Evidence map›Paper›PMID 36823164›Full record

Trial reportThorax2023

Cost-effectiveness of home non-invasive ventilation in patients with persistent hypercapnia after an acute exacerbation of COPD in the UK.

Patrick Brian Murphy, Bernd Brueggenjuergen, Thomas Reinhold, Qing Gu, Laura Fusfeld, Gerard Criner, Thomas F Goss, Nicholas Hart

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Thorax, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00990132 (Randomised Controlled Trial of Home Mechanical Ventilation in Hypercapnic Chronic Obstructive Pulmonary Disease Patients Post Acute Hypercapnic Exacerbation), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT00990132 phase2 / phase3completednot on this map

Randomised Controlled Trial of Home Mechanical Ventilation in Hypercapnic Chronic Obstructive Pulmonary Disease Patients Post Acute Hypercapnic Exacerbation

TypeinterventionalSponsorPatrick MurphyRan2009 to 2016Enrolled116ConditionsChronic Obstructive Pulmonary DiseaseArmsHome mechanical ventilation, Long term oxygen therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Clinical review of non-invasive ventilation.The European respiratory journal · 2024
    Review
  7. 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

8 authors at 5 institutions in 3 countries.

Patrick Brian MurphyLane Fox Respiratory Service, Guy's and St Thomas' NHS Foundation Trust, London, UK patrick.murphy@gstt.nhs.uk.ORCID 0000-0002-1500-611X
Bernd BrueggenjuergenOrthopädische Klinik der Medizinischen Hochschule Hannover (MHH) im DIAKOVERE Annastift, Hannover Medical School Affilliated Hospital, Hannover, Germany.
Thomas ReinholdInstitute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and HumboldtUniversität zu Berlin, Berlin, Germany.
Qing GuHealth Economics and Outcomes Research, Boston Healthcare Associates Inc, Boston, Massachusetts, USA.
Laura FusfeldHealth Economics and Outcomes Research, Boston Healthcare Associates Inc, Boston, Massachusetts, USA.
Gerard CrinerRespiratory Medicine, Temple University, Philadelphia, Pennsylvania, USA.
Thomas F GossHealth Economics and Outcomes Research, Boston Healthcare Associates Inc, Boston, Massachusetts, USA.
Nicholas HartLane Fox Respiratory Service, Guy's and St Thomas' NHS Foundation Trust, London, UK.
VA Boston Healthcare System · USKing's College London · GBHumboldt-Universität zu Berlin · DEMedizinische Hochschule Hannover · DETemple University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Home non-invasive mechanical ventilation (HMV) with home oxygen therapy (HOT) in patients with persistent hypercapnia following an acute exacerbation of chronic obstructive pulmonary disease delays hospital readmission. The economic impact of this treatment is unknown. We evaluated the cost-effectiveness of HMV in the UK healthcare system using data from a previously published efficacy trial. Quality-adjusted life-years (QALYs) were computed from EQ-5D-5L. Accounting for all direct patient costs HOT-HMV was £512 (95%CI £36 to £990) more expensive per patient per year than HOT-alone. This small increase in cost was accompanied by increased quality of life leading to an incremental cost-effectiveness ratio of £10 259 per QALY. HOT-HMV was cost-effective in this clinical population. Trial registration number: NCT00990132.

Indexed as

Noninvasive VentilationPulmonary Disease, Chronic ObstructiveCost-Benefit AnalysisHumansHypercapniaQuality-Adjusted Life YearsQuality of LifeRespiration, ArtificialTreatment OutcomeUnited KingdomCOPD ExacerbationsHealth EconomistNon invasive ventilation

Identifiers

PMID36823164
PMCPMC10176417
OpenAlexW4321610245

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.