Evidence map›Paper›PMID 35345509›Full record

SynthesisFrontiers in public health2022

Cost-Effectiveness of Population Screening Programs for Cardiovascular Diseases and Diabetes in Low- and Middle-Income Countries: A Systematic Review.

Manushi Sharma, Renu John, Sadia Afrin, Xinyi Zhang, Tengyi Wang, Maoyi Tian, Kirti Sundar Sahu, Robert Mash, Devarsetty Praveen, K M Saif-Ur-Rahman

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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.

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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  14. One-Hour Post-Load Plasma Glucose and Altered Glucometabolic Profile in Youths with Overweight or Obesity.International journal of environmental research and public health · 2023
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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 at 8 institutions in 7 countries.

Manushi SharmaThe George Institute for Global Health, New Delhi, India.
Renu JohnThe George Institute for Global Health, New Delhi, India.
Sadia AfrinHealth Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh.
Xinyi ZhangThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
Tengyi WangSchool of Public Health, Harbin Medical University, Harbin, China.
Maoyi TianSchool of Public Health, Harbin Medical University, Harbin, China.
Kirti Sundar SahuSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Robert MashDepartment of Family and Emergency Medicine, Stellenbosch University, Stellenbosch, South Africa.
Devarsetty PraveenThe George Institute for Global Health, New Delhi, India.
K M Saif-Ur-RahmanHealth Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh.
George Institute for Global Health · INHarbin Medical University · CNInternational Centre for Diarrhoeal Disease Research · BDNagoya University · JPPeking University · CNStellenbosch University · ZAUniversity of Waterloo · CAUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Almost all low- and middle-income countries (LMICs) have instated a program to control and manage non-communicable diseases (NCDs). Population screening is an integral component of this strategy and requires a substantial chunk of investment. Therefore, testing the screening program for economic along with clinical effectiveness is essential. There is significant proof of the benefits of incorporating economic evidence in health decision-making globally, although evidence from LMICs in NCD prevention is scanty. This systematic review aims to consolidate and synthesize economic evidence of screening programs for cardiovascular diseases (CVD) and diabetes from LMICs. The study protocol is registered on PROSPERO (CRD42021275806). The review includes articles from English and Chinese languages. An initial search retrieved a total of 2,644 potentially relevant publications. Finally, 15 articles (13 English and 2 Chinese reports) were included and scrutinized in detail. We found 6 economic evaluations of interventions targeting cardiovascular diseases, 5 evaluations of diabetes interventions, and 4 were combined interventions, i.e., screening of diabetes and cardiovascular diseases. The study showcases numerous innovative screening programs that have been piloted, such as using mobile technology for screening, integrating non-communicable disease screening with existing communicable disease screening programs, and using community health workers for screening. Our review reveals that context is of utmost importance while considering any intervention, i.e., depending on the available resources, cost-effectiveness may vary-screening programs can be made universal or targeted just for the high-risk population.

Indexed as

Cardiovascular DiseasesDiabetes MellitusNoncommunicable DiseasesCost-Benefit AnalysisDeveloping CountriesHumansIncomeeconomic evaluationevidence synthesishealth technology assessment (HTA)non-communicable chronic diseases preventionpreventionprimary health care (PHC)

Identifiers

PMID35345509
PMCPMC8957212
OpenAlexW4220758268

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.