Evidence map›Paper›PMID 39612116›Full record

ReviewHealth economics review2024

A systematic review of economic evaluation of healthcare associated infection prevention and control interventions in long term care facilities.

Eric Nguemeleu Tchouaket, Fatima El-Mousawi, Stephanie Robins, Katya Kruglova, Catherine Séguin, Kelley Kilpatrick, Maripier Jubinville, Suzanne Leroux, Idrissa Beogo, Drissa Sia

Abstract readReview
In one paragraph

Review in Health economics review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

10 authors.

Eric Nguemeleu TchouaketCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada. Eric.Tchouaket@uqo.ca.
Fatima El-MousawiCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada.
Stephanie RobinsCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada.
Katya KruglovaCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada.
Catherine SéguinCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada.
Kelley KilpatrickSusan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, McGill University, 680 Sherbrooke St West, Montréal, Québec, H3A 2M7, Canada.
Maripier JubinvilleCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada.
Suzanne LerouxCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada.
Idrissa BeogoSchool of Nursing, University of Ottawa, 451 Smith Road, Ottawa, ON, K1H 8M5, Canada.
Drissa SiaCanadian Research Chair in the Economics of Infection Prevention and Control, Department of Nursing, Université du Québec en Outaouais, St-Jérôme Campus 5, rue Saint-Joseph, Office, Saint-Jérôme, Québec, J-2204, J7Z 0B7, Canada.

Funding

Canada Research Chairs CRC-2021-00321CIHR 409071Fonds de Recherche du Québec - Santé 299044
6 · The paper itself

Abstract

backgroundHealthcare-associated infections (HCAI) are common in long-term care facilities (LTCF) and cause significant burden. Infection prevention and control (IPC) measures include the clinical best practices (CBP) of hand hygiene, hygiene and sanitation, screening, and basic and additional precautions. Few studies demonstrate their cost-effectiveness in LTCF, and those that do, largely focus on one CBP. An overarching synthesis of IPC economic analyses in this context is warranted. The aim of this paper is to conduct a systematic review of economic evaluations of CBP applied in LTCF.

methodsWe twice queried CINAHL, Cochrane, EconLit, Embase, Medline, Web of Science and Scopus for studies published in the last three decades of economic evaluations of CBP in LTCF. We included controlled and randomized clinical trials, cohort, longitudinal, follow-up, prospective, retrospective, cross-sectional, and simulations studies, as well as those based on mathematical or statistical modelling. Two reviewers conducted study selection, data extraction, and quality assessment of studies. We applied discounting rates of 3%, 5% and 8%, and presented all costs in 2022 Canadian dollars. The protocol of this review was registered with Research Registry (reviewregistry1210) and published in BMC Systematic Reviews.

findingsWe found 3,331 records and then 822 records; ten studies were retained. The economic analyses described were cost-minimization (n = 1), cost-benefit (n = 1), cost-savings (n = 2), cost-utility (n = 2) and cost-effectiveness which included cost-utility and cost-benefit analyses (n = 4). Four studies were high quality, three were moderate, and three were low quality. Inter-rater agreement for quality assessment was 91⋅7%. All studies (n = 10) demonstrated that CBP associated with IPC are clinically effective in LTCF and many (n = 6) demonstrated their cost effectiveness.

interpretationOngoing economic evaluation research of IPC remains essential to underpin healthcare policy choices guided by empirical evidence for LTCF residents and staff.

Identifiers

PMID39612116
PMCPMC11605862

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.