Cost-Effectiveness of Newborn Circumcision in Reducing Lifetime HIV Risk among U.S. Males
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{"title"=>"Cost-effectiveness of newborn circumcision in reducing lifetime HIV risk among U.S. males", "type"=>"journal", "authors"=>[{"first_name"=>"Stephanie L.", "last_name"=>"Sansom", "scopus_author_id"=>"7006966420"}, {"first_name"=>"Vimalanand S.", "last_name"=>"Prabhu", "scopus_author_id"=>"25028607800"}, {"first_name"=>"Angela B.", "last_name"=>"Hutchinson", "scopus_author_id"=>"7101660221"}, {"first_name"=>"Qian", "last_name"=>"An", "scopus_author_id"=>"35866764300"}, {"first_name"=>"H. Irene", "last_name"=>"Hall", "scopus_author_id"=>"7202132433"}, {"first_name"=>"Ram K.", "last_name"=>"Shrestha", "scopus_author_id"=>"7102693735"}, {"first_name"=>"Arielle", "last_name"=>"Lasry", "scopus_author_id"=>"12446935100"}, {"first_name"=>"Allan W.", "last_name"=>"Taylor", "scopus_author_id"=>"16504998600"}], "year"=>2010, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"20090910", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "doi"=>"10.1371/journal.pone.0008723", "issn"=>"19326203", "scopus"=>"2-s2.0-77649322106", "pui"=>"358404036", "sgr"=>"77649322106"}, "id"=>"e8b1ac98-3f88-3204-bb78-fcd8e334e474", "abstract"=>"BACKGROUND: HIV incidence was substantially lower among circumcised versus uncircumcised heterosexual African men in three clinical trials. Based on those findings, we modeled the potential effect of newborn male circumcision on a U.S. male's lifetime risk of HIV, including associated costs and quality-adjusted life-years saved.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: Given published estimates of U.S. males' lifetime HIV risk, we calculated the fraction of lifetime risk attributable to heterosexual behavior from 2005-2006 HIV surveillance data. We assumed 60% efficacy of circumcision in reducing heterosexually-acquired HIV over a lifetime, and varied efficacy in sensitivity analyses. We calculated differences in lifetime HIV risk, expected HIV treatment costs and quality-adjusted life years (QALYs) among circumcised versus uncircumcised males. The main outcome measure was cost per HIV-related QALY saved. Circumcision reduced the lifetime HIV risk among all males by 15.7% in the base case analysis, ranging from 7.9% for white males to 20.9% for black males. Newborn circumcision was a cost-saving HIV prevention intervention for all, black and Hispanic males. The net cost of newborn circumcision per QALY saved was $87,792 for white males. Results were most sensitive to the discount rate, and circumcision efficacy and cost.\\n\\nCONCLUSIONS/SIGNIFICANCE: Newborn circumcision resulted in lower expected HIV-related treatment costs and a slight increase in QALYs. It reduced the 1.87% lifetime risk of HIV among all males by about 16%. The effect varied substantially by race and ethnicity. Racial and ethnic groups who could benefit the most from circumcision may have least access to it due to insurance coverage and state Medicaid policies, and these financial barriers should be addressed. More data on the long-term protective effect of circumcision on heterosexual males as well as on its efficacy in preventing HIV among MSM would be useful.", "link"=>"http://www.mendeley.com/research/costeffectiveness-newborn-circumcision-reducing-lifetime-hiv-risk-among-males", "reader_count"=>44, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>7, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>4, "Student > Master"=>11, "Student > Bachelor"=>6, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>7, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>4, "Student > Master"=>11, "Student > Bachelor"=>6, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Nursing and Health Professions"=>5, "Agricultural and Biological Sciences"=>3, "Medicine and Dentistry"=>23, "Philosophy"=>1, "Business, Management and Accounting"=>1, "Sports and Recreations"=>1, "Psychology"=>3, "Social Sciences"=>3, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Social Sciences"=>{"Social Sciences"=>3}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"United States"=>1, "Nigeria"=>1, "Australia"=>2}, "group_count"=>2}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/867048"], "description"=>"<p>Probability of the cost of newborn circumcision per HIV-related quality-adjusted life year saved falling within selected thresholds for all, black, Hispanic and white U.S. males, with efficacy for the prevention of HIV among MSM equal to 0% and 5%.</p>", "links"=>[], "tags"=>["newborn", "circumcision", "hiv-related", "quality-adjusted", "saved", "falling", "thresholds", "hispanic", "efficacy", "hiv", "MSM"], "article_id"=>537493, "categories"=>["Medicine"], "users"=>["Stephanie L. Sansom", "Vimalanand S. Prabhu", "Angela B. Hutchinson", "Qian An", "H. Irene Hall", "Ram K. Shrestha", "Arielle Lasry", "Allan W. Taylor"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008723.t006", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Probability_of_the_cost_of_newborn_circumcision_per_HIV_related_quality_adjusted_life_year_saved_falling_within_selected_thresholds_for_all_black_Hispanic_and_white_U_S_males_with_efficacy_for_the_prevention_of_HIV_among_MSM_equal_to_0_and_5_/537493", "title"=>"Probability of the cost of newborn circumcision per HIV-related quality-adjusted life year saved falling within selected thresholds for all, black, Hispanic and white U.S. males, with efficacy for the prevention of HIV among MSM equal to 0% and 5%.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:01:58"}
  • {"files"=>["https://ndownloader.figshare.com/files/867002"], "description"=>"*<p>CI = Confidence Interval.</p><p>†Assumption.</p><p>‡Written communication from R Song, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, August 2008.</p>", "links"=>[], "tags"=>["parameters", "assessing", "cost-effectiveness", "newborn", "circumcision", "reducing", "hiv"], "article_id"=>537451, "categories"=>["Medicine"], "users"=>["Stephanie L. Sansom", "Vimalanand S. Prabhu", "Angela B. Hutchinson", "Qian An", "H. Irene Hall", "Ram K. Shrestha", "Arielle Lasry", "Allan W. Taylor"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008723.t001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Key_parameters_for_assessing_the_cost_effectiveness_of_newborn_circumcision_in_reducing_lifetime_HIV_risk_among_U_S_males_/537451", "title"=>"Key parameters for assessing the cost-effectiveness of newborn circumcision in reducing lifetime HIV risk among U.S. males.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:01:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/866912"], "description"=>"<p>U.S. males' HIV lifetime risk by transmission category.</p>", "links"=>[], "tags"=>["hiv"], "article_id"=>537369, "categories"=>["Medicine"], "users"=>["Stephanie L. Sansom", "Vimalanand S. Prabhu", "Angela B. Hutchinson", "Qian An", "H. Irene Hall", "Ram K. Shrestha", "Arielle Lasry", "Allan W. Taylor"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008723.t002", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_U_S_males_HIV_lifetime_risk_by_transmission_category_/537369", "title"=>"U.S. males' HIV lifetime risk by transmission category.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:01:17"}
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  • {"files"=>["https://ndownloader.figshare.com/files/867085"], "description"=>"<p>CS* = cost saving.</p>", "links"=>[], "tags"=>["incremental", "newborn", "circumcision", "quality-adjusted", "life-year", "saved", "males"], "article_id"=>537529, "categories"=>["Medicine"], "users"=>["Stephanie L. Sansom", "Vimalanand S. Prabhu", "Angela B. Hutchinson", "Qian An", "H. Irene Hall", "Ram K. Shrestha", "Arielle Lasry", "Allan W. Taylor"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008723.t004", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_One_way_sensitivity_analyses_incremental_cost_of_newborn_circumcision_per_quality_adjusted_life_year_saved_for_all_U_S_males_and_by_race_ethnicity_/537529", "title"=>"One-way sensitivity analyses: incremental cost of newborn circumcision per quality-adjusted life-year saved for all U.S. males and by race/ethnicity.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:02:13"}

PMC Usage Stats | Further Information

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Relative Metric

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