Evidence map›Paper›PMID 34980092›Full record

ArticleBMC complementary medicine and therapies2022

Economic evaluation of a national vitamin D supplementation program among Iranian adolescents for the prevention of adulthood type 2 diabetes mellitus.

Narges Zandieh, Mohsen Rezaei Hemami, Ali Darvishi, Seyed Mohammad Hasheminejad, Zahra Abdollahi, Maryam Zarei, Ramin Heshmat

Open access · goldAbstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.4field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. School-Based Nutrition Programs in the Eastern Mediterranean Region: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  2. Review
  3. Review
  4. 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 2 countries.

Narges ZandiehFaculty of pharmacy, Tehran Medical sciences, Islamic Azad University, Tehran, Iran.
Mohsen Rezaei HemamiUniversity of Aberdeen, Aberdeen Centre for Health Data Sciences, Aberdeen, UK.
Ali DarvishiDepartment of Management and Health Economics, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Seyed Mohammad HasheminejadDepartment of Management, Medical Science Branch, Islamic Azad University, Tehran, Iran.
Zahra AbdollahiOffice of Community Nutrition, Deputy of Health, Iran Ministry of Health and Medical Education, Tehran, Iran.
Maryam ZareiOffice of Community Nutrition, Deputy of Health, Iran Ministry of Health and Medical Education, Tehran, Iran.
Ramin HeshmatChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, 1941933111, Iran. r_heshmat@yahoo.com.
Islamic Azad University Medical Branch of Tehran · IRMinistry of Health and Medical Education · IRTehran University of Medical Sciences · IRUniversity of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the cost-effectiveness of vitamin D supplementation in preventing type 2 diabetes mellitus (T2DM) among Iranian adolescents.

methodsThis analytical observational study was conducted, using the decision tree model constructed in TreeAge Pro to assess the cost per quality-adjusted life-year (QALY) of monthly intake vitamin D supplements to prevent T2DM compared to no intervention from the viewpoint of Iran's Ministry of Health and through an one-year horizon. In the national program of vitamin D supplementation, 1,185,211 Iranian high-school students received 50,000 IU vitamin D supplements monthly for nine months. The costs-related data were modified to 2018. The average cost and effectiveness were compared based on the Incremental Cost-Effectiveness Ratio (ICER).

resultsOur analytical analysis estimated the 4071.25 (USD / QALY) cost per AQALY gained of the monthly intake of 50,000 IU vitamin D for nine months among adolescents over a one-year horizon. Based on the ICER threshold of 1032-2666, vitamin D supplementation was cost-effective for adolescents to prevent adulthood T2DM. It means that vitamin D supplementation costs were substantially less than the costs of T2DM treatments than the no intervention.

conclusionsBased on the findings, the national vitamin D supplementation program for Iranian adolescents could be a cost-effective strategy to reduce the risk of diabetes in adulthood. From an economic perspective, vitamin D supplementation, especially in adolescents with vitamin D deficiency, would be administrated.

Indexed as

AdolescentDiabetes Mellitus, Type 2Dietary SupplementsHumansIranNational Health ProgramsVitamin DVitamin DCost-effectivenessDiabetes managementNational programVitamin D supplementation

Identifiers

PMID34980092
PMCPMC8722369
OpenAlexW4205165095

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Registered trials

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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.