Evidence map›Paper›PMID 38417959›Full record

ReviewBMJ open2024

Health economic evaluations of preventative care for perinatal anxiety and associated disorders: a rapid review.

Kalpa Pisavadia, Llinos Haf Spencer, Lorna Tuersley, Rose Coates, Susan Ayers, Rhiannon Tudor Edwards

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

6 authors at 2 institutions in 1 country.

Kalpa PisavadiaCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK Kalpa.pisavadia@bangor.ac.uk.ORCID 0000-0003-1435-163X
Llinos Haf SpencerCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK.ORCID 0000-0002-7075-8015
Lorna TuersleyCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK.
Rose CoatesCity University of London, London, UK.
Susan AyersCity University of London, London, UK.
Rhiannon Tudor EdwardsCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK.ORCID 0000-0003-4748-5730
Bangor University · GBCity, University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPerinatal mental health problems affect one in five women and cost the UK £8.1 billion for every year of births, with 72% of this cost due to the long-term impact on the child. We conducted a rapid review of health economic evaluations of preventative care for perinatal anxiety and associated disorders.

designThis study adopted a rapid review approach, using principles of the standard systematic review process to generate quality evidence. This methodology features a systematic database search, Preferred Reporting Items for Systematic Reviews and Meta-Analyses diagram, screening of evidence, data extraction, critical appraisal and narrative synthesis. DATA SOURCES: PubMed, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Applied Social Sciences Index and Abstracts, PsycINFO and MEDLINE. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies that evaluated the costs and cost-effectiveness of preventative care for perinatal anxiety and associated disorders carried out within the National Health Service and similar healthcare systems. DATA EXTRACTION AND SYNTHESIS: A minimum of two independent reviewers used standardised methods to search, screen, critically appraise and synthesise included studies.

resultsThe results indicate a lack of economic evaluation specifically for perinatal anxiety, with most studies focusing on postnatal depression (PND). Interventions to prevent postnatal mental health problems are cost-effective. Modelling studies have also been conducted, which suggest that treating PND with counselling would be cost-effective.

conclusionThe costs of not intervening in maternal mental health outweigh the costs of preventative interventions. Preventative measures such as screening and counselling for maternal mental health are shown to be cost-effective interventions to improve outcomes for women and children. PROSPERO REGISTRATION NUMBER: CRD42022347859.

Indexed as

Cost-Benefit AnalysisAnxietyAnxiety DisordersDepression, PostpartumFemaleHumansPerinatal CarePregnancyPregnancy ComplicationsUnited KingdomHEALTH ECONOMICSMENTAL HEALTHPostpartum WomenPREVENTIVE MEDICINE

Identifiers

PMID38417959
PMCPMC10900391
OpenAlexW4392244827

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.