Evidence map›Paper›PMID 33549152›Full record

ArticleImplementation science communications2021

A practice facilitation-guided intervention in primary care settings to reduce cardiovascular disease risk: a cost analysis.

Heather T Gold, Nina Siman, Allison M Cuthel, Ann M Nguyen, Hang Pham-Singer, Carolyn A Berry, Donna R Shelley

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02646488 (Using Practice Facilitation in Primary Care Settings to Reduce Risk Factors for Cardiovascular Disease), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT02646488 nacompletednot on this map

Using Practice Facilitation in Primary Care Settings to Reduce Risk Factors for Cardiovascular Disease

TypeinterventionalSponsorNYU Langone HealthRan2015 to 2019Enrolled276ConditionsCardiovascular Disease, High Blood PressureArmsMillion Hearts ABCS 6 Months, Million Hearts ABCS 9 Months, Million Hearts ABCS 12 Months, Million Hearts ABCS 15 Months, Standard Care Regimen 9 Months
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

7 authors at 4 institutions in 1 country.

Heather T GoldDepartment of Population Health, NYU Langone Health, New York, NY, USA. Heather.Gold@nyulangone.org.ORCID http://orcid.org/0000-0002-5896-0499
Nina SimanDepartment of Population Health, NYU Langone Health, New York, NY, USA.
Allison M CuthelRonald O. Perelman Department of Emergency Medicine, NYU Langone Health, New York, NY, USA.
Ann M NguyenRutgers Center for State Health Policy, Rutgers University, New Brunswick, NJ, USA.
Hang Pham-SingerNew York City Department of Health and Mental Hygiene, New York, NY, USA.
Carolyn A BerryDepartment of Population Health, NYU Langone Health, New York, NY, USA.
Donna R ShelleyDepartment of Policy and Public Health Management, School of Global Public Health, New York University, New York, NY, USA.
NYU Langone Health · USCity University of New York · USNew York City Department of Health and Mental Hygiene · USRutgers, The State University of New Jersey · US

Funding

AHRQ HHS R18 HS023922AHRQ HHS R18 HS23922-01
6 · The paper itself

Abstract

backgroundA stepped-wedge, cluster randomized controlled trial assessed the effectiveness of practice facilitation (PF) for adoption of guidelines for prevention and treatment of cardiovascular disease risk factors. This study estimated the associated cost of PF for guideline adoption in small, private primary care practices.

methodsThe cost analysis included categories for start-up costs, intervention costs, and practice staff costs for the implemented PF-guided intervention. We estimated the total 1-year costs to operate the program and calculated the mean and range of the cost-per-practice by quarter of the intervention. We estimated the lower and upper bounds for all salary expenses, rounding to the nearest $100.

resultsTotal 1-year intervention costs for all 261 practices ranged from $7,900,000 to $10,200,000, with program and practice salaries comprising $6,600,000-$8,400,000 of the total. Start-up costs were a small proportion (3%) of the total 1-year costs. Excluding start-up costs, quarter 1 cost-per-practice was the most expensive at $20,400-$26,700, and quarter 4 was the least expensive at about $10,000. Practice staff time (compared with program staff time) was the majority of the staffing costs at 75-84%.

conclusionsThe PF strategy costs approximately $10,000 per practice per quarter for program and practice costs, once implemented and running at highest efficiency. Whether this program is "worth it" to the decision-maker depends on the relative costs and effectiveness of their other options for improving cardiovascular risk reduction.

trial registrationThis study is retrospectively registered on January 5, 2016, at www.clinicaltrials.gov as NCT02646488 .

Indexed as

Cardiovascular disease preventionClinical guideline adherenceCost analysisPractice facilitation

Identifiers

PMID33549152
PMCPMC7868016
OpenAlexW3112099355

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.