Evidence map›Paper›PMID 36834068›Full record

SynthesisInternational journal of environmental research and public health2023

The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review.

Cintia Curioni, Ana Carolina Silva, Jorginete Damião, Andrea Castro, Miguel Huang, Taianah Barroso, Daniel Araujo, Renata Guerra

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
18.3field-weighted citation impact, top 1% 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

21 citing papers in PubMed, 42 citations in OpenAlex.

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  18. The Need to Revise and Change the Content of Home Care in Nursing Education Curriculum.International journal of community based nursing and midwifery · 2023
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  19. Article
  20. Certificate of Need Laws in Health Care: Past, Present, and Future.Inquiry : a journal of medical care organization, provision and financing
    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

8 authors at 2 institutions in 1 country.

Cintia CurioniInstitute of Nutrition, State University of Rio de Janeiro, R. São Francisco Xavier, 524-12º Andar-Bloco E-Sala 12008-Maracanã, Rio de Janeiro 20550-170, Brazil.ORCID 0000-0002-5160-9567
Ana Carolina SilvaInstitute of Nutrition, State University of Rio de Janeiro, R. São Francisco Xavier, 524-12º Andar-Bloco E-Sala 12008-Maracanã, Rio de Janeiro 20550-170, Brazil.
Jorginete DamiãoInstitute of Nutrition, State University of Rio de Janeiro, R. São Francisco Xavier, 524-12º Andar-Bloco E-Sala 12008-Maracanã, Rio de Janeiro 20550-170, Brazil.
Andrea CastroDepartment of Family Medicine, State University of Rio de Janeiro, Boulevard 28 de Setembro, 77-Vila Isabel, Rio de Janeiro 20551-030, Brazil.
Miguel HuangInstitute of Nutrition, State University of Rio de Janeiro, R. São Francisco Xavier, 524-12º Andar-Bloco E-Sala 12008-Maracanã, Rio de Janeiro 20550-170, Brazil.ORCID 0000-0001-9166-6606
Taianah BarrosoHospital Estadual Ary Parreiras, R. Dr. Luiz Palmier, 762-Barreto, Niterói 24110-310, Brazil.
Daniel AraujoInstitute of Nutrition, State University of Rio de Janeiro, R. São Francisco Xavier, 524-12º Andar-Bloco E-Sala 12008-Maracanã, Rio de Janeiro 20550-170, Brazil.
Renata GuerraHealth Technology Assessment Unit, Brazilian National Institute of Cancer, R. Marques de Pombal, 125-7º andar-Centro, Rio de Janeiro 20230-240, Brazil.
Universidade do Estado do Rio de Janeiro · BRInstituto Nacional de Câncer - INCA · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study provides an overview of the literature on the cost-effectiveness of homecare services compared to in-hospital care for adults and older adults. A systematic review was performed using Medline, Embase, Scopus, Web of Science, CINAHL and CENTRAL databases from inception to April 2022. The inclusion criteria were as follows: (i) (older) adults; (ii) homecare as an intervention; (iii) hospital care as a comparison; (iv) a full economic evaluation examining both costs and consequences; and (v) economic evaluations arising from randomized controlled trials (RCTs). Two independent reviewers selected the studies, extracted data and assessed study quality. Of the 14 studies identified, homecare, when compared to hospital care, was cost-saving in seven studies, cost-effective in two and more effective in one. The evidence suggests that homecare interventions are likely to be cost-saving and as effective as hospital. However, the included studies differ regarding the methods used, the types of costs and the patient populations of interest. In addition, methodological limitations were identified in some studies. Definitive conclusions are limited and highlight the need for better standardization of economic evaluations in this area. Further economic evaluations arising from well-designed RCTs would allow healthcare decision-makers to feel more confident in considering homecare interventions.

Indexed as

Home Care ServicesAgedCost-Benefit AnalysisHumansadultseconomic evaluationhomecarehospital careolder adults

Identifiers

PMID36834068
PMCPMC9960182
OpenAlexW4320920777

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.