Evidence map›Paper›PMID 24973911›Full record

Trial reportGeneral hospital psychiatry

Twelve-month cost-effectiveness of telephone-delivered collaborative care for treating depression following CABG surgery: a randomized controlled trial.

Julie M Donohue, Bea Herbeck Belnap, Aiju Men, Fanyin He, Mark S Roberts, Herbert C Schulberg, Charles F Reynolds, Bruce L Rollman

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

Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00091962 (Treatment of Depression Following Bypass Surgery), which is not on this map. Cited by 32 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 7 pooled it
3.6field-weighted citation impact, top 6% 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.

NCT00091962 nacompletednot on this map

Treatment of Depression Following Bypass Surgery

TypeinterventionalSponsorUniversity of PittsburghRan2003 to 2009Enrolled453ConditionsCardiovascular Diseases, Coronary Disease, Heart Diseases, DepressionArmsPsychoeducation, Treatment recommendations, Pharmacotherapy, Usual Care
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 7 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Cost and effects of integrated care: a systematic literature review and meta-analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Pooled it
  4. Psychological interventions for coronary heart disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Pooled it
  6. Pooled it
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  8. Bypassing the blues: Insomnia in the depressed post-CABG population.Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · 2020
    Trial
  9. Collaborative mental health care for pediatric behavior disorders in primary care: Does it reduce mental health care costs?Families, systems & health : the journal of collaborative family healthcare · 2017
    Trial
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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

8 authors at 2 institutions in 2 countries.

Julie M DonohueDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Bea Herbeck BelnapDivision of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Aiju MenDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Fanyin HeDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Mark S RobertsDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA; Division of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Herbert C SchulbergDepartment of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA.
Charles F ReynoldsDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Bruce L RollmanDivision of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: rollmanbl@upmc.edu.
University of Pittsburgh · USCornell University · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEW, MARY AMANDA · 2011 to 2015
$8.3M
Research Network Development Core (pages 329-374)P30MH071944 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2005 to 2009
$6.7M
Treatment of Depression Following Bypass SurgeryR01HL070000 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROLLMAN, BRUCE LAWRENCE · 2003 to 2007
$5.4M
NCATS NIH HHS KL2 TR000146NCATS NIH HHS UL1 TR000005NHLBI NIH HHS R01 HL070000NHLBI NIH HHS R01 HL70000NIA NIH HHS P30 AG024827NIMH NIH HHS P30 MH071944NIMH NIH HHS P30 MH090333NIMH NIH HHS P30 MH71944NIMH NIH HHS P30 MH90333
6 · The paper itself

Abstract

objectiveTo determine the 12-month cost-effectiveness of a collaborative care (CC) program for treating depression following coronary artery bypass graft (CABG) surgery versus physicians' usual care (UC).

methodsWe obtained 12 continuous months of Medicare and private medical insurance claims data on 189 patients who screened positive for depression following CABG surgery, met criteria for depression when reassessed by telephone 2 weeks following hospitalization (nine-item Patient Health Questionnaire ≥10) and were randomized to either an 8-month centralized, nurse-provided and telephone-delivered CC intervention for depression or to their physicians' UC.

resultsAt 12 months following randomization, CC patients had $2068 lower but statistically similar estimated median costs compared to UC (P=.30) and a variety of sensitivity analyses produced no significant changes. The incremental cost-effectiveness ratio of CC was -$9889 (-$11,940 to -$7838) per additional quality-adjusted life-year (QALY), and there was 90% probability it would be cost-effective at the willingness to pay threshold of $20,000 per additional QALY. A bootstrapped cost-effectiveness plane also demonstrated a 68% probability of CC "dominating" UC (more QALYs at lower cost).

conclusionsCentralized, nurse-provided and telephone-delivered CC for post-CABG depression is a quality-improving and cost-effective treatment that meets generally accepted criteria for high-value care.

Indexed as

Cost-Benefit AnalysisAgedCoronary Artery BypassDepressionFemaleHumansMaleMiddle AgedPatient Education as TopicPsychotherapyQuality-Adjusted Life YearsTelephoneTime FactorsTreatment OutcomeCoronary artery bypass graftingCost–benefit analysisDepressionMental health servicesRandomized controlled trial

Identifiers

PMID24973911
PMCPMC4138244
OpenAlexW2052620017

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.