Screening for HIV: Systematic Review to Update the 2005 U.S. Preventive Services Task Force Recommendation

@article{Chou2012ScreeningFH,
  title={Screening for HIV: Systematic Review to Update the 2005 U.S. Preventive Services Task Force Recommendation},
  author={Roger Chou and Shelley Selph and Tracy L Dana and Christina Bougatsos and Bernadette Zakher and Ian Blazina and P. Todd Korthuis},
  journal={Annals of Internal Medicine},
  year={2012},
  volume={157},
  pages={706 - 718}
}
BACKGROUND A 2005 U.S. Preventive Services Task Force (USPSTF) review found good evidence that HIV screening is accurate and that antiretroviral therapy (ART) for immunologically advanced disease is associated with substantial clinical benefits, but insufficient evidence to determine the effects on transmission or in less immunologically advanced disease. PURPOSE To update the 2005 USPSTF review on benefits and harms of HIV screening in adolescents and adults, focusing on research gaps… Expand
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TLDR
The USPSTF found good evidence that both standard and FDA-approved rapid screening tests accurately detect HIV infection in pregnant women and fair evidence that introduction of universal prenatal counseling and voluntary testing increases the proportion of HIV-infected women who receive a diagnosis and are treated before delivery. Expand
Costs and Consequences of the US Centers for Disease Control and Prevention's Recommendations for Opt-Out HIV Testing
TLDR
It is found that for the same programmatic cost of US$864,207,288, targeted counseling and testing services (at a 1% HIV seropositivity rate) would be preferred to opt-out testing: targeted services would newly diagnose more HIV infections, prevent more infections, and do so at a lower gross cost per infection averted. Expand
The Cost-Effectiveness and Population Outcomes of Expanded HIV Screening and Antiretroviral Treatment in the United States
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Expanding HIV screening and treatment simultaneously offers the greatest health benefit and is cost-effective, however, even substantial expansion of HIV screenings and treatment programs is not sufficient to markedly reduce the U.S. HIV epidemic without substantial reductions in risk behavior. Expand
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TLDR
In all but the lowest-risk populations, routine, voluntary screening for HIV once every three to five years is justified on both clinical and cost-effectiveness grounds. Expand
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TLDR
A decision model was used to estimate the cost-effectiveness of same-day rapid test HIV screening, considering outcomes experienced by the infected person and his or her sexual contacts, and transmission-related effects. Expand
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TLDR
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TLDR
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TLDR
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TLDR
This guidance statement recommends that clinicians adopt routine screening for HIV and encourage patients to be tested and advises that clinicians determine the need for repeat screening on an individual basis. Expand
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