Evidence map›Paper›PMID 38189853›Full record

ArticleInternational urogynecology journal2024

Cost Effectiveness of Additional Preoperative Telephone Call to Increase Surgical Preparedness: Analysis of a Randomized Clinical Trial.

Gabriela E Halder, Fangjian Guo, Heidi Harvie, Amanda B White, Lauren Caldwell, Dobie L Giles, Daksha Bilagi, Rebecca G Rogers

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03890471 (Telephone Intervention to Increase Patient Preparedness and Satisfaction Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 40% 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.

NCT03890471 nacompletednot on this map

Telephone Intervention to Increase Patient Preparedness and Satisfaction Trial (TIPPS): A Randomized Control Trial Evaluating the Effect of Preoperative Telephone Calls on Patient Preparedness and Satisfaction in Urogynecologic Surgery

TypeinterventionalSponsorUniversity of Texas at AustinRan2019 to 2020Enrolled150ConditionsProlapse, Stress Urinary IncontinenceArmsPreoperative telephone call three days before surgery
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 4 institutions in 1 country.

Gabriela E HalderDepartment of Women's Health, The University of Texas Austin Dell Medical School, Austin, TX, USA. gehalder@utmb.edu.ORCID 0000-0002-5505-9638
Fangjian GuoDivision of Population and Preventive Health, Department of Obstetrics & Gynecology, The University of Texas Medical Branch at Galveston, Galveston, TX, USA.
Heidi HarvieDepartment of Obstetrics and Gynecology, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, PA, USA.
Amanda B WhiteDepartment of Women's Health, The University of Texas Austin Dell Medical School, Austin, TX, USA.
Lauren CaldwellDepartment of Women's Health, The University of Texas Austin Dell Medical School, Austin, TX, USA.
Dobie L GilesDivision of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The University of Wisconsin-Maddison, Maddison, WI, USA.
Daksha BilagiDepartment of Women's Health, The University of Texas Austin Dell Medical School, Austin, TX, USA.
Rebecca G RogersDepartment of Women's Health, The University of Texas Austin Dell Medical School, Austin, TX, USA.
The University of Texas at Austin · USThe University of Texas Medical Branch at Galveston · USAlbany Medical Center Hospital · USUniversity of Pennsylvania · US

Funding

UTMB WOMEN'S HEALTH RESEARCH SCHOLARS PROGRAMK12HD052023 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI BERENSON, ABBEY B · 2005 to 2023
$8.1M
UTMB Women's Health Research Scholars ProgramK12AR084228 · NIAMS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI ABBEY B BERENSON · 2023 to 2026
$2.7M
NIAMS NIH HHS K12 AR084228NICHD NIH HHS K12 HD052023
6 · The paper itself

Abstract

introduction and hypothesisThere is a need for cost effective interventions that increase surgical preparedness in urogynecology.

methodsWe performed an ancillary prospective economic evaluation of the Telehealth Intervention to Increase Patient Preparedness for Surgery (TIPPS) Trial, a randomized multicenter trial that evaluated the impact of a preoperative telehealth call on surgical preparedness in women undergoing urogynecologic surgery. A within-trial analysis from the health care sector and societal perspective was performed. Cost-effectiveness was computed from health care sector and societal perspectives, with an 8-week time horizon.

resultsA total of 126 women were included in our analysis. QALYs gained were similar between groups (telehealth 0.1414 + 0.0249; usual care 0.1409 + 0.0179). The cumulative mean per-person costs at 8 weeks from the healthcare sector perspective were telehealth call: $8696 +/- 3341; usual care: $8473 +/- 3118 (p = 0.693) and from the societal perspective were telehealth call: $11,195 + 5191; usual care: $11,213 +/- 4869 (p = 0.944). The preoperative telehealth call intervention was not cost effective from the health care sector perspective with an ICER of $460,091/QALY (95%CI -$7,382,608/QALY, $7,673,961) using the generally accepted maximum willingness to pay threshold of $150,000/QALY (Neumann et al. N Engl J Med. 371(9):796-7, 2014). From the societal perspective, because incremental costs per QALY gained were negative $-35,925/QALY (95%CI, -$382,978/QALY, $317,226), results suggest that preoperative telehealth call dominated usual care.

conclusionsA preoperative telehealth call is cost effective from the society perspective. CLINICAL

trial registrationRegistered with http://ClinicalTrials.gov . Date of registration: March 26, 2019 Date of initial participant enrollment: June 5, 2019 URL: https://clinicaltrials.gov/ct2/show/record/NCT03890471 Clinical trial identification number: NCT03890471.

Indexed as

Cost-Effectiveness AnalysisTelemedicineCost-Benefit AnalysisFemaleHumansProspective StudiesQuality-Adjusted Life YearsRandomized Controlled Trials as TopicTelephoneIncontinenceInformed consentProlapse

Identifiers

PMID38189853
PMCPMC11975399
OpenAlexW4390670448

What OpenQuestion holds

Textmetadata
LicenceTDM
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.