Evidence map›Paper›PMID 31673509›Full record

Observational studyAnnals of global health2019

Economic and Societal Impact of a Systems-of-Care Approach for STEMI Management in Low and Middle-Income Countries: Insights from the TN STEMI Program.

Varshini Neethi Mohan, Thomas Alexander, V R Muraleedharan, Ajit Mullasari, Jagat Narula, Umesh N Khot, Brahmajee K Nallamothu, Dharam J Kumbhani

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Annals of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 14% 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.

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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
  5. Review
  6. Review
  7. Article
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 at 8 institutions in 2 countries.

Varshini Neethi MohanSTEMI Care India, IN.
Thomas AlexanderDepartment of Cardiology, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, IN.
V R MuraleedharanDepartment of humanities and social sciences, IIT Madras, Tamil Nadu, IN.
Ajit MullasariDepartment of Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, IN.
Jagat NarulaDivision of Cardiology, Mount Sinai Medical Center, New York, NY, US.
Umesh N KhotHeart and Vascular Institute, Cleveland Clinic, Cleveland, OH, US.
Brahmajee K NallamothuDepartment of Internal Medicine and Michigan Center for Health Analytics and Medical Prediction, University of Michigan, Ann Arbor, MI, US.
Dharam J KumbhaniDepartment of Internal Medicine, Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, US.
Care India · INCleveland Clinic · USIndian Institute of Technology Madras · INKovai Medical Center and Hospital · INMadras Medical Mission · INMount Sinai Medical Center · USThe University of Texas Southwestern Medical Center · USUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The TN STEMI Program was a multicenter, prospective, observational study conducted in Tamil Nadu, India, that assessed the effects of implementing the STEMI India Model for the management of STEMI. We discuss the economic and societal impact in this article. Given that the intervention resulted in an absolute mortality reduction of 3.4%, we calculated a number needed to treat of 30 patients. At an annualized project cost of INR 15.11 million, this approximately calculates to INR 193,749 (USD 3,311) per life saved. The utility of the TN-STEMI Program can be estimated to be 1,108 life-years. This calculates to approximately INR 13,643 (USD 233) per life-year saved. Our estimates will likely be of particular interest to policy makers in low and middle-income countries, where financial and resource constraints pose a perennial public health challenge.

Indexed as

Coronary AngiographyHealth Care CostsPercutaneous Coronary InterventionThrombolytic TherapyCost-Benefit AnalysisDelivery of Health CareEfficiencyHealth Services AccessibilityHumansImplementation ScienceIndiaInterrupted Time Series AnalysisNumbers Needed To TreatProspective StudiesQuality ImprovementST Elevation Myocardial Infarction

Identifiers

PMID31673509
PMCPMC6798779
OpenAlexW2980411255

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.