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Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea
BACKGROUND: Statistical data of undiagnosed people living with human immunodeficiency virus (PLHIV) are of great importance to human immunodeficiency virus (HIV) infection control. This study estimated the total number of PLHIV using nationwide claims data. METHODS: This study used data of the incid...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Medical Sciences
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025911/ https://www.ncbi.nlm.nih.gov/pubmed/32056401 http://dx.doi.org/10.3346/jkms.2020.35.e41 |
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author | Lee, Eunyoung Kim, Jungmee Lee, Jin Yong Bang, Ji Hwan |
author_facet | Lee, Eunyoung Kim, Jungmee Lee, Jin Yong Bang, Ji Hwan |
author_sort | Lee, Eunyoung |
collection | PubMed |
description | BACKGROUND: Statistical data of undiagnosed people living with human immunodeficiency virus (PLHIV) are of great importance to human immunodeficiency virus (HIV) infection control. This study estimated the total number of PLHIV using nationwide claims data. METHODS: This study used data of the incident HIV cases identified by the National Health Insurance System between 2009 and 2015. The number of patients with acquired immune deficiency syndrome (AIDS) was identified by diagnoses or prescription records. The estimated number of PLHIV and the time to diagnosis were calculated from the incident numbers of HIV and AIDS cases using the HIV Modeling Tool of the European Center for Disease Prevention and Control. RESULTS: Between 2009 and 2015, a total of 7,033 PLHIV and 2,899 AIDS patients were diagnosed. In 2009, the number of incident HIV cases was 873 (460 AIDS patients), increasing to 995 (337 AIDS patients) in 2015. Besides, the estimated number of prevalent cases was 10,753 in 2009, compared to 14,880 in 2015. Patients visiting health facilities accounted for 42.9% (4,616/10,753) in 2009 and 64.1% (9,544/14,880) in 2015. In 2009, there were 8,363 (77.8%) undiagnosed HIV cases, experiencing a decline to 6,215 (41.8%) in 2015. It took a mean of 6.96 years to diagnose after HIV infection. CONCLUSION: This study estimates the total burden of HIV infection in Korea for the first time using an internationally recognized HIV modeling tool. Claims data can be used to estimate the number of undiagnosed cases by identifying the total number of PLHIV and AIDS patients visiting health facilities. |
format | Online Article Text |
id | pubmed-7025911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-70259112020-02-20 Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea Lee, Eunyoung Kim, Jungmee Lee, Jin Yong Bang, Ji Hwan J Korean Med Sci Original Article BACKGROUND: Statistical data of undiagnosed people living with human immunodeficiency virus (PLHIV) are of great importance to human immunodeficiency virus (HIV) infection control. This study estimated the total number of PLHIV using nationwide claims data. METHODS: This study used data of the incident HIV cases identified by the National Health Insurance System between 2009 and 2015. The number of patients with acquired immune deficiency syndrome (AIDS) was identified by diagnoses or prescription records. The estimated number of PLHIV and the time to diagnosis were calculated from the incident numbers of HIV and AIDS cases using the HIV Modeling Tool of the European Center for Disease Prevention and Control. RESULTS: Between 2009 and 2015, a total of 7,033 PLHIV and 2,899 AIDS patients were diagnosed. In 2009, the number of incident HIV cases was 873 (460 AIDS patients), increasing to 995 (337 AIDS patients) in 2015. Besides, the estimated number of prevalent cases was 10,753 in 2009, compared to 14,880 in 2015. Patients visiting health facilities accounted for 42.9% (4,616/10,753) in 2009 and 64.1% (9,544/14,880) in 2015. In 2009, there were 8,363 (77.8%) undiagnosed HIV cases, experiencing a decline to 6,215 (41.8%) in 2015. It took a mean of 6.96 years to diagnose after HIV infection. CONCLUSION: This study estimates the total burden of HIV infection in Korea for the first time using an internationally recognized HIV modeling tool. Claims data can be used to estimate the number of undiagnosed cases by identifying the total number of PLHIV and AIDS patients visiting health facilities. The Korean Academy of Medical Sciences 2020-01-09 /pmc/articles/PMC7025911/ /pubmed/32056401 http://dx.doi.org/10.3346/jkms.2020.35.e41 Text en © 2020 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Eunyoung Kim, Jungmee Lee, Jin Yong Bang, Ji Hwan Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea |
title | Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea |
title_full | Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea |
title_fullStr | Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea |
title_full_unstemmed | Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea |
title_short | Estimation of the Number of HIV Infections and Time to Diagnosis in the Korea |
title_sort | estimation of the number of hiv infections and time to diagnosis in the korea |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025911/ https://www.ncbi.nlm.nih.gov/pubmed/32056401 http://dx.doi.org/10.3346/jkms.2020.35.e41 |
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