Evidence map›Paper›PMID 38459049›Full record

Trial reportSpinal cord series and cases2024

Cost-utility analysis and impact on the environment of videoconference in pressure injury. A randomized controlled trial in individuals with spinal cord injury.

Ingebjørg Irgens, Linn Kleven, Jana Midelfart-Hoff, Rolf Jelnes, Marcalee Alexander, Johan K Stanghelle, Tiina Rekand

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Spinal cord series and cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02800915 (Telemedicine Makes the Patient Stay in Hospital at Home. Service Innovation With Focus on Multidisciplinary Collaboration), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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.

NCT02800915 nacompletednot on this map

Telemedicine Makes the Patient Stay in Hospital at Home. Service Innovation With Focus on Multidisciplinary Collaboration

TypeinterventionalSponsorSunnaas Rehabilitation HospitalRan2016 to 2019Enrolled56ConditionsSpinal Cord Injury, Pressure InjuryArmsService innovation with focus on multidisciplinary collaboration
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Review
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

7 authors at 6 institutions in 4 countries.

Ingebjørg Irgens *Sunnaas Rehabilitation Hospital, Bjørnemyrveien 11, 1450, Nesoddtangen, Norway. Ingebjorg.irgens@sunnaas.no.ORCID 0000-0002-5506-3856
Linn Kleven *Norwegian Institute of Public Health, PO Box 222, Skøyen, N-0213, Oslo, Norway.
Jana Midelfart-HoffCounty Governor, Vestland, Solheimsgaten 13, 5058, Bergen, Norway.
Rolf JelnesMedical Center, Hospital Sønderjylland, Kresten Philipsens Vej 15, 6200, Aabenraa, Denmark.
Marcalee AlexanderDepartment of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine, 1670 University Blvd, Birmingham, AL, 35233, USA.
Johan K StanghelleUniversity of Oslo, Medical Faculty, Institute of Clinical Medicine, PO Box 1171, Blindern, 0318, Oslo, Norway.
Tiina RekandHaukeland University Hospital, Department of Neurology/Spinal Cord Unit, Jonas Lies vei 71, 5053, Bergen, Norway.ORCID 0000-0002-2506-9501
University of Oslo · NOHaukeland University Hospital · NONorwegian Institute of Public Health · NOSpaulding Rehabilitation Hospital · USSygehus Sønderjylland · DKVID Specialized University · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA prospective randomized controlled trial (RCT) in persons with spinal cord injury (SCI) and ongoing pressure injury (PI).

objectivesThe main aim was to perform a cost-utility analysis (CUA) alongside the RCT comparing regular care to regular care with additional videoconference consultations. Secondary aims were to assess costs and greenhouse gas emission related to transportation in the two study groups.

settingTwo spinal cord units in Norway.

methodsParticipants were allocated to a regular care group (RCG) and a regular care group with additional videoconference (VCG), in a 1-year follow-up between 2016 and 2018. Costs were prospectively collected, and health-related quality of life (HRQoL) data were collected at baseline and 12 months. The outcome was quality-adjusted life years (QALYs), derived from the EQ-5D-5L questionnaire. Results are reported as incremental cost-effectiveness ratio (ICER), expressed as the cost per additional QALY gained. Transportation related costs and environmental emissions were compared by t-tests.

resultsThere were 56 participants included, 28 in each group. Of these 27 in the VCG and 26 in the RCG completed. Three participants died. The mean cost per patient was € 8819 in the VCG and € 3607 in the RCG, with 0.1 QALYs gained in the VCG. No significant differences were identified regarding HRQoL or secondary outcomes.

conclusionThe VCG costs € 5212 more for an additional 0.1 QALYs, giving an ICER of € 52,120 per QALY. No significant differences were found regarding transportation-related costs, or emission of greenhouse gases.

trial registrationwww. CLINICALTRIALS: gov ; NCT02800915, TeleSCIpi. CRISTIN.no. https://app.cristin.no/projects/show.jsf?id=545284 . Sunnaas Rehabilitation hospital's web page, available at https://www.sunnaas.no/fag-og-forskning/fagstoff/sar .

Indexed as

Pressure UlcerSpinal Cord InjuriesCost-Benefit AnalysisHumansQuality of LifeSurveys and Questionnaires

Identifiers

PMID38459049
PMCPMC10923859
OpenAlexW4392602624

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.