Evidence map›Paper›PMID 29489017›Full record

Trial reportJournal of the American Geriatrics Society2018

Economic Evaluation of a Catheter-Associated Urinary Tract Infection Prevention Program in Nursing Homes.

David W Hutton, Sarah L Krein, Sanjay Saint, Nicholas Graves, Ajay Kolli, Raymond Lynem, Lona Mody

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01062841 (Targeted Infection Control Program), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT01062841 nacompletednot on this map

Targeted Infection Control Program (TIP) to Reduce Resistant Pathogens and Infections

TypeinterventionalSponsorUniversity of MichiganRan2010 to 2013Enrolled418ConditionsInfectionArmsTargeted Infection Control
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Method for Economic Evaluation of Bacterial Whole Genome Sequencing Surveillance Compared to Standard of Care in Detecting Hospital Outbreaks.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

David W HuttonHealth Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Sarah L KreinDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Sanjay SaintDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Nicholas GravesSchool of Public Health and Biomedical Innovation, Queensland University of Technology, Australia.
Ajay KolliCellular and Molecular Biology, University of Michigan, Ann Arbor, Michigan.
Raymond LynemHealth Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Lona ModyDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USVA Ann Arbor Healthcare System · USMichigan United · USQueensland University of Technology · AU

Funding

Pathway from Functional Disability to Antimicrobial Resistance in Nursing HomesR01AG041780 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2013 to 2017
$1.8M
Targeted Infection Prevention (TIP) Program in Nursing HomesR01AG032298 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2009 to 2013
$1.7M
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training ProgramK24AG050685 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody · 2015 to 2026
$1.4M
NIA NIH HHS K24 AG050685NIA NIH HHS R01 AG032298NIA NIH HHS R01 AG041780
6 · The paper itself

Abstract

objectiveTo assess the economic effect and cost effectiveness of a targeted catheter-associated urinary tract infection (CAUTI) prevention intervention in the nursing home (NH) setting.

designRandomized clinical trial.

settingCommunity-based NHs (N=12).

participantsNH residents with indwelling urinary catheters (N=418).

interventionStandard care versus infection prevention program involving barrier precautions, active surveillance, and NH staff education. MEASUREMENTS: Costs of the intervention, costs of disease, and health outcomes were used to calculate an incremental cost-effectiveness ratio for the intervention. Data came from intervention results and the literature and outcomes were analyzed over one year.

resultsA 120-bed NH would have program costs of $20,279/year. The cost of disease treatment would be reduced by $54,316 per year, resulting in a $34,037 net cost savings. Most of this savings would come from fewer CAUTI hospitalizations ($39,180), with $15,136 in savings from CAUTI care within the NH. The intervention also yielded a gain of 0.197 quality-adjusted life-years (QALYs). Taking into account uncertainty in all parameters suggests there is an 85% chance that the intervention is cost-saving.

conclusionsThe CAUTI prevention program is expected to benefit payers by reducing costs and improving health outcomes. Because the savings accrue to payers and not to NHs, payers such as Medicare and private insurers may want to provide incentives for NHs to implement such programs.

trial registrationclinicaltrials.gov Identifier: NCT01062841.

Indexed as

Nursing HomesCatheter-Related InfectionsCatheters, IndwellingCost-Benefit AnalysisDrug Resistance, Multiple, BacterialHospitalizationHumansInfection ControlQuality-Adjusted Life YearsUrinary CatheterizationUrinary CathetersUrinary Tract Infectionscatheter-related infectionscost-effectivenessdrug resistance, multiplenursing homes

Identifiers

PMID29489017
PMCPMC6374025
OpenAlexW2794046527

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.