Evidence map›Paper›PMID 40312363›Full record

SynthesisBMC health services research2025

Policy models for preventative interventions in cardiometabolic diseases: a systematic review.

Septiara Putri, Giorgio Ciminata, Jim Lewsey, Hanin Farhana Binti Kamaruzaman, Yuejiao Duan, Claudia Geue

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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

6 authors.

Septiara PutriHealth Economics and Health Technology Assessment (HEHTA), University of Glasgow, Glasgow, UK. s.putri.2@research.gla.ac.uk.
Giorgio CiminataHealth Economics and Health Technology Assessment (HEHTA), University of Glasgow, Glasgow, UK.
Jim LewseyHealth Economics and Health Technology Assessment (HEHTA), University of Glasgow, Glasgow, UK.
Hanin Farhana Binti KamaruzamanHealth Economics and Health Technology Assessment (HEHTA), University of Glasgow, Glasgow, UK.
Yuejiao DuanHealth Economics and Health Technology Assessment (HEHTA), University of Glasgow, Glasgow, UK.
Claudia GeueHealth Economics and Health Technology Assessment (HEHTA), University of Glasgow, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiometabolic diseases (CMDs), including cardiovascular disease (CVD) and type 2 diabetes (T2DM), are major contributors to morbidity, mortality, and rising healthcare costs. Effective disease prevention programs rely on robust mathematical models to generate long-term evidence regarding the effectiveness, cost-effectiveness, and policy implications of interventions in the population. Population-level interventions, such as dietary policies, are recognised as essential prevention strategies, yet there is limited syntheis of policy models assessing their impact. This study systematically reviews existing CMD policy models to provide: (i) a comprehensive overview of current models, and (ii) a critical appraisal of their application, particularly in the context of primordial prevention programmes.

methodsA systematic search was conducted across MEDLINE (Ovid), EMBASE (Ovid), CINAHL, Google Scholar, and Open Grey. The search focused on publications from 1st January 2000, to 31st May 2024, using Medical Subject Headings (MeSH) for "cardiovascular," "diabetes," "decision model," and "policy model." Full-text articles were independently appraised independently by three reviewers using the Phillips et al. checklist, and the review process adhered to PRISMA guidelines.

resultsThirty-two articles met the inclusion criteria and were critically appraised. Policy models were assessed across three domains: structure, data, and consistency. Most models (79%) demonstrated well-defined structures, aligning inputs and objectives with the stated perspective and initial justifications. However, fewer than 60% of studies clearly reported the quality of their data sources and provided clear information in terms of consistency. The reviewed studies employed diverse methodologies, including parameter incorporation, simulation modelling, and outcome analysis.

conclusionThe review highlights substantial heterogeneity in the quality, structure, and data use of policy models evaluating dietary interventions for CMD prevention. To advance CMD policy modeling, this study provides recommendations for improving conceptualisation, methodological rigor, and applicability to prevention programmes.

trial registrationRegistered protocol at PROSPERO: CRD42022354399.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Health PolicyPrimary PreventionCost-Benefit AnalysisHumansCardiometabolic diseaseDecision modelHealth economicsPolicy modelSystematic review

Identifiers

PMID40312363
PMCPMC12046856

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.