Evidence map›Paper›PMID 40273186›Full record

ArticlePLOS global public health2025

The cost-effectiveness of interventions used for the screening, diagnosis and management of anaemia in pregnancy: A systematic review.

Connor Luke Allen, Katherine Eddy, Joshua F Ginnane, Sarah Cheang, Renae Nguyen, Nick Scott, Joshua P Vogel, Annie McDougall

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Connor Luke AllenSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.ORCID https://orcid.org/0009-0000-1256-7360
Katherine EddyWomen's, Children's and Adolescent's Health Program, Burnet Institute, Melbourne, Australia.
Joshua F GinnaneWomen's, Children's and Adolescent's Health Program, Burnet Institute, Melbourne, Australia.ORCID https://orcid.org/0009-0007-6392-3426
Sarah CheangSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Renae NguyenWomen's, Children's and Adolescent's Health Program, Burnet Institute, Melbourne, Australia.
Nick ScottSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Joshua P VogelSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Annie McDougallWomen's, Children's and Adolescent's Health Program, Burnet Institute, Melbourne, Australia.ORCID https://orcid.org/0000-0003-1182-6679

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An estimated 40% of pregnant women worldwide are anaemic, of which 80% live in low- and middle-income countries (LMICs). The reality of finite health budgets, particularly in low-resource settings, means that interventions used for screening, diagnosing, and treating anaemia in pregnancy need to be informed by cost-effectiveness evidence. We conducted a systematic review to identify all studies evaluating the cost-effectiveness of managing anaemia in pregnancy. We searched two health economics (NHS EED and EconLit) and four medical (MEDLINE, Embase, CINAHL Plus and CENTRAL) databases for relevant studies published up to the 9th of August 2024. Studies were eligible if they conducted an economic evaluation of any intervention used in the management of anaemia in pregnancy regardless of aetiology, provided that anaemia was a specified outcome. Data were extracted and study quality assessed by two independent reviewers using the extended CHEC-E tool. Due to significant heterogeneity, data were analysed narratively. 19 eligible cost-effectiveness studies were identified. Nine studies related to iron deficiency anaemia, finding that intravenous rather than oral iron supplements were cost-effective in most instances. Multiple micronutrient supplements were also found to be cost-effective compared to iron and folic acid supplements. Ten studies related to malaria-related anaemia, identifying several cost-effective antimalarial regimens; both preventative and therapeutic. Cost-effective delivery channels of antimalarials as well as non-pharmacological interventions were also identified. This review identifies several avenues through which the management of anaemia in pregnancy can be optimised from an economic perspective. Despite this, there is a significant deficit of cost-effectiveness evidence relating to this condition, which limited the deduction of cost-effectiveness for many of the interventions assessed.

Identifiers

PMID40273186
PMCPMC12021152

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.