Evidence map›Paper›PMID 32847918›Full record

ArticleBMJ open2020

Economic evaluation protocol for a multicentre randomised controlled trial to compare Smartphone Cardiac Rehabilitation, Assisted self-Management (SCRAM) versus usual care cardiac rehabilitation among people with coronary heart disease.

Lan Gao, Ralph Maddison, Jonathan Rawstorn, Kylie Ball, Brian Oldenburg, Clara Chow, Sarah McNaughton, Karen Lamb, John Amerena, Voltaire Nadurata and 3 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 18% 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, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Exercise-based cardiac rehabilitation for coronary heart disease.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  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

13 authors at 5 institutions in 1 country.

Lan GaoDeakin Health Economics, Deakin University, Burwood, Victoria, Australia lan.gao@deakin.edu.au.ORCID 0000-0001-9734-1140
Ralph MaddisonInstitute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria, Australia.
Jonathan RawstornInstitute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria, Australia.
Kylie BallInstitute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria, Australia.
Brian OldenburgNossal Institute for Global Health, University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.
Clara ChowSydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Sarah McNaughtonSchool of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.
Karen LambSchool of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
John AmerenaCardiac Services, Barwon Health, Geelong, Victoria, Australia.
Voltaire NadurataDepartment of Cardiology, Bendigo Health, Bendigo, Victoria, Australia.
Christopher NeilWestern Clinical School, The University of Melbourne, Saint Albans, Victoria, Australia.
Stuart CameronApplied Artificial Intelligence Institute, Deakin University, Burwood, Victoria, Australia.
Marj MoodieSchool of Health and Social Development, Deakin University, Burwood, Victoria, Australia.
Deakin University · AUThe University of Melbourne · AUBarwon Health · AUBendigo Health · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is important to ascertain the cost-effectiveness of alternative services to traditional cardiac rehabilitation while the economic credentials of the Smartphone Cardiac Rehabilitation, Assisted self-Management (SCRAM) programme among people with coronary heart disease (CHD) are unknown. This economic protocol outlines the methods for undertaking a trial-based economic evaluation of SCRAM in the real-world setting in Australia. METHODS AND ANALYSIS: The within-trial economic evaluation will be undertaken alongside a randomised controlled trial (RCT) designed to determine the effectiveness of SCRAM in comparison with the usual care cardiac rehabilitation (UC) alone in people with CHD. Pathway analysis will be performed to identify all the costs related to the delivery of SCRAM and UC. Both a healthcare system and a limited societal perspective will be adopted to gauge all costs associated with health resource utilisation and productivity loss. Healthcare resource use over the 6-month participation period will be extracted from administrative databases (ie, Pharmaceutical Benefits Scheme and Medical Benefits Schedule). Productivity loss will be measured by absenteeism from work (valued by human capital approach). The primary outcomes for the economic evaluation are maximal oxygen uptake (VO ETHICS AND DISSEMINATION: The study protocol has been approved under Australia's National Mutual Acceptance agreement by the Melbourne Health Human Research Ethics Committee (HREC/18/MH/119). It is anticipated that SCRAM is a cost-effective cardiac telerehabilitation programme for people with CHD from both a healthcare and a limited societal perspective in Australia. The evaluation will provide evidence to underpin national scale-up of the programme to a wider population. The results of the economic analysis will be submitted for publication in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12618001458224).

Indexed as

Cardiac RehabilitationCoronary DiseaseSelf-ManagementAustraliaCost-Benefit AnalysisHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicSmartphonecoronary heart diseasehealth economicsmyocardial infarctionrehabilitation medicine

Identifiers

PMID32847918
PMCPMC7451486
OpenAlexW3080632447

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.