Evidence map›Paper›PMID 22433755›Full record

Trial reportValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research

Cost-effectiveness analysis of collaborative care management of major depression among low-income, predominantly Hispanics with diabetes.

Joel W Hay, Wayne J Katon, Kathleen Ell, Pey-Jiuan Lee, Jeffrey J Guterman

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
4.3field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 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

5 authors at 3 institutions in 1 country.

Joel W HayLeonard Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA 90089, USA. jhay@usc.edu
Wayne J Katon
Kathleen Ell
Pey-Jiuan Lee
Jeffrey J Guterman
University of Southern California · USLos Angeles County Department of Health Services · USUniversity of Washington · US

Funding

Multifaceted Depression Diabetes Program for HispanicsR01MH068468 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ELL, KATHLEEN R · 2005 to 2008
$3.1M
NIMH NIH HHS R01 MH068468
6 · The paper itself

Abstract

objectiveTo evaluate the cost-effectiveness of a socioculturally adapted collaborative depression care program among low-income Hispanics with diabetes. RESEARCH DESIGN AND

methodsA randomized controlled trial of 387 patients with diabetes (96.5% Hispanic) with clinically significant depression followed over 18 months evaluated the cost-effectiveness of the Multifaceted Diabetes and Depression Program aimed at increasing patient exposure to evidence-based depression psychotherapy and/or pharmacotherapy in two public safety net clinics. Patient medical care costs and utilization were captured from Los Angeles County Department of Health Services claims records. Patient-reported outcomes included Short-Form Health Survey-12 and Patient Health Questionnaire-9-calculated depression-free days.

resultsIntervention patients had significantly greater Short-Form Health Survey-12 utility improvement from baseline compared with controls over the 18-month evaluation period (4.8%; P < 0.001) and a corresponding significant improvement in depression-free days (43.0; P < 0.001). Medical cost differences were not statistically significant in ordinary least squares and log-transformed cost regressions. The average costs of the Multifaceted Diabetes and Depression Program study intervention were $515 per patient. The program's cost-effectiveness averaged $4053 per quality-adjusted life-year per MDDP recipient and was more than 90% likely to fall below $12,000 per quality-adjusted life-year.

conclusionsSocioculturally adapted collaborative depression care improved utility and quality of life in predominantly low-income Hispanic patients with diabetes and was highly cost-effective.

Indexed as

Cooperative BehaviorDiabetes Mellitus, Type 2PovertyAdultComorbidityCost-Benefit AnalysisCultural CompetencyDiabetes ComplicationsFemaleHealth Care CostsHispanic or LatinoHumansLos AngelesMajor Depressive DisorderMaleOutcome Assessment, Health Care

Identifiers

PMID22433755
PMCPMC3310347
OpenAlexW2155639409

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.