Evidence map›Paper›PMID 38563379›Full record

ArticleJournal of the American Heart Association2024

Cost-Effectiveness of a Workplace-Based Hypertension Management Program in Real-World Practice in the Kailuan Study.

Yan-Feng Zhou, Shuohua Chen, Jun-Xiang Chen, Simiao Chen, Guodong Wang, Xiong-Fei Pan, Shouling Wu, An Pan

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–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

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

  1. Pooled it
  2. 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.

Yan-Feng ZhouDepartment of Social Medicine, School of Public Health Guangxi Medical University Nanning China.ORCID 0000-0003-1967-1229
Shuohua ChenDepartment of Cardiology, Kailuan General Hospital North China University of Science and Technology Tangshan China.ORCID 0000-0002-6274-7471
Jun-Xiang ChenDepartment of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan China.ORCID 0000-0001-8997-3439
Simiao ChenChinese Academy of Medical Sciences and Peking Union Medical College Beijing China.ORCID 0000-0003-0555-2157
Guodong WangDepartment of Cardiology, Kailuan General Hospital North China University of Science and Technology Tangshan China.ORCID 0000-0002-0422-8999
Xiong-Fei PanKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University Shuangliu Institute of Women's and Children's Health, Shuangliu Maternal and Child Health Hospital Chengdu China.ORCID 0000-0002-9350-9230
Shouling WuDepartment of Cardiology, Kailuan General Hospital North China University of Science and Technology Tangshan China.ORCID 0000-0001-7095-6022
An PanDepartment of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan China.ORCID 0000-0002-1089-7945

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2009, a workplace-based hypertension management program was launched among men with hypertension in the Kailuan study. This program involved monitoring blood pressure semimonthly, providing free antihypertensive medications, and offering personalized health consultations. However, the cost-effectiveness of this program remains unclear. METHODS AND

resultsThis analysis included 12 240 participants, with 6120 in each of the management and control groups. Using a microsimulation model derived from 10-year follow-up data, we estimated costs, quality-adjusted life years (QALYs), life-years, and incremental cost-effectiveness ratios (ICERs) for workplace-based management compared with routine care in both the study period and over a lifetime. Analyses are conducted from the societal perspective. Over the 10-year follow-up, patients in the management group experienced an average gain of 0.06 QALYs with associated incremental costs of $633.17 (4366.85 RMB). Projecting over a lifetime, the management group was estimated to increase by 0.88 QALYs or 0.92 life-years compared with the control group, with an incremental cost of $1638.64 (11 301.37 RMB). This results in an incremental cost-effectiveness ratio of $1855.47 per QALY gained and $1780.27 per life-year gained, respectively, when comparing workplace-based management with routine care. In probabilistic sensitivity analyses, with a threshold willingness-to-pay of $30 765 per QALY (3 times 2019 gross domestic product per capita), the management group showed a 100% likelihood of being cost-effective in 10 000 samples.

conclusionsWorkplace-based management, compared with routine care for Chinese men with hypertension, could be cost-effective both during the study period and over a lifetime, and might be considered in working populations in China and elsewhere.

Indexed as

HypertensionAntihypertensive AgentsChinaCost-Benefit AnalysisHumansMaleQuality-Adjusted Life YearsWorkplaceAntihypertensive Agentsblood pressureeconomic evaluationhealth consultationhypertensionworkplace‐based

Identifiers

PMID38563379
PMCPMC11262526

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.