Evidence map›Paper›PMID 21263359›Full record

SynthesisMedical care2011

A systematic review and meta-analysis of health care utilization outcomes in alcohol screening and brief intervention trials.

Jeremy W Bray, Alexander J Cowell, Jesse M Hinde

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02343874 (Impact of Alcohol Consumption of the General Population Who Visited Primary Health Care Centers on the Use of Health Care Resources in Catalonia.), 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
3.8field-weighted citation impact, top 7% 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.

NCT02343874 completednot on this mapstarted 2012, after this paper: background citation

Impact of Alcohol Consumption of the General Population Who Visited Primary Health Care Centers on the Use of Health Care Resources in Catalonia.

TypeobservationalSponsorHospital Clinic of BarcelonaRan2012 to 2013Enrolled1,911,771ConditionsAlcohol ConsumptionArmsNo intervention
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Jeremy W BrayRTI International, Research Triangle Park, NC 27709, USA.
Alexander J Cowell
Jesse M Hinde
RTI International · US

Funding

Alcohol Screening and Brief Intervention in an EAPR01AA013925 · NIAAA · RESEARCH TRIANGLE INSTITUTE · PI BRAY, JEREMY W · 2004 to 2008
$2.4M
NIAAA NIH HHS R01 AA013925
6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis examines the effect of screening and brief intervention (SBI) on outpatient, emergency department (ED), and inpatient health care utilization outcomes. Much of the current literature speculates that SBI provides cost savings through reduced health care utilization, but no systematic review or meta-analysis examines this assertion.

methodPublications were abstracted from online journal collections and targeted Web searches. The systematic review included any publications that examined the association between SBI and health care utilization. Each publication was rated independently by 2 study authors and assigned a consensus methodological score. The meta-analysis focused on those studies examined in the systematic review, but it excluded publications that had incomplete data, low methodological quality, or a cluster-randomized design.

resultsSystematic review results suggest that SBI has little to no effect on inpatient or outpatient health care utilization, but it may have a small, negative effect on ED utilization. A random effects meta-analysis using the Hedges method confirms the ED result for SBI delivered across settings (standardized mean difference = -0.06, I = 13.9%) but does not achieve statistical significance (confidence interval: -0.15, 0.03).

conclusionsSBI may reduce overall health care costs, but more studies are needed. Current evidence is inconclusive for SBI delivered in ED and non-ED hospital settings. Future studies of SBI and health care utilization should report the estimated effects and variance, regardless of the effect size or statistical significance.

Indexed as

CounselingAlcohol DrinkingAlcoholismDelivery of Health CareHumansTreatment Outcome

Identifiers

PMID21263359
PMCPMC4691530
OpenAlexW1983435255

What OpenQuestion holds

Textmetadata
LicenceTDM
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.