Evidence map›Paper›PMID 15130978›Full record

Trial reportBMJ (Clinical research ed.)2004

Training care givers of stroke patients: economic evaluation.

Anita Patel, Martin Knapp, Andrew Evans, Inigo Perez, Lalit Kalra

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 11 pooled it
21.2field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 11 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Information provision for stroke survivors and their carers.The Cochrane database of systematic reviews · 2021
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  5. Economic burden of stroke: a systematic review on post-stroke care.The European journal of health economics : HEPAC : health economics in prevention and care · 2019
    Pooled it
  6. Caregiver-mediated exercises for improving outcomes after stroke.The Cochrane database of systematic reviews · 2016
    Pooled it
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  10. Information provision for stroke patients and their caregivers.The Cochrane database of systematic reviews · 2012
    Pooled it
  11. Non-pharmacological interventions for caregivers of stroke survivors.The Cochrane database of systematic reviews · 2011
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Anita PatelCentre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8AF.
Martin Knapp
Andrew Evans
Inigo Perez
Lalit Kalra
The King's College · USCentre for Mental Health · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraining care givers reduces their burden and improves psychosocial outcomes in care givers and patients at one year. However, the cost effectiveness of this approach has not been investigated.

objectiveTo evaluate the cost effectiveness of caregiver training by examining health and social care costs, informal care costs, and quality adjusted life years in care givers.

designA single, blind, randomised controlled trial.

settingStroke rehabilitation unit. SUBJECTS: 300 stroke patients and their care givers.

interventionsCaregiver training in basic nursing and facilitation of personal care techniques compared with no care giver training.

main outcome measuresHealth and social care costs, informal care costs, and quality adjusted life years in care givers over one year after stroke.

resultsTotal health and social care costs over one year for patients whose care givers received training were significantly lower (mean difference -4043 pounds sterling (7249 dollars; 6072 euros), 95% confidence interval -6544 pounds sterling to -595 pounds sterling). Inclusion of informal care costs, which were similar between the two groups, did not alter this conclusion. The cost difference was largely due to differences in length of hospital stay. The EQ-5D did not detect changes in quality adjusted life years in care givers.

conclusionCompared with no training, caregiver training during rehabilitation of patients reduced costs of care while improving overall quality of life in care givers at one year.

Indexed as

Stroke RehabilitationCaregiversCost-Benefit AnalysisCost of IllnessHealth Care CostsHealth ResourcesHome NursingHospital UnitsHumansQuality-Adjusted Life YearsQuality of LifeSensitivity and SpecificitySingle-Blind MethodStrokeUnited Kingdom

Identifiers

PMID15130978
PMCPMC406320
OpenAlexW1967878566

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.