Evidence map›Paper›PMID 30262222›Full record

Observational studyAtencion primaria

[Every week counts: Use of health services and related costs of a community-based cohort of people with advanced chronic diseases].

Carles Blay, Joan Carles Martori, Esther Limon, Cristina Lasmarías, Ramon Oller, Xavier Gómez-Batiste

Abstract readObservational Study
In one paragraph

Observational study in Atencion primaria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Carles BlayFacultad de Medicina, Universitat de Vic-Universitat Central de Catalunya, Vic, España; Institut Català de la Salut, Vic, España.
Joan Carles MartoriDepartamento de Economía, Matemática e Informática, Universitat de Vic-Universitat Central de Catalunya, Vic, España.
Esther LimonInstitut Català de la Salut, Vic, España; Sociedad Española de Medicina Familiar y Comunitaria. Sociedad Española de Cuidados Paliativos; Institut Català de la Salut, Mataró, España. Electronic address: elimon.mn.ics@gencat.cat.
Cristina LasmaríasCátedra de Cuidados Paliativos, Universitat de Vic-Universitat Central de Catalunya, Vic, España.
Ramon OllerDepartamento de Economía, Matemática e Informática, Universitat de Vic-Universitat Central de Catalunya, Vic, España.
Xavier Gómez-BatisteCátedra de Cuidados Paliativos, Universitat de Vic-Universitat Central de Catalunya, Vic, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the use of health resources of people with advanced chronicity, quantifying and characterizing its cost to suggest improvements in health care models.

designObservational, analytical and prospective study during 3 years of a cohort of people with advanced chronicity. LOCATION: Three primary care teams (EAP) of Osona, Cataluña.

participants224 people identified as advanced patients through a systematic population strategy. MAIN MEASUREMENTS: Age, sex, type of home, end-of-life trajectory; use, type and cost of resources in primary care, emergencies, palliative teams or hospitalization (in acute or intermediate care).

resultsPatients made an average of 1.1 admissions per year (average stay=6 days), 74% in intermediate care hospitals. They lived in the community 93.4% of time, carrying out 1 weekly contact with the EAP (45.1% home care). The average daily cost was 19.4euros, the main chapters were intermediate care hospitalizations (36.5%), EAP activity (29.4%) and admissions in acute hospitals (28.6%). Factors determining a potential lower cost are frailty/dementia as trajectory (p<0.001), living in a nursing-home facility (p<0.001) and over-aging (p<0.001). There are certain differences in the behavior of the EAP related to the global cost and to community resources (p<0.05).

conclusionsConsumption in intermediate hospitalization and primary care is more relevant than stays in acute care centers. Nursing-homes and home-care strategies are important to attend effectively and efficiently, especially when primary care teams get ready for it.

Indexed as

Health Care CostsAgedChronic DiseaseCohort StudiesCommunity Health ServicesFacilities and Services UtilizationHumansPalliative CareSeverity of Illness IndexTime FactorsAtención paliativaAtención primariaCommunityComunidadMortalidadMortalityPalliative carePrimary care

Identifiers

PMID30262222
PMCPMC6836980

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.