Evidence map›Paper›PMID 26164214›Full record

Trial reportJournal of cardiac failure2015

An economic evaluation of a self-care intervention in persons with heart failure and diabetes.

Carolyn Miller Reilly, Javed Butler, Steven D Culler, Rebecca A Gary, Melinda Higgins, Peter Schindler, Brittany Butts, Sandra B Dunbar

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of cardiac failure, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Carolyn Miller ReillyEmory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia. Electronic address: cmill02@emory.edu.
Javed ButlerEmory University, School of Medicine and School of Nursing, Atlanta, Georgia; Stony Brook University, Stony Brook, New York.
Steven D CullerEmory University, Rollins School of Public Health and School of Nursing, Atlanta, Georgia.
Rebecca A GaryEmory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia.
Melinda HigginsEmory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia.
Peter SchindlerEmory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia.
Brittany ButtsEmory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia.
Sandra B DunbarEmory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia.

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Cost Effectiveness and Quality of Life in Heart Failure Patients with DiabetesR01NR011888 · NINR · EMORY UNIVERSITY · PI DUNBAR, SANDRA B. · 2009 to 2011
$1.4M
Improving Self Management and Outcomes in Heart Failure Patients with DiabetesR21NR011204 · NINR · EMORY UNIVERSITY · PI DUNBAR, SANDRA B. · 2009 to 2010
$426k
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1TR000454NINR NIH HHS R01 NR011888NINR NIH HHS R01 R01NR011888NINR NIH HHS R21 NR011204
6 · The paper itself

Abstract

backgroundPersons with concomitant heart failure (HF) and diabetes mellitus constitute a growing population whose quality of life is encumbered with worse clinical outcomes as well as high health resource use (HRU) and costs. METHODS AND

resultsExtensive data on HRU and costs were collected as part of a prospective cost-effectiveness analysis of a self-care intervention to improve outcomes in persons with both HF and diabetes. HRU costs were assigned from a Medicare reimbursement perspective. Patients (n = 134) randomized to the self-care intervention and those receiving usual care/attention control were followed for 6 months, revealing significant differences in the number of hospitalization days and associated costs between groups. The mean number of inpatient days was 3 with bootstrapped bias-corrected (BCa) confidence intervals (CIs) of 1.8-4.4 d for the intervention group and 7.3 d (BCa CI 4.1-10.9 d) in the control group: P = .044. Total direct HRU costs per participant were an estimated $9,065 (BCa CI $6,496-$11,936) in the intervention and $16,712 (BCa CI 8,200-$26,621) in the control group, for a mean difference of -$7,647 (BCa CI -$17,588 to $809; P = .21) in favor of the intervention, including intervention costs estimated to be $130.67 per patient.

conclusionsThe self-care intervention demonstrated dominance in lowering costs without sacrificing quality-adjusted life-years.

Indexed as

Health Care CostsHealth ExpendituresAdultAgedAged, 80 and overCost-Benefit AnalysisDiabetes MellitusFemaleFollow-Up StudiesHeart FailureHumansMaleMiddle AgedProspective StudiesSelf CareUnited Statescost-effectiveness analysesDiabetesself-care intervention

Identifiers

PMID26164214
PMCPMC4554981

What OpenQuestion holds

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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.