Evidence map›Paper›PMID 18650790›Full record

ArticleKidney international2008

Costs and effectiveness of cardiac rehabilitation for dialysis patients following coronary bypass.

Yijian Huang, Rebecca Zhang, Steven D Culler, Nancy G Kutner

Open access · bronzeAbstract read
In one paragraph

Article in Kidney international, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Economic Evaluations Informed Exclusively by Real World Data: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Senescent Nephropathy: The New Renal Syndrome.Healthcare (Basel, Switzerland) · 2017
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Article
  19. 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

4 authors at 2 institutions in 1 country.

Yijian HuangUnited States Renal Data System, The Rehabilitation/Quality of Life Special Studies Center, Emory University, Atlanta, Georgia 30322, USA.
Rebecca Zhang
Steven D Culler
Nancy G Kutner
Emory University · USEmory Rehabilitation Hospital · US

Funding

Statistical Methods for chronic Disease ResearchR01CA090747 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HUANG, YIJIAN · 2002 to 2008
$674k
NCI NIH HHS R01 CA090747NIDDK NIH HHS HHSN267200715004CNIDDK NIH HHS N01-DK-1-2471NIDDK NIH HHS N01-DK-7-5004
6 · The paper itself

Abstract

Dialysis patients have a high risk of cardiovascular disease. Cardiac rehabilitation is recommended in the general population as a standard component of care and covered by Medicare for those who have undergone coronary artery bypass grafting (CABG). Here we determined the impact of cardiac rehabilitation on Medicare expenditures and its cost effectiveness in dialysis patients. A cohort of 4,324 patients with end-stage renal disease who began chronic hemodialysis and had undergone CABG over a seven year period were selected from the United States Renal Data System. Cardiac rehabilitation was defined by Current Procedural Terminology codes for monitored and non-monitored exercise in Medicare claims data. Medicare expenditures included in and outpatient claims adjusted to 1998 dollars. Over a 42-month follow-up, cardiac rehabilitation at baseline was associated with higher cumulative Medicare expenditures but this increase was not statistically significant. During the same period, cardiac rehabilitation was significantly associated with longer cumulative life, having an incremental benefit of 76 days. The incremental cost-effectiveness ratio of $13,887 per year of life saved suggests that cardiac rehabilitation is highly cost-effective in patients with end-stage renal disease following CABG.

Indexed as

ExerciseAgedCardiac RehabilitationCohort StudiesCoronary Artery BypassCost-Benefit AnalysisFemaleHumansKidney Failure, ChronicLongevityMaleMedicareMiddle AgedRegistriesRehabilitationRenal Dialysis

Identifiers

PMID18650790
PMCPMC2777679
OpenAlexW2046806166

What OpenQuestion holds

Textmetadata
LicenceTDM
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.