Evidence map›Paper›PMID 25077108›Full record

ArticleCMAJ open2013

Estimating the payoffs from cardiovascular disease research in Canada: an economic analysis.

Claire de Oliveira, Hai V Nguyen, Harindra C Wijeysundera, William W L Wong, Gloria Woo, Paul Grootendorst, Peter P Liu, Murray D Krahn

Abstract read
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Article in CMAJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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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.

Claire de OliveiraDepartment of Social and Epidemiological Research, Centre for Addiction and Mental Health, Toronto, Ont. ; Toronto Health Economics and Technology Assessment Collaborative, Toronto, Ont.
Hai V NguyenLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ont.
Harindra C WijeysunderaSchulich Heart Centre, Division of Cardiology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ont. ; Toronto Health Economics and Technology Assessment Collaborative, Toronto, Ont.
William W L WongToronto Health Economics and Technology Assessment Collaborative, Toronto, Ont.
Gloria WooToronto Health Economics and Technology Assessment Collaborative, Toronto, Ont.
Paul GrootendorstLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ont. ; Toronto Health Economics and Technology Assessment Collaborative, Toronto, Ont.
Peter P LiuUniversity Health Network, Toronto, Ont.
Murray D KrahnUniversity Health Network, Toronto, Ont. ; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ont. ; Toronto Health Economics and Technology Assessment Collaborative, Toronto, Ont ; Department of Medicine, University of Toronto, Toronto, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvestments in medical research can result in health improvements, reductions in health expenditures and secondary economic benefits. These "returns" have not been quantified in Canada. Our objective was to estimate the return on cardiovascular disease research funded by public or charitable organizations.

methodsOur primary outcome was the internal rate of return on cardiovascular disease research funded by public or charitable sources. The internal rate of return is the annual monetary benefit to the economy for each dollar invested in cardiovascular disease research. Calculation of the internal rate of return involved the following: measuring expenditures on cardiovascular disease research, estimating the health gains accrued from new treatments for cardiovascular disease, determining the proportion of health gains attributable to cardiovascular disease research and the time lag between research expenditures and health gains, and estimating the spillovers from public- or charitable-sector investments to other sectors of the economy.

resultsExpenditures by public or charitable organizations on cardiovascular disease research from 1981 to 1992 amounted to $392 million (2005 dollars). Health gains associated with new treatments from 1994 to 2005 (13-yr lag) amounted to 2.2 million quality-adjusted life-years. We calculated an internal rate of return of 20.6%.

conclusionCanadians obtain relatively high health and economic gains from investments in cardiovascular disease research. Every $1 invested in cardiovascular disease research by public or charitable sources yields a stream of benefits of roughly $0.21 to the Canadian economy per year, in perpetuity.

Identifiers

PMID25077108
PMCPMC3986018

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Registered trials

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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.