Evidence map›Paper›PMID 37130654›Full record

ArticleBMJ paediatrics open2023

Neonatal health care costs of very preterm babies in England: a retrospective analysis of a national birth cohort.

Miaoqing Yang, Helen Campbell, Thillagavathie Pillay, Elaine M Boyle, Neena Modi, Oliver Rivero-Arias

Registry-linked trialAbstract read
In one paragraph

Article in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02994849 (OPTI-Prem), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

NCT02994849 completednot on this map

OPTI-Prem: Optimising Neonatal Service Provision for Preterm Babies Born Between 27 and 31 Weeks of Gestation in England Using National Data, Qualitative Research and Economic Analysis

TypeobservationalSponsorThe Royal Wolverhampton Hospitals NHS TrustRan2017 to 2022Enrolled4,364ConditionsNeonatal Diseases and Abnormalities
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

6 authors.

Miaoqing YangNational Perinatal Epidemiology Unit (NPEU), Nuffield Department of Population, University of Oxford, Oxford, UK.
Helen CampbellNational Perinatal Epidemiology Unit (NPEU), Nuffield Department of Population, University of Oxford, Oxford, UK.ORCID 0000-0003-2070-7794
Thillagavathie PillayFaculty of Science and Engineering, University of Wolverhampton, Wolverhampton, UK.ORCID 0000-0002-4159-3282
Elaine M BoyleDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Neena ModiSection of Neonatal Medicine, School of Public Health, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK.
Oliver Rivero-AriasNational Perinatal Epidemiology Unit (NPEU), Nuffield Department of Population, University of Oxford, Oxford, UK oliver.rivero@npeu.ox.ac.uk.ORCID 0000-0003-2233-6544

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBabies born between 27

designRetrospective analysis of resource use data recorded within the National Neonatal Research Database.

settingNeonatal units in England. PATIENTS: Babies born between 27

main outcome measuresDays receiving different levels of neonatal care were costed, along with other specialised clinical activities. Mean resource use and costs per baby are presented by gestational age at birth, along with total costs for the cohort.

resultsBased on data for 28 154 very preterm babies, the annual total costs of neonatal care were estimated to be £262 million, with 96% of costs attributable to routine daily care provided by units. The mean (SD) total cost per baby of this routine care varied by gestational age at birth; £75 594 (£34 874) at 27 weeks as compared with £27 401 (£14 947) at 31 weeks.

conclusionsNeonatal healthcare costs for very preterm babies vary substantially by gestational age at birth. The findings presented here are a useful resource to stakeholders including NHS managers, clinicians, researchers and policymakers.

Indexed as

Birth CohortInfant, Extremely PrematureEnglandFemaleHealth Care CostsHumansInfantInfant, NewbornRetrospective StudiesState MedicineHealth services researchNeonatology

Identifiers

PMID37130654
PMCPMC10163543

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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.