Evidence map›Paper›PMID 35147912›Full record

ArticlePharmacoEconomics - open2022

Cost Savings of Mother's Own Milk for Very Low Birth Weight Infants in the Neonatal Intensive Care Unit.

Tricia J Johnson, Aloka L Patel, Michael E Schoeny, Paula P Meier

Open access · goldAbstract read
In one paragraph

Article in PharmacoEconomics - open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Point-of-care human milk concentration by passive osmosis: comprehensive analysis of fresh human milk samples.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  5. Review
  6. Article
  7. Milk Biomarkers of Secretory Activation in Breast Pump-Dependent Mothers of Preterm Infants: An Integrative Review.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. 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

4 authors at 2 institutions in 1 country.

Tricia J JohnsonDepartment of Health Systems Management, Rush University, 1700 West Van Buren Street, TOB Suite 126B, Chicago, IL, 60612, USA. tricia_j_johnson@rush.edu.ORCID http://orcid.org/0000-0003-4768-0042
Aloka L PatelDepartment of Pediatrics, Rush University Children's Hospital, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-1751-0421
Michael E SchoenyCollege of Nursing, Rush University, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-3066-708X
Paula P MeierCollege of Nursing, Rush University, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-8834-8922
Rush University · USRush Children's Hospital · US

Funding

Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner DyadsP50MD017349 · NIMHD · UNIVERSITY OF CHICAGO · PI HUISINGH-SCHEETZ, MEGAN J · 2021 to 2025
$24.3M
Health Benefits and Cost of Human Milk Feedings for Very Low Birthweight InfantsR01NR010009 · NINR · RUSH UNIVERSITY MEDICAL CENTER · PI MEIER, PAULA P · 2007 to 2011
$2.7M
Barriers to Continued Provision of Human Milk for Black Mothers of VLBW InfantsR03HD081412 · NICHD · RUSH UNIVERSITY MEDICAL CENTER · PI PATEL, ALOKA LAHOTI · 2014 to 2015
$153k
NICHD NIH HHS R03 HD081412NIMHD NIH HHS P50 MD017349NINR NIH HHS NR010009NINR NIH HHS R01 NR010009
6 · The paper itself

Abstract

objectiveThe study aim was to determine the relationship between hospitalization costs and mother's own milk (MOM) dose for very low birth weight (VLBW; < 1500 g) infants during the initial neonatal intensive care unit (NICU) stay. Additionally, because MOM intake during the NICU hospitalization is associated with a reduction in the risk of late-onset sepsis, necrotizing enterocolitis (NEC), and bronchopulmonary dysplasia (BPD), we aimed to quantify the incremental cost of these potentially preventable complications of prematurity.

methodsThe study included 430 VLBW infants enrolled in the Longitudinal Outcomes of Very Low Birthweight Infants Exposed to Mothers' Own Milk prospective cohort study between 2008 and 2012 at Rush University Medical Center in Chicago, IL, USA. NICU hospitalization costs included hospital, feeding, and physician costs. The average marginal effect of MOM dose and prematurity-related complications known to be reduced by MOM intake on NICU hospitalization costs were estimated using generalized linear regression.

resultsThe mean NICU hospitalization cost was $190,586 (standard deviation $119,235). The marginal cost of sepsis was $27,890 (95% confidence interval [CI] $2934-$52,646), of NEC was $46,103 (95% CI $16,829-$75,377), and of BPD was $41,976 (95% CI $24,660-59,292). The cumulative proportion of MOM during the NICU hospitalization was not significantly associated with cost.

conclusionsA reduction in the incidence of complications that are potentially preventable with MOM intake has significant cost implications. Hospitals should prioritize investments in initiatives to support MOM feedings in the NICU.

Identifiers

PMID35147912
PMCPMC8831687
OpenAlexW4211242915

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.