ArticleBMJ (Clinical research ed.)1996
What can be concluded from the Oxcheck and British family heart studies: commentary on cost effectiveness analyses.
Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Economic evaluation of cholesterol-related interventions in general practice. An appraisal of the evidence.Journal of epidemiology and community health · 1998Pooled it
- Cost-effectiveness of cardiovascular risk management by practice nurses in primary care.BMC public health · 2013Trial
- Within-trial economic evaluation of diabetes-specific cognitive behaviour therapy in patients with type 2 diabetes and subthreshold depression.BMC public health · 2010Trial
- Trial
- Cost effectiveness of nurse led secondary prevention clinics for coronary heart disease in primary care: follow up of a randomised controlled trial.BMJ (Clinical research ed.) · 2005Trial
- Behavioural counselling in general practice for the promotion of healthy behaviour among adults at increased risk of coronary heart disease: randomised trial.BMJ (Clinical research ed.) · 1999Trial
- The validity of dietary assessment in general practice.Journal of epidemiology and community health · 1999Trial
- Cost effectiveness analysis of improved blood pressure control in hypertensive patients with type 2 diabetes: UKPDS 40. UK Prospective Diabetes Study Group.BMJ (Clinical research ed.) · 1998Trial
- Cost effectiveness of health checks. Effect of intervention was sustained.BMJ (Clinical research ed.) · 1996Trial
- Costs and cost effectiveness of health checks conducted by nurses in primary care: the Oxcheck study.BMJ (Clinical research ed.) · 1996Trial
- A cost-effectiveness analysis of a community based CVD program in Sweden based on a retrospective register cohort.BMC public health · 2018Article
- Initiation of health-behaviour change among employees participating in a web-based health risk assessment with tailored feedback.Journal of occupational medicine and toxicology (London, England) · 2011Article
- An integrated approach to preventing cardiovascular disease: community-based approaches, health system initiatives, and public health policy.Risk management and healthcare policy · 2010Article
- Cost effectiveness of a community based research project to help women quit smoking.Tobacco control · 2005Article
- [Effectiveness of cardiovascular prevention in primary care].Atencion primaria · 2001Article
- Prevention of coronary heart disease through treatment of infection with Chlamydia pneumoniae? Estimation of possible effectiveness and costs.Health care management science · 2001Article
- Is population coronary heart disease risk screening justified? A discussion of the National Service Framework for coronary heart disease (Standard 4).The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Preventing cardiovascular disease in primary care.BMJ (Clinical research ed.) · 2001Article
- [Effectiveness of preventive activities at 8 years of their introduction in a general medicine practice in a health center].Atencion primaria · 2001Article
- Can dietary assessment in general practice target patients with unhealthy diets?The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo provide a commentary on the economic evaluations of the Oxcheck and British family heart studies: direct comparison of their relative effectiveness and cost effectiveness; comparisons with other interventions; and consideration of problems encountered.
designModelling from cost and effectiveness data to estimate of cost per life year gained. SUBJECTS: Middle aged men and women.
interventionsScreening for cardiovascular risk factors followed by appropriate lifestyle advice and drug intervention in general practice, and other primary coronary risk management strategies.
main outcome measuresLife years gained; cost per life year gained.
resultsDepending on the assumed duration of risk reduction, the programme cost per discounted life year gained ranged from 34,800 pounds for a 1 year duration to 1500 pounds for 20 years for the British family heart study and from 29,300 pounds to 900 pounds for Oxcheck. These figures exclude broader net clinical and cost effects and longer term clinical and cost effects other than coronary mortality.
conclusionsDespite differences in underlying methods, the estimates in the two economic analyses of the studies can be directly compared. Neither study was large enough to provide precise estimates of the overall net cost. Modelling to cost per life year gained provides more readily interpretable measures. These estimates emphasise the importance of the relatively weak evidence on duration effect. Only if the effect lasts at least five years is the Oxcheck programme likely to be cost effective. The effect must last for about 10 years to justify the extra cost associated with the British family heart study.
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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.