Evidence map›Paper›PMID 28593038›Full record

ArticleIsrael journal of health policy research2017

Comprehensive healthcare resource use among newly diagnosed congestive heart failure.

Lori D Bash, Dahlia Weitzman, Robert O Blaustein, Ofer Sharon, Varda Shalev, Gabriel Chodick

Open access · goldAbstract read
In one paragraph

Article in Israel journal of health policy research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 21% 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, 13 citations in OpenAlex.

  1. Trial
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  5. Observational
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  8. Targeted approaches to improve outcomes for highest-cost patients.Israel journal of health policy research · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Lori D BashMerck & Co., Inc., Kenilworth, NJ USA.
Dahlia WeitzmanMaccabitech, Maccabi Healthcare Services, Tel-Aviv, Israel.
Robert O BlausteinMerck & Co., Inc., Kenilworth, NJ USA.
Ofer SharonMSD Israel, Hod Hasharon, Israel.
Varda ShalevMaccabitech, Maccabi Healthcare Services, Tel-Aviv, Israel.
Gabriel ChodickMaccabitech, Maccabi Healthcare Services, Tel-Aviv, Israel.
Maccabi Health Care Services · ILMerck & Co., Inc., Rahway, NJ, USA (United States) · USRoche (Israel) · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongestive heart failure (CHF) is among the most common causes of hospital admissions and readmissions in the Western world. However, the burden of ambulatory care has not been as well investigated. The objective of this study was to assess the relative burden and direct medical costs of CHF including inpatient and outpatient care.

methodsWe used longitudinal clinical data from a two-million member health organization in Israel (Maccabi Healthcare Services) to identify adults with newly diagnosed CHF between January 2006 and December 2012, either in the in- or outpatient setting. Adults without CHF were age- and sex-matched to CHF patients and healthcare utilization and all modes of healthcare costs were compared among them, excluding those in their last year of life.

resultsThe burden posed by 6592 CHF patients was significantly (

conclusionCHF is associated with an overall two- to three-fold higher cost of healthcare services depending on patient age, accounting for over half of all healthcare costs incurred by elderly CHF patients, and more than two-thirds of all costs among younger CHF patients. Observations of the large burden posed on one of the youngest societies in the developed world are profound, implicative of great opportunities to control the costs of CHF. Further research to understand how resource use impacts health outcomes and quality of care is warranted.

Indexed as

AdultAgedAged, 80 and overCohort StudiesDelivery of Health CareFemaleHealth Care CostsHeart FailureHumansIsraelLongitudinal StudiesMaleMiddle AgedRetrospective StudiesCommunity healthCongestive heart failureCosts of careHealthcare utilization

Identifiers

PMID28593038
PMCPMC5458478
OpenAlexW2610281650

What OpenQuestion holds

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LicenceCC BY
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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.