Impact of hepatitis coinfection on healthcare utilization among persons living with HIV

Trevor A. Crowell; Stephen A. Berry; John A. Fleishman; Richard W. LaRue; Philip T. Korthuis; Ank E. Nijhawan; Richard D. Moore; Kelly A. Gebo

doi:10.1097/QAI.0000000000000490

Impact of hepatitis coinfection on healthcare utilization among persons living with HIV

Trevor A. Crowell, Stephen A. Berry, John A. Fleishman, Richard W. LaRue, Philip T. Korthuis, Ank E. Nijhawan, Richard D. Moore, Kelly A. Gebo

School of Medicine

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection are increasingly important sources of morbidity among HIVinfected persons. We determined associations between hepatitis coinfection and healthcare utilization among HIV-infected adults at 4 US sites during 2006-2011. Outpatient HIV visits did not differ by hepatitis serostatus and decreased over time. Mental health visits were more common among HIV/HCV coinfected persons than among HIV monoinfected persons [incidence rate ratio (IRR): 1.27, 95% confidence interval (CI): 1.08 to 1.50]. Hospitalization rates were higher among all hepatitis-infected groups than among HIV monoinfected (HIV/HBV: IRR: 1.23, 95% CI: 1.05 to 1.44; HIV/HCV: IRR: 1.22, 95% CI: 1.10 to 1.36; HIV/HBV/HCV: IRR: 1.31, 95% CI: 1.02 to 1.68). These findings may inform the design of clinical services and allocation of resources.

Original language	English (US)
Pages (from-to)	425-431
Number of pages	7
Journal	Journal of Acquired Immune Deficiency Syndromes
Volume	68
Issue number	4
DOIs	https://doi.org/10.1097/QAI.0000000000000490
State	Published - Apr 1 2015

Keywords

HIV
healthcare utilization
hepatitis B virus
hepatitis C virus
hospitalization
mental health

ASJC Scopus subject areas

Infectious Diseases
Pharmacology (medical)

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title = "Impact of hepatitis coinfection on healthcare utilization among persons living with HIV",

abstract = "Hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection are increasingly important sources of morbidity among HIVinfected persons. We determined associations between hepatitis coinfection and healthcare utilization among HIV-infected adults at 4 US sites during 2006-2011. Outpatient HIV visits did not differ by hepatitis serostatus and decreased over time. Mental health visits were more common among HIV/HCV coinfected persons than among HIV monoinfected persons [incidence rate ratio (IRR): 1.27, 95% confidence interval (CI): 1.08 to 1.50]. Hospitalization rates were higher among all hepatitis-infected groups than among HIV monoinfected (HIV/HBV: IRR: 1.23, 95% CI: 1.05 to 1.44; HIV/HCV: IRR: 1.22, 95% CI: 1.10 to 1.36; HIV/HBV/HCV: IRR: 1.31, 95% CI: 1.02 to 1.68). These findings may inform the design of clinical services and allocation of resources.",

keywords = "HIV, healthcare utilization, hepatitis B virus, hepatitis C virus, hospitalization, mental health",

author = "Crowell, {Trevor A.} and Berry, {Stephen A.} and Fleishman, {John A.} and LaRue, {Richard W.} and Korthuis, {Philip T.} and Nijhawan, {Ank E.} and Moore, {Richard D.} and Gebo, {Kelly A.}",

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doi = "10.1097/QAI.0000000000000490",

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AU - Crowell, Trevor A.

AU - Berry, Stephen A.

AU - Fleishman, John A.

AU - LaRue, Richard W.

AU - Korthuis, Philip T.

AU - Nijhawan, Ank E.

AU - Moore, Richard D.

AU - Gebo, Kelly A.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection are increasingly important sources of morbidity among HIVinfected persons. We determined associations between hepatitis coinfection and healthcare utilization among HIV-infected adults at 4 US sites during 2006-2011. Outpatient HIV visits did not differ by hepatitis serostatus and decreased over time. Mental health visits were more common among HIV/HCV coinfected persons than among HIV monoinfected persons [incidence rate ratio (IRR): 1.27, 95% confidence interval (CI): 1.08 to 1.50]. Hospitalization rates were higher among all hepatitis-infected groups than among HIV monoinfected (HIV/HBV: IRR: 1.23, 95% CI: 1.05 to 1.44; HIV/HCV: IRR: 1.22, 95% CI: 1.10 to 1.36; HIV/HBV/HCV: IRR: 1.31, 95% CI: 1.02 to 1.68). These findings may inform the design of clinical services and allocation of resources.

AB - Hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection are increasingly important sources of morbidity among HIVinfected persons. We determined associations between hepatitis coinfection and healthcare utilization among HIV-infected adults at 4 US sites during 2006-2011. Outpatient HIV visits did not differ by hepatitis serostatus and decreased over time. Mental health visits were more common among HIV/HCV coinfected persons than among HIV monoinfected persons [incidence rate ratio (IRR): 1.27, 95% confidence interval (CI): 1.08 to 1.50]. Hospitalization rates were higher among all hepatitis-infected groups than among HIV monoinfected (HIV/HBV: IRR: 1.23, 95% CI: 1.05 to 1.44; HIV/HCV: IRR: 1.22, 95% CI: 1.10 to 1.36; HIV/HBV/HCV: IRR: 1.31, 95% CI: 1.02 to 1.68). These findings may inform the design of clinical services and allocation of resources.

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KW - hepatitis C virus

KW - hospitalization

KW - mental health

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Impact of hepatitis coinfection on healthcare utilization among persons living with HIV

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