ArticleHealth services research2010
The trade-off between costs and outcomes: the case of acute myocardial infarction.
Article in Health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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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.
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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- A Systematic Review of the Association Between Hospital Cost/price and the Quality of Care.Applied health economics and health policy · 2020Pooled it
- The association between health care quality and cost: a systematic review.Annals of internal medicine · 2013Pooled it
- Managing and measuring performance of health prevention services: a simulation-based approach.Journal of health organization and management · 2025Article
- An econometric approach to aggregating multiple cardiovascular outcomes in German hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Informed decision-making in delivery of dialysis: combining clinical outcomes with sustainability.Clinical kidney journal · 2021Review
- Investigating the geographic disparity in quality of care: the case of hospital readmission after acute myocardial infarction in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Outcomes of Patients With Cirrhosis Undergoing Orthopedic Procedures: An Analysis of the Nationwide Inpatient Sample.Journal of clinical gastroenterology · 2019Article
- Investigating the relationship between costs and outcomes for English mental health providers: a bi-variate multi-level regression analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Association between costs and quality of acute myocardial infarction care hospitals under the Korea National Health Insurance program.Medicine · 2017Article
- Estimation of a physician practice cost function.The European journal of health economics : HEPAC : health economics in prevention and care · 2017Article
- Observational
- Assessing key cost drivers associated with caring for chronic kidney disease patients.BMC health services research · 2016Article
- Patient-level costs of major cardiovascular conditions: a review of the international literature.ClinicoEconomics and outcomes research : CEOR · 2016Review
- Does Higher Spending Improve Survival Outcomes for Myocardial Infarction? Examining the Cost-Outcomes Relationship Using Time-Varying Covariates.Health services research · 2015Review
- Hospital and emergency department factors associated with variations in missed diagnosis and costs for patients age 65 years and older with acute myocardial infarction who present to emergency departments.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014Observational
- Cost and technical efficiency of physician practices: a stochastic frontier approach using panel data.Health care management science · 2014Article
- Is quality costly? Patient and hospital cost drivers in vascular surgery.Health economics review · 2013Article
- The impact of profitability of hospital admissions on mortality.Health services research · 2013Article
- Cost-effectiveness of open versus laparoscopic appendectomy: a multilevel approach with propensity score matching.The European journal of health economics : HEPAC : health economics in prevention and care · 2012Article
- Do We Get What We Pay For? Examining the Relationship Between Payments and Clinical Outcomes in High-Volume Elective Surgery in a Commercially-Insured Population.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate and to quantify the relationship between hospital costs and health outcomes for patients with acute myocardial infarction (AMI) in Veterans Health Administration (VHA) hospitals using individual-level data for costs and outcomes. DATA SOURCES: VHA administrative files for the fiscal years 2000-2006. STUDY
designCosts were defined as costs incurred during the index hospitalization for treatment of AMI. Mortality and readmission, assessed 1 year after the index hospitalization, were used as measures of clinical outcome. We examined health outcomes as a function of costs and other patient-level and hospital-level characteristics using a two-stage Cox proportional hazard model that accounted for competing risks within a multilevel framework. To control for patient comorbidities, we compiled a comprehensive list of comorbidities that have been found in other studies to affect mortality and readmissions. PRINCIPAL
findingsWe found that costs were negatively associated with mortality and readmissions. Every U.S.$100 less spent is associated with a 0.63 percent increase in the hazard of dying and a 1.24 percent increase in the hazard to be readmitted conditional on not dying. This main finding remained unchanged after a number of sensitivity checks.
conclusionsOur results suggest that there is a trade-off between costs and outcomes. The negative association between costs and mortality suggests that outcomes should be monitored closely when introducing cost-containment programs. Additional studies are needed to examine the cost-outcome relationship for conditions other than AMI to see whether our results are consistent.
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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.