Evidence map›Paper›PMID 26102447›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2015

Cost-Effectiveness of Collaborative Care for Depression in HIV Clinics.

Jacob T Painter, John C Fortney, Allen L Gifford, David Rimland, Thomas Monson, Maria C Rodriguez-Barradas, Jeffrey M Pyne

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00304915 (HIV Translating Initiatives for Depression Into Effective Solutions), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% 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.

NCT00304915 nacompletednot on this map

HIV Translating Initiatives for Depression Into Effective Solutions

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2007 to 2016Enrolled249ConditionsHIV, DepressionArmsCollaborative Care Interventions
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pharmacy-based management for depression in adults.The Cochrane database of systematic reviews · 2019
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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

7 authors at 5 institutions in 1 country.

Jacob T Painter*Center for Mental Healthcare and Outcomes Research Central Arkansas Veterans Healthcare System North Little Rock, AR; †Division of Pharmaceutical Evaluation and Policy University of Arkansas for Medical Sciences Little Rock, AR; ‡South Central Mental Illness Research, Education and Clinical Centers Central Arkansas Veterans Healthcare System North Little Rock, AR; §Psychiatric Research Institute University of Arkansas for Medical Sciences Little Rock, AR; ‖VA New England Healthcare System Center for Healthcare Quality, Outcomes, and Economic Research Bedford, MA; ¶Atlanta VA Medical Center & Department of Infectious Disease Emory University, School of Medicine Atlanta, GA; #Department of Infectious Disease Central Arkansas Veterans Healthcare System North Little Rock, AR; and **Michael E. DeBakey VA Medical Center & Department of Medicine - Infectious Disease Baylor College of Medicine Houston, TX.
John C Fortney
Allen L Gifford
David Rimland
Thomas Monson
Maria C Rodriguez-Barradas
Jeffrey M Pyne
Central Arkansas Veterans Healthcare System · USEmory University · USMental Illness Research, Education and Clinical Centers · USUniversity of Arkansas for Medical Sciences · USVA New England Healthcare System · US

Funding

HSRD VA MNT 05-152
6 · The paper itself

Abstract

objectiveTo examine the cost-effectiveness of the HIV Translating Initiatives for Depression Into Effective Solutions (HITIDES) intervention.

designRandomized controlled effectiveness and implementation trial comparing depression collaborative care with enhanced usual care.

settingThree Veterans Health Administration HIV clinics in the Southern United States. SUBJECTS: Two hundred forty-nine HIV-infected patients completed the baseline interview; 123 were randomized to the intervention and 126 to usual care.

interventionHITIDES consisted of an offsite HIV depression care team that delivered up to 12 months of collaborative care. The intervention used a stepped-care model for depression treatment, and specific recommendations were based on the Texas Medication Algorithm Project and the VA/Department of Defense Depression Treatment Guidelines.

main outcome measuresQuality-adjusted life years (QALYs) were calculated using the 12-Item Short Form Health Survey, the Quality of Well Being Scale, and by converting depression-free days to QALYs. The base case analysis used outpatient, pharmacy, patient, and intervention costs. Cost-effectiveness was calculated using incremental cost-effectiveness ratios (ICERs) and net health benefit. ICER distributions were generated using nonparametric bootstrap with replacement sampling.

resultsThe HITIDES intervention was more effective and cost saving compared with usual care in 78% of bootstrapped samples. The intervention net health benefit was positive and therefore deemed cost-effective using an ICER threshold of $50,000/QALY.

conclusionsIn HIV clinic settings, this intervention was more effective and cost saving compared with usual care. Implementation of offsite depression collaborative care programs in specialty care settings may be a strategy that not only improves outcomes for patients but also maximizes the efficient use of limited health care resources.

Indexed as

AdultAgedAmbulatory CareCooperative BehaviorCost-Benefit AnalysisDepressionFemaleHIV InfectionsHumansMaleMiddle AgedTreatment OutcomeUnited States

Identifiers

PMID26102447
PMCPMC4626259
OpenAlexW2410295786

What OpenQuestion holds

Textmetadata
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.