Evidence map›Paper›PMID 28987334›Full record

ArticlePreventive medicine2017

Cost effectiveness and return on investment of a scalable community weight loss intervention.

Tzeyu L Michaud, Wen You, Kathryn E Wilson, Dejun Su, Todd J McGuire, Fabio A Almeida, Amy L Bayer, Paul A Estabrooks

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. The impact of pairing a wearable movement tracker with an online community weight loss intervention.Translational journal of the American College of Sports Medicine · 2020
    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

8 authors.

Tzeyu L MichaudDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA; Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA. Electronic address: tzeyu.michaud@unmc.edu.
Wen YouDepartment of Agricultural and Applied Economics, Virginia Tech, Blacksburg, VA, USA.
Kathryn E WilsonDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Dejun SuDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA; Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Todd J McGuireincentaHEALTH, LLC, Denver, CO, USA.
Fabio A AlmeidaDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA; Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Amy L BayerPrevention and Chronic Care Solutions, Kaiser Permanente Colorado, Denver, CO, USA.
Paul A EstabrooksDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.

Funding

Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI RIZZO, MATTHEW · 2016 to 2025
$42.8M
NIGMS NIH HHS U54 GM115458
6 · The paper itself

Abstract

This study assessed the lifetime health and economic consequences of an efficacious scalable community weight loss program for overweight and obese adults. We applied a state-transition Markov model to project lifetime economic outcome (US dollar) and the degree of disease averted as a result of a weight loss intervention, compared with no intervention, from a payer perspective. Effect sizes of the intervention on weight loss, by sex, race and ethnicity, and body mass index (BMI) of participants, were derived from a 12-month community program. Relative risk of diseases across BMI levels and other parameters were informed by the literature. A return on investment (ROI) analysis was conducted to present the overall cost-benefit of the program. Simulation results showed that among 33,656 participants and at a cost of $2.88 million, the program was predicted to avert (with a corresponding estimated medical costs saved of) 78 cases of coronary heart disease ($28 million), 9 cases of strokes ($971,832), 92 cases of type 2 diabetes ($24 million), 1 case of colorectal cancer ($357,022), and 3 cases of breast cancer ($483,259) over the participant lifetime. The estimated medical costs saved per participant was $1403 ($1077 of African American men and $1532 of Hispanic men), and the ROI was $16.7 ($12.8 for African American men and $18.3 for Hispanic men) for every $1 invested. We concluded that a scalable efficacious community weight loss program provides a cost-effective approach with significant ROI, which will assist informed decisions for future adoption and dissemination.

Indexed as

Body Mass IndexCost-Benefit AnalysisFemaleHumansMaleObesityPublic HealthWeight Reduction ProgramsCostInternet interventionObesityPublic health

Identifiers

PMID28987334
PMCPMC5918290

What OpenQuestion holds

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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.