Evidence map›Paper›PMID 25822164›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016

Does diabetes prevention pay for itself? Evaluation of the M.O.B.I.L.I.S. program for obese persons.

Jan Häußler, Friedrich Breyer

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jan HäußlerDepartment of Economics, University of Konstanz, Fach 135, 78457, Constance, Germany. haeussler.jan@gmail.com.
Friedrich BreyerDepartment of Economics, University of Konstanz, Fach 135, 78457, Constance, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In response to the growing burden of obesity, public primary prevention programs against obesity have been widely recommended. Several studies have estimated the cost-effectiveness of diabetes-prevention trials for different countries. Nevertheless, it is still controversial if prevention conducted in more real-world settings and among people with increased risk but not yet exhibiting increased glucose tolerance can be a cost-saving strategy to cope with the obesity epidemic. We examine this question in a simulation model based on the results of the M.O.B.I.L.I.S program, a German lifestyle intervention to reduce obesity, which is directed on the high-risk group of people who are already obese. The contribution of this paper is the use of 4-year follow-up data on the intervention group and a comparison with a control group formed by SOEP respondents as inputs in a Markov model of the long-term cost savings through this intervention due to the prevention of type 2 diabetes. We show that from the point of view of a health insurer, these programs can pay for themselves.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2ObesityCost-Benefit AnalysisFemaleFollow-Up StudiesGermanyHumansMaleMiddle AgedPreventive MedicineProgram EvaluationCost analysisDiabetes preventionMarkov modelingObesity

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Registered trials

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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 OpenQuestion graph.