Evidence map›Paper›PMID 26503137›Full record

Trial reportJournal of the American Geriatrics Society2015

Cost-Effectiveness of Nutrition Intervention in Long-Term Care.

Sandra F Simmons, Emmett Keeler, Ruopeng An, Xulei Liu, Matthew S Shotwell, Brittany Kuertz, Heidi J Silver, John F Schnelle

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

Trial report in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Economic Challenges in Nutritional Management.Journal of clinical medicine · 2019
    Article
  7. Article
  8. Article
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 at 3 institutions in 1 country.

Sandra F SimmonsCenter for Quality Aging, Division of Geriatrics, Vanderbilt University, Nashville, Tennessee.
Emmett KeelerRand Corporation, Santa Monica, California.
Ruopeng AnDepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, Illinois.
Xulei LiuDepartment of Biostatistics, Vanderbilt University, Nashville, Tennessee.
Matthew S ShotwellDepartment of Biostatistics, Vanderbilt University, Nashville, Tennessee.
Brittany KuertzCenter for Quality Aging, Division of Geriatrics, Vanderbilt University, Nashville, Tennessee.
Heidi J SilverDivision of Gastroenterology, Hepatology and Nutrition, School of Medicine, Vanderbilt University, Nashville, Tennessee.
John F SchnelleCenter for Quality Aging, Division of Geriatrics, Vanderbilt University, Nashville, Tennessee.
Vanderbilt University · USUniversity of Illinois Urbana-Champaign · USGeriatric Research Education and Clinical Center · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Cost-Effectiveness of Weight Loss Prevention in Nursing Homes: A Controlled TrialR01HS018580 · AHRQ · VANDERBILT UNIVERSITY · PI SIMMONS, SANDRA F · 2009 to 2012
$2.0M
AHRQ HHS 1R01HS018580-01AHRQ HHS R01 HS018580NCATS NIH HHS 2 UL 1TR000445-06NCATS NIH HHS UL1 TR000445NCRR NIH HHS UL1 RR024975NCRR NIH HHS UL1 RR024975-01
6 · The paper itself

Abstract

objectivesTo determine the cost-effectiveness of two nutrition interventions on food, beverage, and supplement intake and body weight.

designRandomized, controlled trial.

settingFive skilled nursing home facilities.

participantsLong-stay residents with orders for nutrition supplementation (N = 154).

interventionParticipants were randomized into a usual care control group, an oral liquid nutrition supplement (ONS) intervention group, or a snack intervention group. Research staff provided ONS, according to orders or a variety of snack foods and beverages twice per day between meals, 5 days per week for 24 weeks and assistance to promote consumption. MEASUREMENTS: Research staff independently weighed residents at baseline and monthly during the 24-week intervention. Resident food, beverage and supplement intake and the amount of staff time spent providing assistance were assessed for 2 days at baseline and 2 days per month during the intervention using standardized observation and weighed intake procedures.

resultsThe ONS intervention group took in an average of 265 calories more per day and the snack intervention group an average of 303 calories more per day than the control group. Staff time required to provide each intervention averaged 11 and 14 minutes per person per offer for ONS and snacks, respectively, and 3 minutes for usual care. Both interventions were cost-effective in increasing caloric intake, but neither intervention had a significant effect on body weight, despite positive trends.

conclusionOral liquid nutrition supplements and snack offers were efficacious in promoting caloric intake when coupled with assistance to promote consumption and a variety of options, but neither intervention resulted in significant weight gain.

Indexed as

Aged, 80 and overBody HeightCost-Benefit AnalysisEatingEnergy IntakeFemaleHumansLong-Term CareMaleNutritional SupportNutrition TherapySkilled Nursing FacilitiesWeight Gainlong-term carenutrition interventionoral liquid nutrition supplementsunintentional weight loss

Identifiers

PMID26503137
PMCPMC5131725
OpenAlexW1936212771

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.