Evidence mapPaperPMID 40140402Full record

Trial reportNature communications2025

Cost-effectiveness of community-based integrated care model for patients with diabetes and depressive symptoms.

Yanshang Wang, Dan Guo, Yiqi Xia, Mingzheng Hu, Ming Wang, Zhenyu Shi, Xiaolong Guan, Dawei Zhu, Ping He

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Yanshang WangSchool of Public Health, Peking University, Beijing, China.ORCID http://orcid.org/0000-0001-6110-6296
Dan GuoDepartment of Research and Teaching, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, China.
Yiqi XiaSchool of Public Health, Peking University, Beijing, China.
Mingzheng HuSchool of Public Health, Peking University, Beijing, China.
Ming WangSchool of Public Health, Peking University, Beijing, China.
Zhenyu ShiSchool of Public Health, Peking University, Beijing, China.
Xiaolong GuanSchool of Public Health, Peking University, Beijing, China.
Dawei ZhuSchool of Pharmaceutical Sciences, Peking University, Beijing, China.
Ping HeChina Center for Health Development Studies, Peking University, Beijing, China. phe@pku.edu.cn.ORCID http://orcid.org/0000-0001-5040-5012

Funding

Beijing Municipal Science and Technology Commission 9212009
6 · The paper itself

Abstract

The coexistence of type 2 diabetes (T2DM) and depression is a prominent example of multimorbidity. In previous work, we reported the results of a completed cluster-randomized controlled trial that was conducted in eight community health centers in China. We enrolled adults (≥18 years) with type 2 diabetes and depressive symptoms. In the intervention group, a comprehensive care plan was developed based on the Integrated Care Model for Patients with Diabetes and Depression (CIC-PDD). In this study, we explore the cost-effectiveness of the CIC-PDD by conducting a one-year within-trial economic evaluation from the health system, multipayer and societal perspectives. Health outcomes are quality-adjusted life years (QALYs) and depression-free days (DFDs), and we calculate incremental cost-effectiveness ratios (ICERs) and cost-effectiveness probability. Among 630 participants (275 intervention, 355 usual care), the cost per QALY gained is $7,922.82, $7,823.85, and $7,409.46, with cost-effectiveness probabilities of 66.41%- 94.45%. The cost per DFD is $2.63-$2.82, requiring a willingness-to-pay of $9.00-$10.50 for >95% probability of cost-effectiveness. We find that the CIC-PDD model demonstrates cost-effectiveness within primary health care settings, but further studies are needed to assess its long-term sustainability and scalability. Trial registration: 35 ChiCTR2200065608.

Indexed as

Cost-Benefit AnalysisDelivery of Health Care, IntegratedDepressionDiabetes Mellitus, Type 2AdultAgedChinaFemaleHumansMaleMiddle AgedQuality-Adjusted Life Years

Identifiers

PMID40140402
PMCPMC11947312

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.