Evidence map›Paper›PMID 12386035›Full record

Trial reportBMJ (Clinical research ed.)2002

Implementing intensive control of blood glucose concentration and blood pressure in type 2 diabetes in England: cost analysis (UKPDS 63).

Alastair Gray, Philip Clarke, Andrew Farmer, Rury Holman, United Kingdom Prospective Diabetes Study (UKPDS) Group

Registry-linked trialOpen access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02556723 (Intravitreal Injections of Ziv-aflibercept for Macular Diseases), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02556723 nacompletednot on this mapstarted 2014, after this paper: background citation

Intravitreal Injections of Ziv-aflibercept for Macular Diseases: Diabetic Macular Edema, Wet AMD and Macular Edema Secondary to Vein Occlusons

TypeinterventionalSponsorRetina Clinic, Sao Paulo, BrazilRan2014 to 2016Enrolled60ConditionsDiabetic Macular Edema, Age Related Macular Degeneration, Branch Retinal Vein Occlusion With Macular Edema, Central Retinal Vein Occlusion With Macular EdemaArmsIntravitreal injections of ziv-aflibercept
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Blood pressure control for diabetic retinopathy.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Blood pressure control for diabetic retinopathy.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. A cluster randomised controlled trial of the effect of a treatment algorithm for hypertension in patients with type 2 diabetes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Health economic evaluation of type 2 diabetes mellitus: a clinical practice focused review.Clinical medicine insights. Endocrinology and diabetes · 2015
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Alastair GrayHealth Economics Research Centre, Department of Public Health, University of Oxford, Institute of Health Sciences, Oxford OX3 7LF. alastair.gray@ihs.ox.ac.uk
Philip Clarke
Andrew Farmer
Rury Holman
United Kingdom Prospective Diabetes Study (UKPDS) Group
University of Oxford · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveTo estimate the incremental cost of implementing policies for intensive control of blood glucose concentration and blood pressure for all patients with type 2 diabetes in England.

designExtrapolation of resource use and cost data derived from a randomised controlled trial.

settingGeneral practice, outpatient care, and inpatient care. POPULATION: Trial population with diagnosed type 2 diabetes in England extrapolated to the population of England.

main outcome measuresTotal costs based on use of healthcare resources including costs of management, treatment, and hospitalisation.

resultsThe incremental net annual cost of implementing intensive control of blood glucose and blood pressure to all people with diagnosed type 2 diabetes in England is estimated to be pound 100.5m ($156m; euro;159m), which is equivalent to less than 1% of the proposed additional annual expenditure on the NHS in 2001-5. This estimate varied in sensitivity analyses from pound 67m to pound 121m.

conclusionsPolicies to improve control of blood glucose and blood pressure of people with type 2 diabetes are effective in reducing complications associated with the disease and are also cost effective. The total cost represents a small fraction of the NHS's spending plans.

Indexed as

AdultAgedBlood GlucoseBlood PressureCost-Benefit AnalysisDiabetes Mellitus, Type 2Health ExpendituresHumansMiddle AgedSensitivity and SpecificityBlood Glucose

Identifiers

PMID12386035
PMCPMC129631
OpenAlexW1975776116

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.