the health related quality of life of people living with hivaids in sub-saharan africa - a literature review and focus group study患者的健康相关生活质量的条件在撒哈拉以南的非洲u2014u2014一个文献回顾和焦点小组研究.pdfVIP

Robberstad and Olsen Cost Effectiveness and Resource Allocation 2010, 8:5 /content/8/1/5 R E S E A R C H Open Access Research The health related quality of life of people living with HIV/AIDS in sub-Saharan Africa - a literature review and focus group study 1 2 Bjarne Robberstad* and Jan Abel Olsen Abstract Background: While health outcomes of HIV/AIDS treatments in terms of increased longevity has been the subject of much research, there appears to be very limited research on the improved health related quality of life (HRQL) that can be applied in cost-utility analyses in Africa south of the Sahara (SSA). Most of the literature that does exist present HRQL measured by disease specific instruments, but such data is of little use as input to economic evaluations. Methods: A systematic review of the literature on HRQL weights for people living with HIV/AIDS in Africa was performed, and the findings are presented and interpreted. We also use focus group discussions in panels of clinical AIDS experts to test the preference based on a generic descriptive system EQ-5D. We contrast quality of life with and without antiretroviral treatment (ART), and with and without treatment failure. Results: In only four papers were the HRQL weights for HIV/AIDS in sub-Saharan Africa estimated with generic preference based methodologies that can be directly applied in economic evaluation. A total of eight studies were based on generic health profiles. While such health profiles are not preference based, the scores could potentially be transformed into health state utilities. Most of the available literature (20 papers) utilized disease specific instrument, which are not applicable for economic evaluation. The focus group discussions revealed that HRQL weights are