Evidence map›Paper›PMID 39421874›Full record

SynthesisFrontiers in medicine2024

Cost-effectiveness of home care compared to hospital care in patients with chronic obstructive pulmonary disease (COPD): a systematic review.

Maria Tereza Campos Vidigal, Guilherme Henrique Borges, Diogo Henrique Rabelo, Walbert de Andrade Vieira, Gustavo G Nascimento, Rafael Rodrigues Lima, Márcio Magno Costa, Álex Moreira Herval, Luiz Renato Paranhos

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 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. 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

9 authors.

Maria Tereza Campos VidigalPost-Graduate Program in Dentistry, School of Dentistry, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
Guilherme Henrique BorgesPost-Graduate Program in Dentistry, School of Dentistry, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
Diogo Henrique RabeloPost-Graduate Program in Dentistry, School of Dentistry, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
Walbert de Andrade VieiraDepartment of Dentistry, Centro Universitario das Faculdades Associadas de Ensino, São João da Boa Vista, SP, Brazil.
Gustavo G NascimentoNational Dental Centre Singapore, National Dental Research Institute Singapore, Singapore, Singapore.
Rafael Rodrigues LimaLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Universidade Federal do Pará, Belém, PA, Brazil.
Márcio Magno CostaDepartment of Prosthodontics and Dental Materials, School of Dentistry, Universidade Federal de Uberlândia, Uberlândia, Brazil.
Álex Moreira HervalDepartment of Preventive and Community Dentistry, School of Dentistry, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
Luiz Renato ParanhosDepartment of Preventive and Community Dentistry, School of Dentistry, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To compare, through a systematic literature review, the cost-effectiveness ratio of home care compared to hospital care for following up patients with chronic obstructive pulmonary disease (COPD). Methods: This review was registered in PROSPERO, and the bibliographic search was performed in six primary databases [MedLine (via PubMed), Scopus, LILACS, SciELO, Web of Science, and Embase], two dedicated databases for economic studies (NHS Economic Evaluation Database (NHS EED) and Cost-Effectiveness Analysis (CEA) Registry), and two databases for partially searching the "gray literature" (DansEasy and ProQuest). This review only included studies that compared home and hospital care for patients diagnosed with COPD, regardless of publication year or language. Two reviewers selected the studies, extracted the data, and assessed the risk of bias independently. A JBI tool was used for risk of bias assessment. Results and discussion: 7,279 studies were found, of which 14 met the eligibility criteria. Only one study adequately met all items of the risk of bias assessment. Thirteen studies found lower costs and higher effectiveness for home care. Home care showed a better cost-effectiveness ratio than hospital care for COPD patients. Regarding effectiveness, there is no possibility of choosing a more effective care for COPD patients, given the incipience of the data presented on eligible studies. However, considering the analyzed data refer only to high-income countries, caution is required when extrapolating this conclusion to low- and low-middle-income countries. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42022319488.

Indexed as

chronic obstructivecost-effectiveness analysisHome Care ServicesHospital-Based Home Care Serviceshospitalspulmonary disease

Identifiers

PMID39421874
PMCPMC11484625

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.