Evidence map›Paper›PMID 28950310›Full record

Observational studyEuropean heart journal. Quality of care & clinical outcomes2018

Long-term cardiovascular outcome, use of resources, and healthcare costs in patients with peripheral artery disease: results from a nationwide Swedish study.

Pål Hasvold, Joakim Nordanstig, Björn Kragsterman, Thomas Kristensen, Mårten Falkenberg, Saga Johansson, Marcus Thuresson, Birgitta Sigvant

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European heart journal. Quality of care & clinical outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Association between Peripheral Artery Disease and Major Adverse Cardiovascular Events in Patients with Acute Coronary Syndrome: Findings from the Gulf COAST Registry.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2019
    Article
  12. 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 6 institutions in 2 countries.

Pål HasvoldAstraZeneca Nordic-Baltic, Medical department, Astraallén, Södertälje 151 85, Sweden.
Joakim NordanstigDepartment of Vascular Surgery, Sahlgrenska University Hospital, Blå Stråket 5, Gothenburg 41345, Sweden.
Björn KragstermanDepartment of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala 751 85 , Sweden.
Thomas KristensenAstraZeneca Nordic-Baltic, Medical department, Astraallén, Södertälje 151 85, Sweden.
Mårten FalkenbergDepartment of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg 413 45, Sweden.
Saga JohanssonAstraZeneca Gothenburg, AstraZeneca R&D, Pepparedsleden 1, Mölndal 431 53, Sweden.
Marcus ThuressonStatisticon AB, Östra Ågatan 31, Uppsala 753 22, Sweden.
Birgitta SigvantDepartment of Vascular Surgery, Karlstad Central Hospital, Rosenborgsgatan 2, Karlstad 652 30, Sweden.
AstraZeneca (Sweden) · SEKarlstad Central Hospital · SEStatisticon (Sweden) · SEUniversity of Gothenburg · SEUniversity of Oslo · NOUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Data on long-term healthcare costs of patients with peripheral artery disease (PAD) is limited, and the aim of this study was to investigate healthcare costs for PAD patients at a nationwide level. Methods and results: A cohort study including all incident patients diagnosed with PAD in the Swedish National Patient Register between 2006-2014, and linked to cause of death- and prescribed drug registers. Mean per-patient annual healthcare costs (2015 Euros [€]) (hospitalisations and out-patient visits) were divided into cardiovascular (CV), lower limb and non-CV related cost. Results were stratified by high and low CV risk. The study included 66,189 patients, with 221,953 observation-years. Mean total healthcare costs were €6,577, of which 26% was CV-related (€1,710), during the year prior to the PAD diagnosis. First year after PAD diagnosis, healthcare costs were €12,549, of which €3,824 (30%) was CV-related and €3,201 (26%) lower limb related. High-risk CV patients had a higher annual total healthcare and CV related costs compared to low risk CV patients during follow-up (€7,439 and €1,442 versus €4,063 and €838). Annual lower limb procedure costs were €728 in the PAD population, with lower limb revascularisations as key cost driver (€474). Conclusion: Non-CV related hospitalizations and outpatient visits were the largest cost contributors for PAD patients. There is a substantial increase in healthcare costs in the first year after being diagnosed with PAD, driven by PAD follow-up and lower limb related procedures. Among the CV-related costs, hospitalisations and outpatient visits related to PAD represented the largest costs.

Indexed as

RegistriesAgedAged, 80 and overCause of DeathFemaleFollow-Up StudiesHealth Care CostsHealth ResourcesHumansMaleMiddle AgedMorbidityPeripheral Arterial DiseasePrognosisRetrospective StudiesRisk Factorshealthcare costshealthcare resource useNationwide register dataperipheral artery disease

Identifiers

PMID28950310
PMCPMC5862018
OpenAlexW2748368167

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.