Evidence map›Paper›PMID 22096523›Full record

Trial reportPloS one2011

Cost-effectiveness of Internet-based self-management compared with usual care in asthma.

Victor van der Meer, Wilbert B van den Hout, Moira J Bakker, Klaus F Rabe, Peter J Sterk, Willem J J Assendelft, Job Kievit, Jacob K Sont, SMASHING (Self-Management in Asthma Supported by Hospitals, ICT, Nurses and General Practitioners) Study Group

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01802580 (Using an Internet Study to Improve Adherence for Psoriasis Patients), which is not on this map. Cited by 20 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 7 pooled it
2.8field-weighted citation impact, top 10% 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.

NCT01802580 early_phase1completednot on this mapstarted 2012, after this paper: background citation

Using an Internet Study to Improve Adherence for Psoriasis Patients

TypeinterventionalSponsorWake Forest UniversityRan2012 to 2016Enrolled40ConditionsPsoriasisArmsInternet Survey, fluocinonide 0.05% ointment
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 7 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
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  6. Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  7. Pooled it
  8. Trial
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  11. Review
  12. Review
  13. Article
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  18. Article
  19. Online medicine for pregnant women.International journal of telemedicine and applications · 2014
    Article
  20. 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

9 authors at 2 institutions in 1 country.

Victor van der MeerDepartment of Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands. v.van_der_meer@lumc.nl
Wilbert B van den Hout
Moira J Bakker
Klaus F Rabe
Peter J Sterk
Willem J J Assendelft
Job Kievit
Jacob K Sont
SMASHING (Self-Management in Asthma Supported by Hospitals, ICT, Nurses and General Practitioners) Study Group
Leiden University Medical Center · NLAcademic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffectiveness of Internet-based self-management in patients with asthma has been shown, but its cost-effectiveness is unknown. We conducted a cost-effectiveness analysis of Internet-based asthma self-management compared with usual care. METHODOLOGY AND PRINCIPAL

findingsCost-effectiveness analysis alongside a randomized controlled trial, with 12 months follow-up. Patients were aged 18 to 50 year and had physician diagnosed asthma. The Internet-based self-management program involved weekly on-line monitoring of asthma control with self-treatment advice, remote Web communications, and Internet-based information. We determined quality adjusted life years (QALYs) as measured by the EuroQol-5D and costs for health care use and absenteeism. We performed a detailed cost price analysis for the primary intervention. QALYs did not statistically significantly differ between the Internet group and usual care: difference 0.024 (95% CI, -0.016 to 0.065). Costs of the Internet-based intervention were $254 (95% CI, $243 to $265) during the period of 1 year. From a societal perspective, the cost difference was $641 (95% CI, $-1957 to $3240). From a health care perspective, the cost difference was $37 (95% CI, $-874 to $950). At a willingness-to-pay of $50,000 per QALY, the probability that Internet-based self-management was cost-effective compared to usual care was 62% and 82% from a societal and health care perspective, respectively.

conclusionsInternet-based self-management of asthma can be as effective as current asthma care and costs are similar.

trial registrationCurrent Controlled Trials ISRCTN79864465.

Indexed as

AsthmaCost-Benefit AnalysisInternetAdolescentAdultFemaleHumansMaleMiddle AgedQuality-Adjusted Life YearsSelf CareYoung Adult

Identifiers

PMID22096523
PMCPMC3214043
OpenAlexW2038152845

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.