Evidence map›Paper›PMID 32755762›Full record

ArticleDiabetes research and clinical practice2020

Cost-effectiveness analysis of a multidisciplinary health-care model for patients with type-2 diabetes implemented in the public sector in Mexico: A quasi-experimental, retrospective evaluation.

S G Sosa-Rubí, D Contreras-Loya, D Pedraza-Arizmendi, C Chivardi-Moreno, F Alarid-Escudero, R López-Ridaura, E Servan-Mori, V Molina-Cuevas, G Casales-Hernández, C Espinosa-López and 4 more

Open access · greenAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. [Cost-effectiveness of treatment of type 2 diabetes mellitus in México].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Observational
  7. Article
  8. 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

14 authors at 7 institutions in 4 countries.

S G Sosa-RubíDivision of Health Economics and Health Systems Innovations, National Institute of Public Health (INSP). Electronic address: srubi@insp.mx.
D Contreras-LoyaUniversity of California, Berkeley, California, USA.
D Pedraza-ArizmendiDivision of Health Economics and Health Systems Innovations, National Institute of Public Health (INSP).
C Chivardi-MorenoDivision of Health Economics and Health Systems Innovations, National Institute of Public Health (INSP).
F Alarid-EscuderoDivision of Public Administration, Center for Research and Teaching in Economics, Aguascalientes, Mexico.
R López-RidauraNational Center for Disease Prevention and Control Programs (CENAPRECE), Ministry of Health, Mexico.
E Servan-MoriHealth System Research Center, National Institute of Public Health (INSP).
V Molina-CuevasPan American Health Organization, Mexico City Office, Mexico.
G Casales-HernándezNational Center for Disease Prevention and Control Programs (CENAPRECE), Ministry of Health, Mexico.
C Espinosa-LópezIndependent Consultant. Medical Epidemiologist, Mexico.
J F González-RoldánMexican Society of Public Health, Civil Organization, Mexico.
R Silva-TinocoSpecialized Clinic in Diabetes Management, Mexico City-Iztapalapa, Ministry of Health/ Ministry of Health in Mexico City.
J SeiglieDiabetes Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA.
O Gómez-DantésHealth System Research Center, National Institute of Public Health (INSP).
National Institute of Public Health · LACentro de Investigación y Docencia Económicas · MXDireccion General de Epidemiologia · MXHarvard University · USMinistry of Health · OMUniversidad Panamericana · MXUniversity of California, Berkeley · US

Funding

TRAINING PROGRAM IN ENDOCRINOLOGY AND DIABETEST32DK007028 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Karen K Miller · 1986 to 2026
$18.5M
NIDDK NIH HHS L30 DK122468NIDDK NIH HHS T32 DK007028
6 · The paper itself

Abstract

objectiveIn 2007, the Ministry of Health (MoH) in Mexico implemented a multidisciplinary health-care model (MHC) for patients with type-2 diabetes (T2D), which has proven more effective in controlling this condition than the conventional health-care model (CHC). RESEARCH DESIGN AND

methodsWe compared the cost-effectiveness of the MHC vs. the CHC for patients with T2D using a quasi-experimental, retrospective design. Epidemiologic and cost data were obtained from a randomly selected sample of health-care units, using medical records as well as patient- and facility-level data. We modelled the cost-effectiveness of the MHC at one, 10 and 20 years using a simulation model.

resultsThe average cumulative costs per patient at 20 years were US$4,225 for the MHC and US$4,399 for the CHC. With a willingness to pay one gross domestic product (GDP) per capita per quality-adjusted life year (QALY) (US$8,910), the incremental net benefits per patient were US$1,450 and US$3,737 at 10 and 20 years, respectively. The MHC was cost-effective from the third year onward; however, increasing coverage to 500 patients per year rendered it cost-effective at year one.

conclusionsThe MHC is cost-effective at 10 and 20 years. Cost-effectiveness can be achieved in the short term by increasing MHC coverage.

Indexed as

Public SectorAdultAgedCost-Benefit AnalysisDelivery of Health CareDiabetes Mellitus, Type 2FemaleHumansMaleMexicoMiddle AgedModels, TheoreticalQuality-Adjusted Life YearsRetrospective StudiesCost-effectivenessDiabetesLow- and middle-income countriesMultidisciplinary care

Identifiers

PMID32755762
PMCPMC8010712
OpenAlexW3046758410

What OpenQuestion holds

Textmetadata
LicenceTDM
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.