Evidence map›Paper›PMID 37328633›Full record

SynthesisPharmacoEconomics2023

Health Economic Research Assessing the Value of Early Detection of Cardiovascular Disease: A Systematic Review.

Martijn J Oude Wolcherink, Carina M Behr, Xavier G L V Pouwels, Carine J M Doggen, Hendrik Koffijberg

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in PharmacoEconomics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 39 citations in OpenAlex.

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  9. PeakExperimental physiology · 2026
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  19. Vascular medicine in the 21World journal of clinical cases · 2024
    Review
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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

5 authors at 1 institution in 1 country.

Martijn J Oude WolcherinkHealth Technology and Services Research, Techmed Centre, University of Twente, Enschede, The Netherlands.
Carina M BehrHealth Technology and Services Research, Techmed Centre, University of Twente, Enschede, The Netherlands.
Xavier G L V PouwelsHealth Technology and Services Research, Techmed Centre, University of Twente, Enschede, The Netherlands.
Carine J M DoggenHealth Technology and Services Research, Techmed Centre, University of Twente, Enschede, The Netherlands.
Hendrik KoffijbergHealth Technology and Services Research, Techmed Centre, University of Twente, Enschede, The Netherlands. h.koffijberg@utwente.nl.ORCID 0000-0002-1753-0652
University of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiovascular disease (CVD) is the most prominent cause of death worldwide and has a major impact on healthcare budgets. While early detection strategies may reduce the overall CVD burden through earlier treatment, it is unclear which strategies are (most) efficient.

aimThis systematic review reports on the cost effectiveness of recent early detection strategies for CVD in adult populations at risk.

methodsPubMed and Scopus were searched to identify scientific articles published between January 2016 and May 2022. The first reviewer screened all articles, a second reviewer independently assessed a random 10% sample of the articles for validation. Discrepancies were solved through discussion, involving a third reviewer if necessary. All costs were converted to 2021 euros. Reporting quality of all studies was assessed using the CHEERS 2022 checklist.

resultsIn total, 49 out of 5552 articles were included for data extraction and assessment of reporting quality, reporting on 48 unique early detection strategies. Early detection of atrial fibrillation in asymptomatic patients was most frequently studied (n = 15) followed by abdominal aortic aneurysm (n = 8), hypertension (n = 7) and predicted 10-year CVD risk (n = 5). Overall, 43 strategies (87.8%) were reported as cost effective and 11 (22.5%) CVD-related strategies reported cost reductions. Reporting quality ranged between 25 and 86%.

conclusionsCurrent evidence suggests that early CVD detection strategies are predominantly cost effective and may reduce CVD-related costs compared with no early detection. However, the lack of standardisation complicates the comparison of cost-effectiveness outcomes between studies. Real-world cost effectiveness of early CVD detection strategies will depend on the target country and local context. REGISTRATION OF SYSTEMATIC REVIEW: CRD42022321585 in International Prospective Registry of Ongoing Systematic Reviews (PROSPERO) submitted at 10 May 2022.

Indexed as

Cardiovascular DiseasesAdultCost-Benefit AnalysisEarly DiagnosisHumans

Identifiers

PMID37328633
PMCPMC10492754
OpenAlexW4380987757

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.