Evidence map›Paper›PMID 15382799›Full record

Trial reportDysphagia2004

Beyond efficacy and effectiveness: conducting economic analyses during clinical trials.

Teresa M Waters, Jeri A Logemann, Barbara Roa Pauloski, Alfred W Rademaker, Cathy L Lazarus, Lisa A Newman, Annette K Hamner

Abstract readClinical TrialComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Dysphagia, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Review
  11. Rehabilitation of dysphagia following head and neck cancer.Physical medicine and rehabilitation clinics of North America · 2008
    Article
  12. The videofluorographic swallowing study.Physical medicine and rehabilitation clinics of North America · 2008
    Article
  13. Review
  14. Economic Evaluations of Speech and Language Therapy Interventions: A Scoping Review.International journal of language & communication disorders
    Article
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

7 authors at 2 institutions in 1 country.

Teresa M WatersCenter for Health Services Research, The University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Jeri A Logemann
Barbara Roa Pauloski
Alfred W Rademaker
Cathy L Lazarus
Lisa A Newman
Annette K Hamner
Northwestern University · USUniversity of Tennessee Health Science Center · US

Funding

ASHA CLINICAL TRIALS COOPERATIVE GROUPSU01DC003206 · NIDCD · AMERICAN SPEECH-LANGUAGE-HEARING ASSN · PI LOGEMANN, JERILYN A · 1997 to 2004
$4.3M
RADIOTHERAPY WITH OR WITHOUT CHEMOTHERAPY ON VOICE, SPEECH AND SWALLOWINGP01CA040007 · NCI · NORTHWESTERN UNIVERSITY · PI LIST, MARCY A · 1985 to 2000
$1.5M
NCI NIH HHS P01 CA40007NIDCD NIH HHS U01 DC03206
6 · The paper itself

Abstract

Few studies have examined cost issues in the field of dysphagia. This study presents cost data collected during a clinical trial in speech-language pathology, demonstrating the types of cost analyses that can be conducted and highlighting obstacles and issues facing investigators who seek to conduct economic analyses in this arena. Seventy-nine patients were enrolled in the clinical trial to assess the impact of a swallowing intervention on swallowing and speech function. The patients were at least one year past treatment for head and neck cancer. No significant intervention differences were detected in these outcomes. A companion economic analysis was conducted in 37 of these patients using patient diaries and followup with identified health care providers. Analyses indicated that (1) the intervention did not significantly reduce health care expenditures; (2) indirect costs and costs of hospitalizations are both important factors to consider during a trial; and (3) health care costs of this population are high relative to the rest of the U.S. population. Attrition from the overall study population can pose a serious threat to the viability of an economic study. The article concludes with a discussion of how these issues can be addressed in future studies.

Indexed as

Health Care CostsAdultAgedCost-Benefit AnalysisDeglutition DisordersHealth ServicesHumansMiddle AgedSpeech-Language PathologyTreatment Outcome

Identifiers

PMID15382799
OpenAlexW2094000044

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.