{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T05:55:51Z","timestamp":1776837351177,"version":"3.51.2"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["RO1AG032298"],"award-info":[{"award-number":["RO1AG032298"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24 AG050685"],"award-info":[{"award-number":["K24 AG050685"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["RO1AG041780"],"award-info":[{"award-number":["RO1AG041780"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010512","name":"Claude D. Pepper Older Americans Independence Center, University of California San Francisco","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010512","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the economic effect and cost effectiveness of a targeted catheter\u2010associated urinary tract infection (CAUTI) prevention intervention in the nursing home (NH) setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Randomized clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community\u2010based NHs (N=12).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>NH residents with indwelling urinary catheters (N=418).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Standard care versus infection prevention program involving barrier precautions, active surveillance, and NH staff education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Costs of the intervention, costs of disease, and health outcomes were used to calculate an incremental cost\u2010effectiveness ratio for the intervention. Data came from intervention results and the literature and outcomes were analyzed over one year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A 120\u2010bed NH would have program costs of $20,279\/year. The cost of disease treatment would be reduced by $54,316 per year, resulting in a $34,037 net cost savings. Most of this savings would come from fewer CAUTI hospitalizations ($39,180), with $15,136 in savings from CAUTI care within the NH. The intervention also yielded a gain of 0.197 quality\u2010adjusted life\u2010years (QALYs). Taking into account uncertainty in all parameters suggests there is an 85% chance that the intervention is cost\u2010saving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The CAUTI prevention program is expected to benefit payers by reducing costs and improving health outcomes. Because the savings accrue to payers and not to NHs, payers such as Medicare and private insurers may want to provide incentives for NHs to implement such programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">clinicaltrials.gov<\/jats:ext-link>\n                      Identifier: NCT01062841\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15316","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T09:52:44Z","timestamp":1519811564000},"page":"742-747","source":"Crossref","is-referenced-by-count":25,"title":["Economic Evaluation of a Catheter\u2010Associated Urinary Tract Infection Prevention Program in Nursing Homes"],"prefix":"10.1111","volume":"66","author":[{"given":"David W.","family":"Hutton","sequence":"first","affiliation":[{"name":"Health Management and Policy, School of Public Health University of Michigan Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah L.","family":"Krein","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Michigan Ann Arbor Michigan"},{"name":"Veterans Affairs Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay","family":"Saint","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Michigan Ann Arbor Michigan"},{"name":"Veterans Affairs Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Graves","sequence":"additional","affiliation":[{"name":"School of Public Health and Biomedical Innovation Queensland University of Technology  Australia"},{"name":"Institute of Health and Biomedical Innovation Queensland University of Technology  Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Kolli","sequence":"additional","affiliation":[{"name":"Cellular and Molecular Biology University of Michigan Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Lynem","sequence":"additional","affiliation":[{"name":"Health Management and Policy, School of Public Health University of Michigan Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lona","family":"Mody","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Michigan Ann Arbor Michigan"},{"name":"Division of Geriatric and Palliative Care Medicine, School of Medicine University of Michigan Ann Arbor  Michigan"},{"name":"Geriatrics Research Education and Clinical Center Veterans Affairs Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,28]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1","article-title":"Long\u2010term care services in the United States: 2013 overview. 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