Appendix Table. Base-Case Assumptions for Outcomes Tables (Table 5) of Counseling and One-Time Screening for HIV Infection

Base-Case Assumptions Values Used in Outcomes Table Source, Year (Reference)
Prevalence of HIV infection Average-risk: 0.3%
High-risk: 5%-15%
CDC, 20033
McQuillan, et al., 1997271
Valleroy, et al., 2000272
Holmberg, 1996273
Yield of partner notification (newly diagnosed HIV infection per index patient) 0.08-0.23 Macke and Maher, 1999274
CDC, 2003275
Accuracy of standard testing >99% Weber, et al., 1995276
McAlpine, et al., 1994 277
CDC, 199045
CDC, 198846
Proportion of HIV-positive patients who receive test results 79%-93% Erickson, et al., 199030
Hightow, et al., 2003120
CDC, 200440
Molitor, et al., 1999119
Proportion of patients who would qualify for treatment (assuming only patients with CD4 count < 0.200 × 109 cells/L treated) 12%-43% Samet, et al., 2001112
Katz, et al., 1992113
Luby, et al., 1994114
Hutchinson, et al., 1991115
Klein, et al., 200326
Proportion of patients qualifying for antiretroviral therapy who would receive it 53%-85% Stall, et al., 2001129
Cunningham, et al., 2000130
Kaplan, et al., 1999131
McNaghten, et al., 2003132
3-y risk for clinical progression or death in untreated patients with CD4 count < 0.200 × 109 cells/L 86% (95% CI, 77%-93%) Mellors, et al., 19977
Relative risk for clinical progression or death with HAART compared to no treatment 0.35 (95% CI, 0.25-0.47) Calculated from Jordan, et al., 2002133
Background rate of myocardial infarction (cases per 3 person-years) 0.00158 (95% CI, 0.000508-0.00487) Calculated from Friis-Moller, 2003227
Relative risk for myocardial infarction with HAART after 2-4 y compared to no treatment 7.73 (95% CI, 2.42-24.71) Calculated from Friis-Moller, 2003227
Background rate of cardio- or cerebrovascular (myocardial infarction, stroke, or invasive cardiovascular procedure) events (cases per 3 person-years) 0.0037 (95% CI, 0.0018-0.00770) Calculated from Writing Group of the DAD Study, 2004229
Relative risk for cardiovascular or cerebrovascular events with HAART after 2-4 y compared to no treatment 5.00 (95% CI, 2.31-10.82) Calculated from Writing Group of the DAD Study, 2004229
Relative risk for spread of disease Unable to estimate  

aNotes: CDC = Centers for Disease Control and Prevention; DAD = Data collection of Adverse events of anti-HIV Drugs; HAART = highly active antiretroviral therapy.

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