Evidence map›Paper›PMID 29540403›Full record

ReviewBMJ open2018

A protocol for an economic evaluation of a polypill in patients with established or at high risk of cardiovascular disease in a UK NHS setting: RUPEE (NHS) study.

Catriona Crossan, Hakim-Moulay Dehbi, Hilarie Williams, Neil Poulter, Anthony Rodgers, Stephen Jan, Simon Thom, Joanne Lord

Abstract readReview
In one paragraph

Review in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Catriona CrossanBresMed Ireland, Dublin 24, Ireland.
Hakim-Moulay DehbiCRUK& UCL Cancer Trials Centre, University College London, London, UK.
Hilarie WilliamsPeart-Rose Research Unit, International Centre for Circulatory Health NHLI, Imperial College London (Hammersmith Campus), London, UK.
Neil PoulterPeart-Rose Research Unit, International Centre for Circulatory Health NHLI, Imperial College London (Hammersmith Campus), London, UK.
Anthony RodgersThe George Institute for Global Health, University of Sydney, Camperdown, Australia.
Stephen JanThe George Institute for Global Health, University of Sydney, Camperdown, Australia.
Simon ThomPeart-Rose Research Unit, International Centre for Circulatory Health NHLI, Imperial College London (Hammersmith Campus), London, UK.
Joanne LordSouthampton Health Technology Assessments Centre, University of Southampton, Southampton, UK.

Funding

Department of Health PB-PG-1112-29080
6 · The paper itself

Abstract

introductionThe 'Use of a Multi-drug Pill in Reducing cardiovascular Events' (UMPIRE) trial was a randomised controlled clinical trial evaluating the impact of a polypill strategy on adherence to indicated medication in a population with established cardiovascular disease (CVD) of or at high risk thereof. The aim of Researching the UMPIRE Processes for Economic Evaluation in the National Health Service (RUPEE NHS) is to estimate the potential health economic impact of a polypill strategy for CVD prevention within the NHS using UMPIRE trial and other relevant data. This paper describes the design of a modelled economic evaluation of the impact of increased adherence to the polypill versus usual care among the UK UMPIRE participants. METHODS AND ANALYSIS: As recommended by the International Society for Pharmacoeconomics and Outcomes Research and the Society for Medical Decision Making modelling guidelines, a review of published CVD models was undertaken to identify the most appropriate modelling approach and structure. The review was carried out in the electronic databases, MEDLINE and EMBASE. 40 CVD models were identified from 57 studies, the majority of economic models were health state transition cohort models and individual-level simulation models. The findings were discussed with clinical experts to confirm the approach and structure. An individual simulation approach was identified as the most suitable method to capture the heterogeneity in the population at CVD risk. RUPEE-NHS will use UMPIRE trial data on adherence to estimate the long-term cost-effectiveness of the polypill strategy. DISSEMINATION: The evaluation findings will be presented in open-access scientific and healthcare policy journals and at national and international conferences. We will also present findings to NHS policy makers and pharmaceutical companies.

Indexed as

Drug CombinationsMedication AdherenceModels, EconomicAge FactorsCardiovascular DiseasesCost-Benefit AnalysisHumansPrimary PreventionQuality of LifeRandomized Controlled Trials as TopicRisk FactorsState MedicineUnited KingdomDrug Combinationsadherencecardiovascular diseasecost-effectivenesseconomic evaluationpolypill

Identifiers

PMID29540403
PMCPMC5857692

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.