Evidence map›Paper›PMID 32817701›Full record

Trial reportPloS one2020

Within-trial cost-effectiveness of lifestyle intervention using a 3-tier shared care approach for pregnancy outcomes in Chinese women with gestational diabetes.

Weiqin Li, Cuiping Zhang, Junhong Leng, Ping Shao, Huiguang Tian, Fuxia Zhang, Ling Dong, Zhijie Yu, Juliana C N Chan, Gang Hu and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
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

12 authors at 7 institutions in 4 countries.

Weiqin LiTianjin Women and Children's Health Centre, Tianjin, China.ORCID 0000-0001-5011-7985
Cuiping ZhangTianjin Women and Children's Health Centre, Tianjin, China.
Junhong LengTianjin Women and Children's Health Centre, Tianjin, China.
Ping ShaoTianjin Women and Children's Health Centre, Tianjin, China.
Huiguang TianTianjin Women and Children's Health Centre, Tianjin, China.
Fuxia ZhangTianjin Women and Children's Health Centre, Tianjin, China.
Ling DongTianjin Women and Children's Health Centre, Tianjin, China.
Zhijie YuPopulation Cancer Research Program and Department of Pediatrics, Dalhousie University, Halifax, Canada.
Juliana C N ChanDepartment of Medicine and Therapeutics, Hong Kong Institute of Diabetes and Obesity and The Chinese University of Hong Kong-Prince of Wales Hospital-International Diabetes Federation Centre of Education, Hong Kong SAR, China.
Gang HuChronic Disease Epidemiology Laboratory, Pennington Biomedical Research Center, Baton Rouge, Louisiana, United States of America.
Ping ZhangDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Xilin YangDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China.ORCID 0000-0002-9462-7992
Tianjin Children's Hospital · CNCenters for Disease Control and Prevention · USChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese University of Hong Kong · HKDalhousie University · CAPennington Biomedical Research Center · USTianjin Medical University · CN

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

This study assessed within-trial cost-effectiveness of a shared care program (SC, n = 339) for pregnancy outcomes compared to usual care (UC, n = 361), as implemented in a randomized trial of Chinese women with gestational diabetes (GDM). SC consisted of an individualized dietary advice and physical activity counseling program. The UC was a one-time group education program. The effectiveness was measured by number needed to treat (NNT) to prevent one macrosomia/large for gestational age (LGA) infant. The cost-effectiveness was measured by incremental cost-effectiveness ratio in terms of cost (2012 Chinese Yuan/US dollar) per case of macrosomia and LGA prevented. The study took both a health care system and a societal perspective. This study found that the NNT was 16/14 for macrosomia/LGA. The incremental cost for treating a pregnant woman was ¥1,877 ($298) from a health care system perspective and ¥2,056 ($327) from a societal perspective. The cost of preventing a case of macrosomia/LGA from the two corresponding perspectives were ¥30,032/¥26,278 ($4,775/$4,178) and ¥32,896/¥28,784 ($5,230/$4,577), respectively. Considering the potential severe adverse health and economic consequences of a macrosomia/LGA infant, our findings suggest that implementing this lifestyle intervention for women with GDM is an efficient use of health care resources.

Indexed as

Cost-Benefit AnalysisAdultBirth WeightDiabetes, GestationalExerciseFemaleFetal MacrosomiaGlucoseHealth EducationHealthy LifestyleHumansInfant, NewbornInfant, PostmaturePregnancyPregnancy ComplicationsPregnancy OutcomeGlucose

Identifiers

PMID32817701
PMCPMC7444483
OpenAlexW3080756293

What OpenQuestion holds

Textmetadata
LicenceCC0
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.