Evidence map›Paper›PMID 38243251›Full record

ArticleBMC health services research2024

Daly/Cost comparison in the management of peripheral arterial disease at 17 Belgian hospitals.

Benoît Rondelet, Fabian Dehanne, Julie Van Den Bulcke, Dimitri Martins, Asmae Belhaj, Benoît Libert, Pol Leclercq, Magali Pirson

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Trial
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.

Benoît Rondelet *Department of Cardio-Vascular, Thoracic Surgery and Lung Transplantation, CHU UCL Namur, UCLouvain, Avenue G. Therasse, 1, 5530, Yvoir, Belgium. benoit.rondelet@chuuclnamur.uclouvain.be.ORCID http://orcid.org/0000-0001-7819-1650
Fabian Dehanne *Chief Executive Officer Department, CHU UCL Namur, UCLouvain, Yvoir, Belgium.ORCID http://orcid.org/0000-0001-7214-8512
Julie Van Den BulckeHealth Economics, Hospital Management and Nursing Research Department, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.ORCID http://orcid.org/0000-0003-4153-6488
Dimitri MartinsHealth Economics, Hospital Management and Nursing Research Department, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.
Asmae BelhajDepartment of Cardio-Vascular, Thoracic Surgery and Lung Transplantation, CHU UCL Namur, UCLouvain, Avenue G. Therasse, 1, 5530, Yvoir, Belgium.ORCID http://orcid.org/0000-0001-8506-8239
Benoît LibertChief Executive Officer Department, CHU UCL Namur, UCLouvain, Yvoir, Belgium.ORCID http://orcid.org/0000-0002-6914-1616
Pol LeclercqHealth Economics, Hospital Management and Nursing Research Department, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.
Magali PirsonHealth Economics, Hospital Management and Nursing Research Department, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.ORCID http://orcid.org/0000-0002-4844-4861

Funding

Fonds De La Recherche Scientifique - FNRS CDR J.0155.23
6 · The paper itself

Abstract

objectivePeripheral arterial disease (PAD) is a manifestation of atherosclerosis that affects the lower extremities and afflicts more than 200 million people worldwide. Because of limited resources, the need to provide quality care associated with cost control is essential for health policies. Our study concerns an interhospital comparison among seventeen Belgian hospitals that integrates the weighting of quality indicators and the costs of care, from the hospital perspective, for a patient with this pathology in 2018.

methodsThe disability-adjusted life years (DALYs) were calculated by adding the number of years of life lost due to premature death and the number of years of life lost due to disability for each in-hospital stay. The DALY impact was interpreted according to patient safety indicators. We compared the hospitals using the adjusted values ​​of costs and DALYs for their case mix index, obtained by relating the observed value to the predicted value obtained by linear regression.

resultsWe studied 2,437 patients and recorded a total of 560.1 DALYs in hospitals. The in-hospital cost average [standard deviation (SD)] was €8,673 (€10,893). Our model identified the hospitals whose observed values were higher than predicted; six needed to reduce the costs and impacts of DALYs, six needed to improve one of the two factors, and four seemed to have good results. The average cost (SD) for the worst performing hospitals amounted to €27,803 (€28,358).

conclusionsStudying the costs of treatment according to patient safety indicators permits us to evaluate the entire chain of care using a comparable unit of measurement.

Indexed as

HospitalsPeripheral Arterial DiseaseBelgiumHospital CostsHumansQuality-Adjusted Life YearsAtherosclerosisComplicationCostDALYDisability-Adjusted Life YearPeripheral arterial disease

Identifiers

PMID38243251
PMCPMC10797854

What OpenQuestion holds

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Registered trials

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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.