Evidence map›Paper›PMID 27893648›Full record

SynthesisNursing research

Quantity and Quality of Economic Evaluations in U.S. Nursing Research, 1997-2015: A Systematic Review.

Wendy A Cook, Megan L Morrison, Linda H Eaton, Brian R Theodore, Ardith Z Doorenbos

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

Synthesis in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.5field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors at 1 institution in 2 countries.

Wendy A CookWendy A. Cook, PhD, RN, CCNS, is U.S. Navy Nurse Corps Nurse Scientist, Naval Medical Center San Diego, California, and Affiliate Assistant Professor, School of Nursing, University of Washington, Seattle. Megan L. Morrison, PhD, ARNP, FNP-BC, ACHPN, is Palliative and Supportive Care Attending Nurse Practitioner, Northwest Hospital and Medical Center, Seattle, Washington. Linda H. Eaton, PhD, RN, AOCN, is Project Director, Pain and Symptom Management in Rural Communities, School of Nursing, University of Washington, Seattle, and Post-Doctoral Research Fellow, University of Utah College of Nursing, Salt Lake City. Brian R. Theodore, PhD, is Research Assistant Professor, Department of Anesthesiology and Pain Medicine, University of Washington, Seattle. Ardith Z. Doorenbos, PhD, RN, FAAN, is Professor, School of Nursing and School of Medicine, University of Washington, Seattle.
Megan L Morrison
Linda H Eaton
Brian R Theodore
Ardith Z Doorenbos
Apple (Israel) · IL

Funding

Interdisciplinary Training in Cancer, Caregiving and End-of-Life CareT32NR013456 · NINR · UNIVERSITY OF UTAH · PI ELLINGTON, LEE A, MOONEY, KATHLEEN H · 2013 to 2022
$3.4M
Palliative Care Symptom Management in Rural CommunitiesR01NR012450 · NINR · UNIVERSITY OF WASHINGTON · PI DOORENBOS, ARDITH Z · 2011 to 2015
$2.2M
Applying Technology to Problems in Pain and Symptom ManagementK24NR015340 · NINR · UNIVERSITY OF WASHINGTON · PI DOORENBOS, ARDITH Z · 2014 to 2018
$842k
NINR NIH HHS K24 NR015340NINR NIH HHS R01 NR012450NINR NIH HHS T32 NR013456
6 · The paper itself

Abstract

backgroundThe United States has a complex healthcare system that is undergoing substantial reformations. There is a need for high-quality, economic evaluations of nursing practice. An updated review of completed economic evaluations relevant to the field of nursing within the U.S. healthcare system is timely and needed.

objectivesThe purpose of this study was to evaluate and describe the quantity and quality of economic evaluations in nursing-relevant research performed in the United States between 1997 and 2015.

methodsFour databases were searched. Titles, abstracts, and full-text content were reviewed to identify studies that analyzed both costs and outcomes, relevant to nursing, performed in the United States, and used the quality-adjusted life year to measure effectiveness. For included studies, data were extracted from full-text articles using criteria from U.S. Public Health Service's Panel on Cost-Effectiveness in Health and Medicine.

resultsTwenty-eight studies met the inclusion criteria. Most (n = 25, 89%) were published in the last decade of the analysis, from 2006 to 2015. Assessment of quality, based on selected items from the panel guidelines, found that the evaluations did not consistently use the recommended societal perspective, use multiple resource utilization categories, use constant dollars, discount future costs and outcomes, use a lifetime horizon, or include an indication of uncertainty in results. The only resource utilization category consistently included across studies was healthcare resources. DISCUSSION: Only 28 nursing-related studies meeting the inclusion criteria were identified as meeting robust health economic evaluation methodological criteria, and most did not include all important guideline items. Despite increases in absolute numbers of published studies over the past decade, economic evaluation has been underutilized in U.S. nursing-relevant research in the past two decades.

Indexed as

Clinical CompetenceEvaluation Studies as TopicEvidence-Based NursingHealth Care CostsHealth ResourcesHumansNursing ResearchUnited States

Identifiers

PMID27893648
PMCPMC5159252
OpenAlexW2551259177

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.