Evidence map›Paper›PMID 29770445›Full record

Trial reportHealth services research2018

Cost-Effectiveness of a Community-Based Diabetes Prevention Program with Participation Incentives for Medicaid Beneficiaries.

Todd Gilmer, Patrick J O'Connor, Jeffrey S Schiff, Gretchen Taylor, Gabriela Vazquez-Benitez, Joyce E Garrett, Houa Vue-Her, Sarah Rinn, Julie Anderson, Jay Desai

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Observational
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  6. Review
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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

10 authors.

Todd GilmerDepartment of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA.ORCID 0000-0002-8360-3522
Patrick J O'ConnorHealthPartners Institute, Bloomington, MN.
Jeffrey S SchiffMinnesota Health Care Programs, Minnesota Department of Human Services, Saint Paul, MN.
Gretchen TaylorMinnesota Diabetes Program, Minnesota Department of Health, Saint Paul, MN.
Gabriela Vazquez-BenitezHealthPartners Institute, Bloomington, MN.
Joyce E GarrettMinnesota Health Care Programs, Minnesota Department of Human Services, Saint Paul, MN.
Houa Vue-HerMinnesota Diabetes Program, Minnesota Department of Health, Saint Paul, MN.
Sarah RinnMinnesota Health Care Programs, Minnesota Department of Human Services, Saint Paul, MN.
Julie AndersonHealthPartners Institute, Bloomington, MN.
Jay DesaiHealthPartners Institute, Bloomington, MN.

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
NIDDK NIH HHS P30 DK092924NIDDK NIH HHS P30DK092928
6 · The paper itself

Abstract

objectiveTo examine the cost-effectiveness of a community-based Diabetes Prevention Program (DPP) for Medicaid beneficiaries from the perspective of the health care sector. DATA SOURCES/STUDY

settingA total of 847 Medicaid enrollees at high risk for type 2 diabetes participating in a community-based DPP. STUDY

designPre- and post clinical outcome and cost data were used as inputs into a validated diabetes simulation model. The model was used to evaluate quality-adjusted life years (QALYs) and health care costs over a 40-year time horizon from the perspective of the health care sector. DATA COLLECTION/EXTRACTION

methodsClinical outcome and cost data were derived from a study examining the effect of financial incentives on weight loss. PRINCIPAL

findingsStudy participants lost an average of 4.2 lb (p < .001) and increased high-density lipoprotein cholesterol by 1.75 mg/dl (p = .002). Intervention costs, which included financial incentives for participation and weight loss, were $915 per participant. The incremental cost-effectiveness ratio was estimated to be $14,011 per QALY but was sensitive to the time horizon studied.

conclusionsWidespread adoption of community-based DPP has the potential to reduce diabetes and cardiovascular-related morbidity and mortality for low-income persons at high risk for diabetes and may be a cost-effective investment for Medicaid programs.

Indexed as

Cost-Benefit AnalysisMedicaidMotivationPublic HealthDiabetes Mellitus, Type 2DietExerciseFemaleHumansLife StyleMaleMiddle AgedRisk Reduction BehaviorUnited StatesCost-effectivenesshealth care costsMedicaid

Identifiers

PMID29770445
PMCPMC6232439

What OpenQuestion holds

Textmetadata
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.