Evidence map›Paper›PMID 32699570›Full record

ArticleAmerican health & drug benefits2020

Budget Impact Analysis of a Home-Based Nutrition Program for Adults at Risk for Malnutrition.

Suela Sulo, David Lanctin, Josh Feldstein, Bjoern Schwander, Jamie Partridge, Wendy Landow, York F Zöllner

Open access · greenAbstract read
In one paragraph

Article in American health & drug benefits, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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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

7 authors at 7 institutions in 4 countries.

Suela SuloDirector, Health Economics & Outcomes Research (HEOR), Abbott Nutrition, Columbus, OH.
David LanctinSenior Analyst, HEOR, Abbott Nutrition, Columbus.
Josh FeldsteinPresident and Chief Executive Officer, CAVA, LLC, Northampton, MA.
Bjoern SchwanderGeneral Manager, AHEAD GmbH-Agency for Health Economic Assessment and Dissemination, Loerrach, Germany.
Jamie PartridgeDirector, Global HEOR & Health Policy, Abbott Nutrition, Columbus.
Wendy LandowDirector, Operations, Advocate Health Care, Downers Grove, IL.
York F ZöllnerProfessor, Health Economics, Medical School Hamburg, Germany.
Advocate Health Care · USGlobal Policy Institute · USHealth Economics and Outcomes Research (United Kingdom) · GBInformation and Communication Technology Agency · LKMSH Medical School Hamburg – University of Applied Sciences and Medical University · DENorthampton Community College · USRoss Laboratories (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital-based, nutrition-focused interventions have significantly lowered the cost-associated burden of poor nutrition through a reduction in healthcare resource utilization (HCRU). However, for patients at risk for poor nutrition who receive nutritional care at home, limited evidence exists on the economic impact of nutrition-focused interventions.

objectiveTo estimate the 30-day cost-savings associated with an at-home nutrition-focused quality improvement program in the postacute care setting for patients at risk for poor nutrition from the perspective of a hospital system.

methodsWe compared the HCRU of 1546 patients enrolled in a quality improvement program during 1 year versus 7413 patients in a pre-program historical cohort who received care during the 1 year before the quality improvement program implementation. The analysis included the number of 30-day hospitalizations, emergency department and outpatient visits for both cohorts, and the associated costs. The main analysis included the fixed and variable costs for the program, and the costs of oral nutritional supplement and delivery. The costs for hospitalization, emergency department, and outpatient visit costs were based on the 2013 Healthcare Cost and Utilization Project and Medical Expenditure Panel Survey.

resultsBased on the 2013 survey, the baseline costs for hospitalization, emergency department, and outpatient visit costs were $18,296, $1312, and $535, respectively. Our health economic analysis about the 30-day overall HCRU has shown that the quality improvement program group resulted in a total cost-savings of $2,408,668 for the 1546 patients in the program and a net savings of $1558 per patient compared with the costs for the pre-quality improvement program historical cohort.

conclusionThe use of a nutrition-focused quality improvement program led to significant 30-day cost-savings, by reducing HCRU for adults who received nutritional-based care at home. The improvements in HCRU highlight the importance of implementing nutrition-focused quality improvement programs for hospital systems that provide care for patients who are at risk for poor nutrition across a variety of care settings.

Indexed as

cost-savingshealthcare resource utilizationhome carehospitalizationsmalnutritionnutritional interventionspostacute carequality improvement program

Identifiers

PMID32699570
PMCPMC7370826
OpenAlexW3043944237

What OpenQuestion holds

Textmetadata
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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.