Evidence map›Paper›PMID 27229924›Full record

ReviewBMC musculoskeletal disorders2016

Addressing obesity in the management of knee and hip osteoarthritis - weighing in from an economic perspective.

Anna Flego, Michelle M Dowsey, Peter F M Choong, Marj Moodie

Abstract readReview
In one paragraph

Review in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. [Prehabilitation before total knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2024
    Pooled it
  2. Article
  3. Article
  4. Behavioral, Psychological, Neurophysiological, and Neuroanatomic Determinants of Pain.The Journal of bone and joint surgery. American volume · 2020
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. 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

4 authors.

Anna FlegoDeakin Health Economics, Faculty of Health, Deakin University, 221 Burwood Hwy, Burwood, Melbourne, 3125, Australia.
Michelle M DowseyDepartment of Surgery, University of Melbourne, St. Vincent's Hospital, Melbourne, VIC, Australia.
Peter F M ChoongDepartment of Surgery, University of Melbourne, St. Vincent's Hospital, Melbourne, VIC, Australia.
Marj MoodieDeakin Health Economics, Faculty of Health, Deakin University, 221 Burwood Hwy, Burwood, Melbourne, 3125, Australia. marj.moodie@deakin.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is one of the only modifiable risk factors for both incidence and progression of Osteoarthritis (OA). So there is increasing interest from a public health perspective in addressing obesity in the management of OA. While evidence of the efficacy of intereventions designed to address obesity in OA populations continues to grow, little is known about their economic credentials. The aim of this study is to conduct a scoping review of: (i) the published economic evidence assessing the economic impact of obesity in OA populations; (ii) economic evaluations of interventions designed to explicitly address obesity in the prevention and management of OA in order to determine which represent value for money. Besides describing the current state of the literature, the study highlights research gaps and identifies future research priorities.

methodsIn July 2014, a search of the peer reviewed literature, published in English, was undertaken for the period January 1975 - July 2014 using Medline Complete (Ebscohost), Embase, Econlit, Global Health, Health Economics Evaluation Database (HEED), all Cochrane Library databases as well as the grey literature using Google and reference lists of relevant studies. A combination of key search terms was used to identify papers assessing the economic impact of obesity in OA or economic evaluations conducted to assess the efficiency of obesity interventions for the prevention or management of OA.

results14 studes were identified; 13 were cost burden studies assessing the impact of obesity as a predictor for higher costs in Total Joint Arthroplasty (TJA) patients and one a cost-effectiveness study of an intervention designed to address obesity in the managment of mild to moderate OA patients.

conclusionThe majority of the economic studies conducted are cost burden studies. While there is some evidence of the association between severe obesity and excess hospital costs for TJA patients, heterogeneity in studies precludes definitive statements about the strength of the association. With only one economic evaluation to inform policy and practice, there is a need for future research into the cost-effectiveness of obesity interventions designed both for prevention or management of OA along the disease spectrum and over the life course.

Indexed as

Cost-Benefit AnalysisCost of IllnessDisease ProgressionHumansIncidenceObesityOsteoarthritis, HipOsteoarthritis, KneeQuality of LifeWeight Reduction ProgramsCost burdenCost effectivenessCostsEconomic evlautionObesityOsteoarthritis

Identifiers

PMID27229924
PMCPMC4882789

What OpenQuestion holds

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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 OpenQuestion graph.