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Long-term cost effectiveness of cardiac secondary prevention in primary care in the Republic of Ireland and Northern Ireland

Overview of attention for article published in The European Journal of Health Economics, March 2016
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (81st percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

Mentioned by

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13 tweeters
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1 Facebook page

Readers on

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8 Mendeley
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Title
Long-term cost effectiveness of cardiac secondary prevention in primary care in the Republic of Ireland and Northern Ireland
Published in
The European Journal of Health Economics, March 2016
DOI 10.1007/s10198-016-0777-2
Pubmed ID
Authors

Paddy Gillespie, Edel Murphy, Susan M. Smith, Margaret E. Cupples, Molly Byrne, Andrew W. Murphy

Abstract

While cardiac secondary prevention in primary care is established practice, little is known about its long-term cost effectiveness. This study examines the cost effectiveness of a secondary prevention intervention in primary care in the Republic of Ireland and Northern Ireland over 6 years. An economic evaluation, based on a cluster randomised controlled trial of 903 patients with heart disease, was conducted 4.5 years after the intervention ceased to be delivered. Patients originally randomised to the control received usual practice while those randomised to the intervention received a tailored care package over the 1.5-year delivery period. Data on healthcare costs and quality adjusted life expectancy were used to undertake incremental cost utility analysis. Multilevel regression was used to estimate mean cost effectiveness and uncertainty was examined using cost effectiveness acceptability curves. At 6 years, there was a divergence in the results across jurisdictions. While the probability of the intervention being cost effective in the Republic of Ireland was 0.434, 0.232, 0.180, 0.150, 0.115 and 0.098 at selected threshold values of €5000, €15,000, €20,000, €25,000, €35,000 and €45,000, respectively, all equivalent probabilities for Northern Ireland equalled 1.000. Our findings suggest that the intervention in its current format is likely to be more cost effective than usual general practice care in Northern Ireland, but this is not the case in the Republic of Ireland.

Twitter Demographics

The data shown below were collected from the profiles of 13 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 8 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 8 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 4 50%
Professor 1 13%
Student > Bachelor 1 13%
Researcher 1 13%
Professor > Associate Professor 1 13%
Other 0 0%
Readers by discipline Count As %
Medicine and Dentistry 5 63%
Nursing and Health Professions 2 25%
Social Sciences 1 13%

Attention Score in Context

This research output has an Altmetric Attention Score of 8. 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 20 April 2016.
All research outputs
#1,821,603
of 12,484,531 outputs
Outputs from The European Journal of Health Economics
#114
of 742 outputs
Outputs of similar age
#50,668
of 270,164 outputs
Outputs of similar age from The European Journal of Health Economics
#5
of 41 outputs
Altmetric has tracked 12,484,531 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 742 research outputs from this source. They receive a mean Attention Score of 4.5. This one has done well, scoring higher than 84% of its peers.
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 270,164 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 81% of its contemporaries.
We're also able to compare this research output to 41 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 87% of its contemporaries.