Evidence map›Paper›PMID 32895879›Full record

Trial reportThe European journal of health economics : HEPAC : health economics in prevention and care2020

Modelling the cost-effectiveness of person-centred care for patients with acute coronary syndrome.

Laura Pirhonen, Hanna Gyllensten, Andreas Fors, Kristian Bolin

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The European journal of health economics : HEPAC : health economics in prevention and care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Innovative solutions for disease management.Bioelectronic medicine · 2023
    Article
  9. Article
  10. Commentary: how person-centred is pharmaceutical care?International journal of clinical pharmacy · 2022
    Article
  11. 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

4 authors at 2 institutions in 1 country.

Laura PirhonenInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden. laura.pirhonen@economics.gu.se.ORCID http://orcid.org/0000-0002-7371-2215
Hanna GyllenstenInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden.
Andreas ForsInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden.
Kristian BolinCentre for Health Economics (CHEGU), Department of Economics, University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SERegion Västra Götaland · SE

Funding

Strategiske Forskningsråd 2009-1088
6 · The paper itself

Abstract

backgroundPerson-centred care has been shown to be cost-effective compared to usual care for several diseases, including acute coronary syndrome, in a short-term time perspective (< 2 years). The cost-effectiveness of person-centred care in a longer time perspective is largely unknown.

objectivesTo estimate the mid-term cost-effectiveness of person-centred care compared to usual care for patients (< 65) with acute coronary syndrome, using a 2-year and a 5-year time perspective.

methodsThe mid-term cost-effectiveness of person-centred care compared to usual care was estimated by projecting the outcomes observed in a randomized-controlled trial together with data from health registers and data from the scientific literature, 3 years beyond the 2-year follow-up, using the developed simulation model. Probabilistic sensitivity analyses were performed using Monte Carlo simulation.

resultsPerson-centred care entails lower costs and improved effectiveness as compared to usual care, for a 2-year time and a 5-year perspective. Monte Carlo simulations suggest that the likelihoods of the person-centred care being cost-effective compared to usual care were between 80 and 99% and between 75 and 90% for a 2-year and a 5-year time perspective (using a 500,000 SEK/QALY willingness-to-pay threshold).

conclusionsPerson-centred care was less costly and more effective compared to usual care in a 2-year and a 5-year time perspective for patients with acute coronary syndrome under the age of 65.

Indexed as

Acute Coronary SyndromeCost-Benefit AnalysisModels, EconomicPatient-Centered CareHumansQuality-Adjusted Life YearsSelf CareAcute coronary syndromeMarkov modelMid-term cost-effectivenessPerson-centred careRandomized-controlled trial

Identifiers

PMID32895879
PMCPMC7581585
OpenAlexW3084174602

What OpenQuestion holds

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LicenceCC BY
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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.