Evidence map›Paper›PMID 26477804›Full record

SynthesisAmerican journal of preventive medicine2015

Economics of Team-based Care in Controlling Blood Pressure: A Community Guide Systematic Review.

Verughese Jacob, Sajal K Chattopadhyay, Anilkrishna B Thota, Krista K Proia, Gibril Njie, David P Hopkins, Ramona K C Finnie, Nicolaas P Pronk, Thomas E Kottke, Community Preventive Services Task Force

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in American journal of preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
3.8field-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.

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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Trial
  6. Article
  7. Article
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  12. Brazilian Guidelines of Hypertension - 2020.Arquivos brasileiros de cardiologia · 2021
    Article
  13. Review
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  15. Review
  16. Article
  17. Article
  18. Article
  19. Prevention and Control of Hypertension: JACC Health Promotion Series.Journal of the American College of Cardiology · 2018
    Review
  20. Review
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

10 authors at 2 institutions in 1 country.

Verughese JacobThe Community Guide Branch, Division of Public Health Information Dissemination Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia. Electronic address: hir0@cdc.gov.
Sajal K ChattopadhyayThe Community Guide Branch, Division of Public Health Information Dissemination Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia.
Anilkrishna B ThotaThe Community Guide Branch, Division of Public Health Information Dissemination Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia.
Krista K ProiaThe Community Guide Branch, Division of Public Health Information Dissemination Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia.
Gibril NjieThe Community Guide Branch, Division of Public Health Information Dissemination Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia.
David P HopkinsThe Community Guide Branch, Division of Public Health Information Dissemination Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia.
Ramona K C FinnieThe Community Guide Branch, Division of Public Health Information Dissemination Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia.
Nicolaas P PronkHealthPartners, Minneapolis, Minnesota.
Thomas E KottkeHealthPartners, Minneapolis, Minnesota.
Community Preventive Services Task Force
Center for Surveillance, Epidemiology, and Laboratory Services · USHealthPartners · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

contextHigh blood pressure is an important risk factor for cardiovascular disease and stroke, the leading cause of death in the U.S., and a substantial national burden through lost productivity and medical care. A recent Community Guide systematic review found strong evidence of effectiveness of team-based care in improving blood pressure control. The objective of the present review is to determine from the economic literature whether team-based care for blood pressure control is cost beneficial or cost effective. EVIDENCE ACQUISITION: Electronic databases of papers published January 1980-May 2012 were searched to find economic evaluations of team-based care interventions to improve blood pressure outcomes, yielding 31 studies for inclusion. EVIDENCE SYNTHESIS: In analyses conducted in 2012, intervention cost, healthcare cost averted, benefit-to-cost ratios, and cost effectiveness were abstracted from the studies. The quality of estimates for intervention and healthcare cost from each study were assessed using three elements: intervention focus on blood pressure control, incremental estimates in the intervention group relative to a control group, and inclusion of major cost-driving elements in estimates. Intervention cost per unit reduction in systolic blood pressure was converted to lifetime intervention cost per quality-adjusted life-year (QALY) saved using algorithms from published trials.

conclusionsTeam-based care to improve blood pressure control is cost effective based on evidence that 26 of 28 estimates of $/QALY gained from ten studies were below a conservative threshold of $50,000. This finding is salient to recent U.S. healthcare reforms and coordinated patient-centered care through formation of Accountable Care Organizations.

Indexed as

Cost-Benefit AnalysisHealth Care CostsHumansHypertensionPatient-Centered CareQuality-Adjusted Life YearsUnited States

Identifiers

PMID26477804
PMCPMC4685935
OpenAlexW1801883854

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.