Evidence map›Paper›PMID 31538948›Full record

ArticleJournal of medical Internet research2019

Telemonitoring of Crohn's Disease and Ulcerative Colitis (TECCU): Cost-Effectiveness Analysis.

Javier Del Hoyo, Pilar Nos, Guillermo Bastida, Raquel Faubel, Diana Muñoz, Alejandro Garrido-Marín, Elena Valero-Pérez, Sergio Bejar-Serrano, Mariam Aguas

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02943538 (Clinical Impact of Telemedicine in Crohn's Disease and Ulcerative Colitis), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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.

NCT02943538 nacompletednot on this map

Clinical Impact of Telemedicine in Crohn's Disease and Ulcerative Colitis: Study Teccu

TypeinterventionalSponsorInstituto de Investigacion Sanitaria La FeRan2014 to 2016Enrolled60ConditionsCrohn's Disease, Colitis, UlcerativeArmsTelemedicine, Telephone, Conventional care
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Remote care through telehealth for people with inflammatory bowel disease.The Cochrane database of systematic reviews · 2023
    Pooled it
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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

9 authors.

Javier Del Hoyo *Gastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0003-3603-5793
Pilar NosGastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0002-6619-1511
Guillermo BastidaGastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0001-7544-451X
Raquel FaubelPhysiotherapy Department, University of Valencia, Valencia, Spain.ORCID 0000-0002-8716-8003
Diana MuñozGastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0003-0723-7927
Alejandro Garrido-MarínGastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0003-1299-9010
Elena Valero-PérezGastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0003-1215-7411
Sergio Bejar-SerranoGastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0002-1441-9975
Mariam Aguas *Gastroenterology Department, La Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0003-4353-569X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough electronic health interventions are considered safe and efficient, evidence regarding the cost-effectiveness of telemonitoring in inflammatory bowel disease is lacking.

objectiveWe aimed to evaluate the cost-effectiveness and cost-utility of the Telemonitorización de la Enfermedad de Crohn y Colitis Ulcerosa (Telemonitoring of Crohn's Disease and Ulcerative Colitis [TECCU]) Web platform (G_TECCU intervention group) for telemonitoring complex inflammatory bowel disease, compared with standard care (G_control) and nurse-assisted telephone care (G_NT intervention group).

methodsWe analyzed cost-effectiveness from a societal perspective by comparing the 3 follow-up methods used in a previous 24-week randomized controlled trial, conducted at a tertiary university hospital in Spain. Patients with inflammatory bowel disease who initiated immunosuppressants or biologic agents, or both, to control inflammatory activity were recruited consecutively. Data on the effects on disease activity (using clinical indexes) and quality-adjusted life-years (using the EuroQol 5 dimensions questionnaire) were collected. We calculated the costs of health care, equipment, and patients' productivity and social activity impairment. We compared the mean costs per patient, utilities, and bootstrapped differences.

resultsWe included 63 patients (21 patients per group). TECCU saved €1005 (US $1100) per additional patient in remission compared with G_control (95% CI €-13,518 to 3137; US $-14,798 to 3434), with a 79.96% probability of being more effective at lower costs. Compared with G_NT, TECCU saved €2250 (US $2463) per additional patient in remission (95% CI €-15,363 to 11,086; US $-16,817 to 12,135), and G_NT saved €538 (US $589) compared with G_control (95% CI €-6475 to 5303; US $-7088 to 5805). G_TECCU and G_NT showed an 84% and 67% probability, respectively, of producing a cost saving per additional quality-adjusted life-year (QALY) compared with G_control, considering those simulations that involved negative incremental QALYs as well.

conclusionsThere is a high probability that the TECCU Web platform is more cost-effective than standard and telephone care in the short term. Further research considering larger cohorts and longer time horizons is required.

trial registrationClinicalTrials.gov NCT02943538; https://clinicaltrials.gov/ct2/show/NCT02943538 (http://www. webcitation.org/746CRRtDN).

Indexed as

AdultColitis, UlcerativeCost-Benefit AnalysisCrohn DiseaseFemaleHumansMaleMiddle AgedTelemedicineYoung Adultcolitis, ulcerativecost-effectivenessCrohn diseaseeHealthinflammatory bowel diseasestelemedicine

Identifiers

PMID31538948
PMCPMC6754696

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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.