857.x
– volume: 373
  start-page: 1352
  issue: 9672
  year: 2009
  ident: pone.0280877.ref003
  article-title: Timing of initiation of antiretroviral therapy in AIDS-free HIV-1-infected patients: a collaborative analysis of 18 HIV cohort studies
  publication-title: Lancet
  doi: 10.1016/S0140-6736(09)60612-7
– volume: 17
  start-page: 178
  issue: 1
  year: 2017
  ident: pone.0280877.ref032
  article-title: The importance of registration of sexual orientation and recognition of indicator conditions for an adequate HIV risk-assessment.
  publication-title: BMC Infect Dis
  doi: 10.1186/s12879-017-2279-y
– volume: 8
  start-page: e52845
  issue: 1
  year: 2013
  ident: pone.0280877.ref024
  article-title: Feasibility and effectiveness of indicator condition-guided testing for HIV: results from HIDES I (HIV indicator diseases across Europe study).
  publication-title: PLoS One.
  doi: 10.1371/journal.pone.0052845
– volume: 95
  start-page: 629
  issue: 8
  year: 2019
  ident: pone.0280877.ref030
  article-title: Usage of purchased self-tests for HIV infections among migrants living in the UK, France and the Netherlands: a cross-sectional study.
  publication-title: Sex Transm Infect.
  doi: 10.1136/sextrans-2018-053583
– volume: 21
  start-page: 519
  issue: 1
  year: 2021
  ident: pone.0280877.ref025
  article-title: Promoting HIV indicator condition-guided testing in hospital settings (PROTEST 2.0): study protocol for a multicentre interventional study.
  publication-title: BMC Infectious Diseases.
  doi: 10.1186/s12879-021-06183-8
– volume: 35
  start-page: 100877
  year: 2021
  ident: pone.0280877.ref027
  article-title: Current evidence on the adoption of indicator condition guided testing for HIV in western countries: A systematic review and meta-analysis.
  publication-title: EClinicalMedicine
  doi: 10.1016/j.eclinm.2021.100877
– volume: 14
  start-page: 8
  issue: 1
  year: 2017
  ident: pone.0280877.ref009
  article-title: Late presentation increases risk and costs of non-infectious comorbidities in people with HIV: an Italian cost impact study
  publication-title: AIDS Res Ther
  doi: 10.1186/s12981-016-0129-4
– volume: 48
  start-page: 1071
  issue: 12
  year: 2010
  ident: pone.0280877.ref012
  article-title: The economic burden of late entry into medical care for patients with HIV infection.
  publication-title: Med Care
  doi: 10.1097/MLR.0b013e3181f81c4a
– year: 2014
  ident: pone.0280877.ref016
  article-title: Monitoring Report 2014
  publication-title: Human Immunodeficiency Virus (HIV) Infection in the Netherlands Amsterdam: Stichting HIV Monitoring
– volume: 14
  start-page: 17
  issue: 1
  year: 2002
  ident: pone.0280877.ref006
  article-title: HIV-positive notification and behavior changes in Montreal injection drug users
  publication-title: AIDS Educ Prev
  doi: 10.1521/aeap.14.1.17.24333
– volume: 44
  start-page: 282
  issue: 4
  year: 2012
  ident: pone.0280877.ref021
  article-title: Late presenters, repeated testing, and missed opportunities in a Danish nationwide HIV cohort
  publication-title: Scand J Infect Dis
  doi: 10.3109/00365548.2011.626440
– volume: 10
  start-page: 1152
  issue: 12
  year: 2009
  ident: pone.0280877.ref004
  article-title: Effect of immunodeficiency, HIV viral load, and antiretroviral therapy on the risk of individual malignancies (FHDH-ANRS CO4): a prospective cohort study.
  publication-title: Lancet Oncol
  doi: 10.1016/S1470-2045(09)70282-7
– volume: 20
  start-page: 110
  issue: 2
  year: 2019
  ident: pone.0280877.ref023
  article-title: Late diagnosis, delayed presentation and late presentation among persons enrolled in a clinical HIV cohort in Ontario, Canada (1999–2013).
  publication-title: HIV Med
  doi: 10.1111/hiv.12686
SSID ssj0053866
Score 2.4610872
Snippet In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess short- and...
Introduction In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess...
Introduction In Europe, half of people living with HIV (PLWH) present late to care, with associated higher morbidity and mortality. This study aims to assess...
SourceID plos
doaj
pubmedcentral
proquest
gale
pubmed
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
StartPage e0280877
SubjectTerms Acquired immune deficiency syndrome
Adult
AIDS
Anti-HIV Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Antiviral agents
Biological products industry
Biology and Life Sciences
Care and treatment
CD4 antigen
CD4 Lymphocyte Count
Clinics
Consent
Cost assessments
Costs
Data collection
Drugs
Economic aspects
Europe
Evaluation
Health aspects
Health Care Costs
Health risks
Highly active antiretroviral therapy
HIV
HIV (Viruses)
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV testing
Hospitalization
Human immunodeficiency virus
Humans
Infections
Laboratories
Laboratory tests
Medical care, Cost of
Medical diagnosis
Medicine and Health Sciences
Morbidity
Mortality
Netherlands
Netherlands - epidemiology
Patient outcomes
Public health
United States
SummonAdditionalLinks – databaseName: DOAJ Directory of Open Access Journals
  dbid: DOA
  link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELbQigMXRHk1UMAgJOCQlsRZP46lomovBfGoeoscP9qVFmfV7CL1V_CXmXG8YYMqlQO3VTyOdmfG42_W428Iee2nziovVc650zk6Ra6ltXnRlMKVtiqbxsdmE-LkRJ6dqc8brb6wJqynB-4Vt6dVI3ThlC2Zr5SWjVCw6TINqYzyXnmMvoB61slUH4NhFXOeLsoxUewlu-wu2uB28TBRCjHaiCJf_xCVJ4t5210HOf-unNzYig7vkbsJQ9L9_rtvkVsu3CdbaZV29G2ikn73gPw6GPMxUx0s7S4Acufx47wN5zkGZ9pvbfRHf25DTdstQRo7EdFI0dFR_MeWYiv6-VWci_SSV87SxZ8LTIECBKZHx6cUC8roLFCAl3TjTvFD8v3w47eDozy1YMgNV-UyV8pZKadGSm2nXpYadjyLWUgFQKUwBddFyXWlmPKqkp5bVzVaauOY8BKgHXtEJgGUvk0oAjerrYYQUFWNV40rDa-8gSSwAUdSGWFre9Qm8ZNjm4x5HQ_dBOQpvXprtGKdrJiRfJi16Pk5bpD_gKYeZJFdOz4An6uTz9U3-VxGXqCj1P1V1SFG1PsC4ADgzfcsI6-iBDJsBCzhOderrquPP53-g9DXLyOhN0nIt6AOo9O1CfhNyNw1ktwZSUKcMKPhbXTrtVa6ugTkX0W8CzPXrn798MthGF-KZXnBtasko7hkoNfH_coYNMsgFWWQfmdEjNbMSPXjkTC7iATngJCELKZP_oetnpI7JeDSWGgvd8hkeblyz8ht83M56y6fx6jxG5HndVE
  priority: 102
  providerName: Directory of Open Access Journals
– databaseName: Public Library of Science (PLoS) Journals Open Access
  dbid: FPL
  link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3db9MwELeg8ICEgI2PFQYYhAR7yFjs1B-PY6LaJDQmPqa9RU5sb5W6pFpapP0V_MvcOW62TJuAt6o-V-n57vy7-O5nQt75kbPaK50I4UyCRpEYZW2SFkw6ZjNWFD5cNiH399XRkT64SBSvnOBzmX6MOt2c1ZXbxINAJeVtcodxIbCEa3zwZRl5wXeFiO1xN83sbT-Bpb-LxYPZtG6uA5pX6yUvbUDjh__76I_Igwg16XZrGyvklqtWyf32PR1t249WyUp07oZ-iAzUG4_J750-jTM1laXNCSD1JHyc1tVxgjGdtjsiPW2Pe2hZN3OQxguMaGD2aCi-6KV4g_30PMxFVspzZ-nsou-pooCc6e7eIcU6NDqpKKBSeqkV-Qn5Of78Y2c3iTc3JKXQbJ5o7axSo1IpY0deMQMbpcXkJQN8k5apMCkTJtNce50pL6zLCqNM6bj0ChAhf0oGFShtjVDEe9ZYA5EjywqvC8dKkfkScscC7E8PCV8uaF5GWnO8XWOah7M6CelNq-4cVyGPqzAkSTdr1tJ6_EX-E9pKJ4uk3OELWO48-nhudCFN6rRl3GfaqEJqwIfcQNatvdd-SF6jpeVth2sXWvJtCSgCYOoWH5K3QQKJOSqs_Dk2i6bJ974e_oPQ9289ofdRyNegjtLEbgv4T0j41ZNc70lCeCl7w2voF0utNDmDhCELMBlmLn3l-uE33TD-KFbzVa5eRBktFAe9Pmtdq9MshwyWQ9Y-JLLndD3V90eqyUngRQdgJVU6en7zE78g9xiA1FB1r9bJYH62cC_J3fLXfNKcvQrB5A-I4HZ0
  priority: 102
  providerName: Public Library of Science
Title Characteristics and short- and long-term direct medical costs among adults with timely and delayed presentation for HIV care in the Netherlands
URI https://www.ncbi.nlm.nih.gov/pubmed/36753495
https://www.proquest.com/docview/2774460012
https://www.proquest.com/docview/2774496837
https://pubmed.ncbi.nlm.nih.gov/PMC9907815
https://doaj.org/article/a9b7a1e9d23f49a8b796173a1069ff9f
http://dx.doi.org/10.1371/journal.pone.0280877
Volume 18
WOSCitedRecordID wos000966728400001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: DOA
  dateStart: 20060101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
– providerCode: PRVHPJ
  databaseName: ROAD: Directory of Open Access Scholarly Resources
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: M~E
  dateStart: 20060101
  isFulltext: true
  titleUrlDefault: https://road.issn.org
  providerName: ISSN International Centre
– providerCode: PRVPQU
  databaseName: Agricultural Science Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: M0K
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/agriculturejournals
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Biological Science Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: M7P
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/biologicalscijournals
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Engineering Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: M7S
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: http://search.proquest.com
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Environmental Science Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: PATMY
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/environmentalscience
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Materials Science Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: KB.
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/materialsscijournals
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest advanced technologies & aerospace journals
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: P5Z
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/hightechjournals
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Central
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: BENPR
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: https://www.proquest.com/central
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Health & Medical Collection
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: 7X7
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/healthcomplete
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Nursing & Allied Health Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: 7RV
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/nahs
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Public Health Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: 8C1
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/publichealth
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Publicly Available Content Database
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: PIMPY
  dateStart: 20061201
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/publiccontent
  providerName: ProQuest
– providerCode: PRVATS
  databaseName: Public Library of Science (PLoS) Journals Open Access
  customDbUrl:
  eissn: 1932-6203
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0053866
  issn: 1932-6203
  databaseCode: FPL
  dateStart: 20060101
  isFulltext: true
  titleUrlDefault: http://www.plos.org/publications/
  providerName: Public Library of Science
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwELfYxgMSAjY-VhjFICTgIdvy0dh-Qmu1atVYiTqYBi-RE9vbpJKUpkXaX8G_zJ3jdguaAImXU1Wfq-ZyPv_Ovg9CXpuOVsJw4cWxlh4qhSe5Up6fBUwHKgqyzNhmE2w45KenInEHbpULq1zYRGuoVZnjGflOADglsrvz-8l3D7tG4e2qa6GxQtawSgIuzKTzdWGJYS3HsUuXC5m_497O9qQs9DZeKXLGGtuRrdq_tM2rk3FZ3QQ8f4-fvLYh9e__76M8IPccFKV7te6sk1u62CB363M8WqcnbZB1t_gr-tZVqH73kPzsNcs8U1koWp0Dkvfsx3FZnHlo82m9Y9Jv9XUQzctqBtzY4Ijayh8VxYNgih3ux5d2LlatvNSKTq7yogoKyJoeDE4oxqnRi4ICaqXXUpUfkc_9_U-9A891dvDyWAQzTwitOO_knEvVMTyQsJEqdG4iwD9-7sfSD2IZiVAYEXETKx1lkstch8xwQIzhY7JawFvcJBTxoJJKgmWJosyITAd5HJkcfMsM9FO0SLh4wWnuyp5j941xau_yGLg_tbhTVIvUqUWLeMtZk7rsx1_4u6g7S14s2m2_KKdnqbMBqRQZk74WKghNJCTPmAD8GErwyoUxwrTIC9S8tM6AXZqedI8BygAYuxu2yCvLgYU7CowMOpPzqkoHH0_-gel41GB645hMCeLIpcvGgGfCgmANzq0GJ5ifvDG8ietkIZUqvdJumLnQ_5uHXy6H8Ucx2q_Q5dzxiJiHINcn9VJbSjYEDzcEr75FWGMRNkTfHCkuzm3ddABejPudp3_-W8_InQCArI3M51tkdTad6-fkdv5jdlFN22SFjU6QnjJLOVDe89tkrbs_TEZte6YDtJ98AHrY3QZ6tHuIlCWWHretkYIZyeAo-fILQDiUqA
linkProvider ProQuest
linkToHtml http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1LbxMxELZKQAIJAS2PBgo1CAQctu0-srYPCJVClagloFKq3Bbv2k4jpbshm4DyK_gn_EZmvI92UQVceuAWxeNVdjKPb-x5EPLUdLQShgsnDLV0UCgcyZVy3Nhj2lOBF8fGDptg_T4fDMTHJfKzqoXBtMrKJlpDrbIEz8g3PcApgfXOrydfHZwahber1QiNQiz29OI7hGz5q95b-H-fed7uu8OdrlNOFXCSUHgzRwitOO8knEvVMdyTYMQVAusAfK-buKF0vVAGwhdGBNyESgex5DLRPjMc0IoPz71ELoMdZ5hCxgZ1gAe2IwzL8jyfuZulNGxMslRv4BUmZ6zh_uyUgNoXtCbjLD8P6P6er3nGAe7e_N9Yd4vcKKE23S50Y5ks6XSFXC_OKWlRfrVClkvjltMXZQful7fJj51mG2sqU0XzY4hUHPtxnKVDB30aLRABPSmuu2iS5TOgxgFO1HY2ySkedNPZ6ESPF3YvduVcaEUnp3VfKYXIgXZ7RxTz8OgopYDK6ZlS7Dvk84Uw6i5ppSA1q4Qi3lVSSbCcQRAbEWsvCQOTQOwcg_6JNvErgYqSsq07ThcZR_aukkF4V7A7QjGMSjFsE6feNSnamvyF_g3Kak2LTcntF9l0GJU2LpIiZtLVQnm-CYTkMROAj33pboXCGGHaZB0lPSoqfGvTGm0zQFEA07f8NnliKbAxSYqZT0M5z_Oo9-HoH4g-HTSInpdEJgN2JLKsNoF3woZnDcq1BiWY16SxvIp6WXElj061CXZW-nb-8uN6GR-K2YypzuYljQi5D3y9V6h2zVkfIng_EJ02YQ2lb7C-uZKOjm1feACWjLud-3_-Wevkavfw_X603-vvPSDXPADttgqBr5HWbDrXD8mV5NtslE8fWeNGyZeLNgm_AKvJ41Y
linkToPdf http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3NbhMxELZKQAgJAS0_DRRqEAg4bNv9tX1AqLRUjYpKRaGquCzetd1GSndDNgHlKXgfno4Zrzftogq49MAtiser7GT8zTe2Z4aQpybWShguvCTR0kOj8CRXyvOzgOlARUGWGdtsgu3u8sNDsTdHfja5MHitssFEC9SqzHGPfDUAnhJZ77xq3LWIvc2t18OvHnaQwpPWpp1GbSI7evodwrfqVW8T_utnQbD19uPGtuc6DHh5IoKxJ4RWnMc551LFhgcSAF0hyY7AD_u5n0g_SGQkQmFExE2idJRJLnMdMsOBuYTw3EvkMoMYEwO_vfhz4wUAR5LEpeqFzF91lrEyLAu9gseZnLGWK7QdA2Z-oTMclNV5pPf3u5tnnOHWzf9ZjbfIDUfB6Xq9ZubJnC4WyPV6_5LWaVkLZN6BXkVfuMrcL2-THxvt8tZUFopWxxDBePbjoCyOPPR1tGYK9KQ-BqN5WY1BGhs7UVvxpKK4AU7H_RM9mNq5WK1zqhUdnuaDFRQiCrrdO6B4P4_2CwpsnZ5J0b5DPl2Iou6STgEWtEgo8mAllQREjaLMiEwHeRKZHGLqDNal6JKwMa40d-XesevIILVnmAzCvlrdKZpk6kyyS7zZrGFd7uQv8m_QbmeyWKzcflGOjlKHfakUGZO-FioITSQkz5gA3hxKfy0RxgjTJcto9Wmd-TuD3HSdAbsC-r4WdskTK4EFSwq02SM5qaq09_7gH4T2P7SEnjshU4I6cumyUOCdsBBaS3KpJQmwm7eGF3GNNlqp0tOVBTObtXf-8OPZMD4UbzkWupw4GZHwEPR6r17mM82GENmHkYi7hLUAoKX69kjRP7b14oFwMu7H9__8s5bJVUCC9F1vd-cBuRYAl7fJCXyJdMajiX5IruTfxv1q9MjiHCVfLhoRfgHplexJ
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Characteristics+and+short-+and+long-term+direct+medical+costs+among+adults+with+timely+and+delayed+presentation+for+HIV+care+in+the+Netherlands&rft.jtitle=PloS+one&rft.au=Popping%2C+Stephanie&rft.au=Versteegh%2C+Lisbeth&rft.au=Nichols%2C+Brooke+E&rft.au=David+A.+M.+C.+van+de+Vijver&rft.date=2023-02-08&rft.pub=Public+Library+of+Science&rft.eissn=1932-6203&rft.volume=18&rft.issue=2&rft.spage=e0280877&rft_id=info:doi/10.1371%2Fjournal.pone.0280877&rft.externalDBID=HAS_PDF_LINK
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1932-6203&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1932-6203&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1932-6203&client=summon