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Economic evaluation of a lifestyle intervention in primary care to prevent type 2 diabetes mellitus and cardiovascular diseases: a randomized controlled trial

Overview of attention for article published in BMC Primary Care, April 2013
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Title
Economic evaluation of a lifestyle intervention in primary care to prevent type 2 diabetes mellitus and cardiovascular diseases: a randomized controlled trial
Published in
BMC Primary Care, April 2013
DOI 10.1186/1471-2296-14-45
Pubmed ID
Authors

Marieke F van Wier, Jeroen Lakerveld, Sandra D M Bot, Mai J M Chinapaw, Giel Nijpels, Maurits W van Tulder

Abstract

BACKGROUND: Cost-effectiveness studies of lifestyle interventions in people at risk for lifestyle-related diseases, addressing 'real-world' implementation, are needed. This study examines the cost-effectiveness of a primary care intervention from a societal perspective, compared with provision of health brochures, alongside a randomized controlled trial. METHODS: Adults aged 30-50 years, at risk of type 2 diabetes (T2DM) and/or cardiovascular disease (CVD), were recruited from twelve general practices in The Netherlands. They were randomized to the intervention (n = 314) or control group (n = 308). The intervention consisted of up to six face-to-face counseling sessions with a trained practice nurse, followed by three-monthly sessions by phone. Costs were collected using three-monthly retrospective questionnaires. Quality of life was measured with the EuroQol-5D-3L, at baseline, 6, 12 and 24 months. Nine-year risk of developing T2DM and ten-year risk of CVD mortality were estimated using the ARIC and SCORE formulae, respectively, based on measurements at baseline and 24 months while applying a fixed age of 60 years at both time points. RESULTS: Small, statistically non-significant differences in effects were found between the intervention and control group with regard to risk scores and Quality Adjusted Life Years (QALYs) gained. The mean difference in costs between the intervention and control group was [euro sign]-866 (95% confidence interval - 2372; 370). The probability that the intervention was cost-effective varied from 93% at [euro sign]8000/QALY to 88% at [euro sign]80,000/QALY. CONCLUSION: A primary care lifestyle intervention aimed at adults at increased risk of T2DM and/or CVD could result in cost savings over a two-year period. However, due to methodological uncertainty no advice can be given regarding the implementation of the intervention in Dutch general practices.Trial registration: Current Controlled Trials ISRCTN59358434.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 165 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Spain 1 <1%
Unknown 163 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 35 21%
Researcher 16 10%
Student > Ph. D. Student 16 10%
Student > Bachelor 15 9%
Student > Postgraduate 8 5%
Other 27 16%
Unknown 48 29%
Readers by discipline Count As %
Medicine and Dentistry 49 30%
Nursing and Health Professions 24 15%
Social Sciences 9 5%
Economics, Econometrics and Finance 6 4%
Computer Science 3 2%
Other 17 10%
Unknown 57 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 April 2013.
All research outputs
#17,285,668
of 25,374,647 outputs
Outputs from BMC Primary Care
#1,714
of 2,359 outputs
Outputs of similar age
#136,352
of 212,589 outputs
Outputs of similar age from BMC Primary Care
#25
of 35 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,359 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 19th percentile – i.e., 19% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 212,589 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 35 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.