ArticleIntensive care medicine2015
Cost awareness of physicians in intensive care units: a multicentric national study.
Article in Intensive care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Pooled it
- Protein C zymogen in severe sepsis: a double-blinded, placebo-controlled, randomized study.Intensive care medicine · 2016Trial
- Economic information in clinical decision-making: focus group discussions with Finnish general practitioners and patients.BMJ open · 2026Article
- Article
- Cost Consciousness Among Dermatologists.Clinical, cosmetic and investigational dermatology · 2025Article
- Cost awareness among intensivists in their daily clinical practice: a prospective multicentre study.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Observational
- The role of human capital and stress for cost awareness in the healthcare system: a survey among German hospital physicians.BMC health services research · 2024Article
- Applying High-Value Care Principles in a Pediatric Case: A Workshop for Health Professions Students.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Program on high value cost-conscious education in intensive care: Educational program on prediction of outcome and cost awareness on Intensive Care admission.BMC medical education · 2020Article
- Nonpharmacist Health Care Providers' Knowledge of and Opinions Regarding Medication Costs in Critically Ill Patients.Hospital pharmacy · 2018Article
- Are nurses ready to help to improve cost-effectiveness? A multicentric national survey on knowledge of costs among ICU paramedical staff.Intensive care medicine · 2018Article
- Potentially Avoidable Surgical Intensive Care Unit Admissions and Disposition Delays.JAMA surgery · 2017Observational
- Surgeon Awareness of Operating Room Supply Costs.The Annals of otology, rhinology, and laryngology · 2016Article
- Should cost considerations be included in medical decisions? Not so sure….Intensive care medicine · 2015Article
- Should cost considerations be included in medical decisions? Yes.Intensive care medicine · 2015Article
- Where is this all leading?Future hospital journal · 2015Article
- Should cost considerations be included in medical decisions? No.Intensive care medicine · 2015Article
- Do you know how much it costs?Intensive care medicine · 2015Article
Corrections and comments
- Commented on by
- Erratum issuedErratum to: Cost awareness of physicians in intensive care units: a multicentric national study.2016 · Costs in French ICU Study Group [added]
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePhysicians play an important role in strategies to control health care spending. Being aware of the cost of prescriptions is surely the first step to incorporating cost-consciousness into medical practice. The aim of this study was to evaluate current intensivists' knowledge of the costs of common prescriptions and to identify factors influencing the accuracy of cost estimations.
methodsJunior and senior physicians in 99 French intensive care units were asked, by questionnaire, to estimate the true hospital costs of 46 selected prescriptions commonly used in critical care practice.
resultsWith an 83% response rate, 1092 questionnaires were examined, completed by 575 (53%) and 517 (47%) junior and senior intensivists, respectively. Only 315 (29%) of the overall estimates were within 50% of the true cost. Response errors included a 14,756 ± 301 € underestimation, i.e., -58 ± 1% of the total sum (25,595 €). High-cost drugs (>1000 €) were significantly (p < 0.001) the most underestimated prescriptions (-67 ± 1%). Junior grade physicians underestimated more costs than senior physicians (p < 0.001). Using multivariate analysis, junior physicians [odds ratio (OR), 2.1; 95% confidence interval (95% CI), 1.43-3.08; p = 0.0002] and female gender (OR, 1.4; 95% CI, 1.04-1.89; p = 0.02) were both independently associated with incorrect cost estimations.
conclusionsICU physicians have a poor awareness of prescriptions costs, especially with regards to high-cost drugs. Considerable emphasis and effort are still required to integrate the cost-containment problem into the daily prescriptions in ICUs.
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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.