Evidence map›Paper›PMID 39189616›Full record

Trial reportJournal of the American Heart Association2024

Evaluation of Cost-Effectiveness of a Virtual Multidisciplinary Stroke Care Clinic for Community-Dwelling Survivors of Stroke.

Simon Kwun Yu Lam, Janita Pak Chun Chau, Suzanne Hoi Shan Lo, Kai Chow Choi, Elaine Kee Chen Siow, Edward Wai Ching Shum, Vivian Wing Yan Lee, Sheung Sheung Hung, Vincent Chung Tong Mok, Jessica Yuet Ling Ching and 1 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  4. Review
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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

11 authors.

Simon Kwun Yu LamNethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-1021-5852
Janita Pak Chun ChauNethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-3750-7396
Suzanne Hoi Shan LoNethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-9970-0642
Kai Chow ChoiNethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0001-7157-8668
Elaine Kee Chen SiowHealth and Social Sciences Singapore Institute of Technology Singapore City Singapore.ORCID 0000-0002-0447-5527
Edward Wai Ching ShumSchool of Nursing Tung Wah College Hong Kong SAR China.ORCID 0000-0003-2914-6065
Vivian Wing Yan LeeCentre for Learning Enhancement And Research The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0001-5802-8899
Sheung Sheung HungSchool of Chinese Medicine, Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-1121-9257
Vincent Chung Tong MokDepartment of Medicine and Therapeutics The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-8102-8835
Jessica Yuet Ling ChingDepartment of Medicine and Therapeutics The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0001-8257-2843
Alexander Yuk Lun LauDepartment of Medicine and Therapeutics The Chinese University of Hong Kong Hong Kong SAR China.ORCID 0000-0002-5933-9290

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA technologically integrated, multidisciplinary approach to stroke rehabilitation service was delivered and embedded into conventional health care practice. This article reports an evaluation of cost-effectiveness analysis of a new Virtual Multidisciplinary Stroke Care Clinic (VMSCC) service for community-dwelling survivors of stroke. METHODS AND

resultsA randomized controlled trial was conducted. Adults with a first/recurrent ischemic/hemorrhagic stroke were recruited from 10 hospitals. Eligible participants were randomly assigned to receive the VMSCC service (individual virtual consultations with a registered nurse, home blood pressure telemonitoring, and unlimited access to an online resource platform) plus usual care or usual care alone. Cost-effectiveness analyses were performed based on incremental cost-effectiveness ratios expressed as incremental cost per emergency admission reduced, and day of hospitalization reduced over the study period. A total of 256 participants (intervention group n=141 versus control group n=115) with complete cost and health care use data were included in the cost-effectiveness analyses. The VMSCC service, on average, resulted in a greater reduction in the number of emergency admission (-0.06 [95% bootstrapped CI, -0.14 to 0.01]) and fewer days of hospitalization (-0.08, [95% bootstrapped CI -0.40 to 0.24]) but incurred a higher total cost of HK$375 (95% bootstrapped CI, -2103 to 2743) compared with the usual care. The incremental cost-effectiveness ratios of the VMSCC service compared with the usual care were HK$6070 and HK$4826 per an emergency admission and a day of hospital stay reduced respectively.

conclusionsThe study provides preliminary but not confirmative evidence that the VMSCC service could be more effective but more costly than usual care in reducing health service use. REGISTRATION: URL: https://www.chictr.org.cn. Unique identifier: ChiCTR1800016101.

Indexed as

Cost-Benefit AnalysisStroke RehabilitationAgedFemaleHealth Care CostsHemorrhagic StrokeHumansIndependent LivingIschemic StrokeLength of StayMaleMiddle AgedPatient Care TeamStrokeTelemedicineTreatment Outcomecost‐effectiveness analysisself‐managementstroketelerehabilitation

Identifiers

PMID39189616
PMCPMC11646510

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.