Evidence map›Paper›PMID 37907290›Full record

SynthesisBMJ open2023

Cost of the COVID-19 pandemic versus the cost-effectiveness of mitigation strategies in EU/UK/OECD: a systematic review.

Constantine Vardavas, Konstantinos Zisis, Katerina Nikitara, Ioanna Lagou, Valia Marou, Katerina Aslanoglou, Konstantinos Athanasakis, Revati Phalkey, Jo Leonardi-Bee, Esteve Fernandez and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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.

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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. High throughput screening for SARS-CoV-2 inhibitors targeting 5 helix bundle.SLAS discovery : advancing life sciences R & D · 2025
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  15. The effect of COVID-19 pandemic on routine surgical turnover in otolaryngology: a retrospective analysis of service dynamics utilizing finalized, cumulative data from a tertiary-care teaching institute in India.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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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

16 authors.

Constantine VardavasSchool of Medicine, University of Crete, Heraklion, Greece vardavasc@uoc.gr.ORCID 0000-0003-0171-9570
Konstantinos ZisisSchool of Medicine, University of Crete, Heraklion, Greece.
Katerina NikitaraSchool of Medicine, University of Crete, Heraklion, Greece.ORCID 0000-0002-7270-6278
Ioanna LagouSchool of Medicine, University of Crete, Heraklion, Greece.
Valia MarouSchool of Medicine, University of Crete, Heraklion, Greece.
Katerina AslanoglouSchool of Medicine, University of Crete, Heraklion, Greece.
Konstantinos AthanasakisUniversity of West Attica, Egaleo, Greece.
Revati PhalkeyPublic Health England, London, UK.
Jo Leonardi-BeeCentre for Evidence-Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0003-0893-6068
Esteve FernandezTobacco Control Unit, Catalan Institute of Oncology, L'Hospitalet de Llobregat, Spain.ORCID 0000-0003-4239-723X
Orla CondellEuropean Centre for Disease Prevention and Control, Solna, Sweden.
Favelle LambEuropean Centre for Disease Prevention and Control, Solna, Sweden.
Frank SandmannEuropean Centre for Disease Prevention and Control, Solna, Sweden.
Anastasia PharrisEuropean Centre for Disease Prevention and Control, Solna, Sweden.
Charlotte DeoganEuropean Centre for Disease Prevention and Control, Solna, Sweden.
Jonathan E SukEuropean Centre for Disease Prevention and Control, Solna, Sweden.ORCID 0000-0003-4689-4583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe economic burden of COVID-19 pandemic is substantial, with both direct and indirect costs playing a significant role.

designA systematic literature review was conducted to estimate the cost of the COVID-19 pandemic and the cost-effectiveness of pharmaceutical or non-pharmaceutical interventions. All cost data were adjusted to the 2021 Euro, and interventions compared with null. DATA SOURCES: Ovid MEDLINE and EMBASE were searched from January 2020 through 22 April 2021. ELIGIBILITY CRITERIA: Studies regarding COVID-19 outbreak or public health preparedness measures or interventions with outcome measures related to the direct and indirect costs for disease and preparedness and/or response in countries of the European Union (EU), the European Economic Area (EEA), the UK and the Organisation for Economic Co-operation and Development (OECD) of all relevant epidemiological designs which estimate cost within the selected time frame were considered eligible. DATA EXTRACTION AND SYNTHESIS: Studies were searched, screened and coded independently by two reviewers with high measure of inter-rater agreement. Data were extracted to a predefined data extraction sheet. The risk of bias was assessed using the Consensus on Health Economic Criteria checklist.

resultsWe included data from 41 economic studies. Ten studies evaluated the cost of the COVID-19 pandemic, while 31 assessed the cost-benefit of public health surveillance, preparedness and response measures. Overall, the economic burden of the COVID-19 pandemic was found to be substantial. Community screening, bed provision policies, investing in personal-protective-equipment and vaccination strategies were cost-effective. Physical distancing measures were associated with health benefits; however, their cost-effectiveness was dependent on the duration, compliance and the phase of the epidemic in which it was implemented.

conclusionsCOVID-19 pandemic is associated with substantial short-term and long-term economic costs to healthcare systems, payers and societies, while interventions including testing and screening policies, vaccination and physical distancing policies were identified as those presenting cost-effective options to deal with the pandemic, dependent on population vaccination and the R

Indexed as

COVID-19Cost-Benefit AnalysisEuropean UnionHumansOrganisation for Economic Co-Operation and DevelopmentPandemicsUnited KingdomCOVID-19health economicsSARS-CoV-2 infection

Identifiers

PMID37907290
PMCPMC10619092

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.