Since 1994, the Cost-Effectiveness of Preventing AIDS Complications (CEPAC) team, led by Dr. Kenneth Freedberg at the Massachusetts General Hospital, has used simulation models to evaluate clinical outcomes, costs, and cost-effectiveness of strategies for treating HIV/AIDS and its complications. The model, first developed with a focus in the US epidemic, has grown over time in both scope and application to provide comprehensive analyses for testing and treatment strategies for HIV/AIDS and AIDS-related complications, including tuberculosis and other infections.
The CEPAC team collaborates with research teams in Côte d’Ivoire, France, India, South Africa, and Zimbabwe, as well as investigators from Brigham and Women’s Hospital, the Harvard School of Public Health, Weill Cornell Medical College, and Yale University. Research from the CEPAC team has been published in leading medical journals, including the New England Journal of Medicine, Journal of the American Medical Association, Annals of Internal Medicine, and AIDS. CEPAC manuscripts have been among the top 10 studies of the year at both the National Institute of Allergy and Infectious Diseases and the National Institute of Mental Health. In December of 2008, the team won the Partners in Excellence award for Outstanding Teamwork.
Last Updated (Monday, 08 February 2010 10:46)
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Melissa Bender and CEPAC-International collaborators published an article in Clinical Infectious Diseases. This paper evaluates the clinical outcomes and cost-effectiveness of first-line ART using tenofovir in India, compared with the current practice of using stavudine or zidovudine. Click here for the abstract. |
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Rochelle Walensky published a Viewpoint in Clinical Infectious Diseases. This piece addresses the substantial impact the President's Emergency Plan for AIDS Relief (PEPfAR) has achieved in general and more specifically toward improving maternal and child health and why continued PEPfAR investment remains essential. Click here for the abstract. |
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Andrea Ciaranello and co-authors published an article in Clinical Infectious Diseases. This paper uses a literature review and meta-analysis to derive estimates of the virologic suppression and CD4 cell gain for children initiating ART in resource-limited settings. Click here for the abstract. |
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Ishani Ganguli and members of the CEPAC team published an article in Current HIV/AIDS Reports. This paper reviews the mechanisms and literature to date of home-based HIV testing strategy in resource-limited settings. Click here for the abstract. |
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Elena Losina and co-authors published an article in Clinical Infectious Diseases. This paper evaluates sex and racial/ethnic disparities in life-years lost as a result of risk behavior, late presentation, and early discontinuation of HIV care, and compares these survival losses for HIV-infected persons with losses attributable to high-risk behavior and HIV disease itself. Click here for the abstract. |
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CEPAC investigators and collaborators presented at the 47th Annual Meeting of the Infectious Diseases Society of America in Philadelphia, PA with 3 abstracts/presentations: The Survival Cost of Opt-In Consent for HIV Testing. First Author: Michael D. April Clinical Impact and Cost-Effectiveness of Treatment for Latent Tuberculosis in HIV+ Patients in India. First Author: Mai Pho Virologic Suppression on 2nd-Line Antiretroviral Therapy (ART) in a Community-Based Program in South Africa. First Author: Julie Levison (If links do not work, please click here to search for the abstracts on the conference website.) |
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Elena Losina and the CEPAC-International team published an article in PLoS Medicine. This paper projects the clinical benefits and cost-effectiveness of loss to follow-up (LTFU) prevention programs in Côte d'Ivoire (such as eliminating ART co-payments, eliminating charges to patients for opportunistic infection-related drugs, improving personnel training, and providing meals and reimbursing for transportation for participants) from a payer perspective. Click here for the abstract. |