Evidence map›Paper›PMID 27805547›Full record

ArticleEmerging infectious diseases2017

Cost-effectiveness of Increasing Access to Contraception during the Zika Virus Outbreak, Puerto Rico, 2016.

Rui Li, Katharine B Simmons, Jeanne Bertolli, Brenda Rivera-Garcia, Shanna Cox, Lisa Romero, Lisa M Koonin, Miguel Valencia-Prado, Nabal Bracero, Denise J Jamieson and 8 more

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Surveillance and Epidemiology of Dengue in Medellín, Colombia from 2009 to 2017.The American journal of tropical medicine and hygiene · 2021
    Article
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  11. The state of latency in microbial pathogenesis.The Journal of clinical investigation · 2020
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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

18 authors.

Rui Li
Katharine B Simmons
Jeanne Bertolli
Brenda Rivera-Garcia
Shanna Cox
Lisa Romero
Lisa M Koonin
Miguel Valencia-Prado
Nabal Bracero
Denise J Jamieson
Wanda Barfield
Cynthia A Moore
Cara T Mai
Lauren C Korhonen
Meghan T Frey
Janice Perez-Padilla
Ricardo Torres-Muñoz
Scott D Grosse

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We modeled the potential cost-effectiveness of increasing access to contraception in Puerto Rico during a Zika virus outbreak. The intervention is projected to cost an additional $33.5 million in family planning services and is likely to be cost-saving for the healthcare system overall. It could reduce Zika virus-related costs by $65.2 million ($2.8 million from less Zika virus testing and monitoring and $62.3 million from avoided costs of Zika virus-associated microcephaly [ZAM]). The estimates are influenced by the contraception methods used, the frequency of ZAM, and the lifetime incremental cost of ZAM. Accounting for unwanted pregnancies that are prevented, irrespective of Zika virus infection, an additional $40.4 million in medical costs would be avoided through the intervention. Increasing contraceptive access for women who want to delay or avoid pregnancy in Puerto Rico during a Zika virus outbreak can substantially reduce the number of cases of ZAM and healthcare costs.

Indexed as

Cost-Benefit AnalysisDisease OutbreaksAdultContraceptionDecision TreesFemaleForecastingHealth Care CostsHumansMicrocephalyPopulation SurveillancePregnancyPregnancy Complications, InfectiousPuerto RicoZika VirusZika Virus Infectioncontraceptioncost-effectivenesscost-savingmicrocephalyoutbreakPuerto Ricounintended pregnancyvector-borne infectionsvirusesZika virus

Identifiers

PMID27805547
PMCPMC5176229

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.