Evidence map›Paper›PMID 29068148›Full record

ArticleJournal of diabetes investigation2018

Impact of obesity on annual medical expenditures and diabetes care in Japanese patients with type 2 diabetes mellitus.

Chisato Kusunoki-Tsuji, Shin-Ichi Araki, Shinji Kume, Masami Chin-Kanasaki, Norihisa Osawa, Katsutaro Morino, Osamu Sekine, Satoshi Ugi, Atsunori Kashiwagi, Hiroshi Maegawa

Erratum issuedAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Chisato Kusunoki-TsujiDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Shin-Ichi ArakiDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.ORCID http://orcid.org/0000-0002-2933-0316
Shinji KumeDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Masami Chin-KanasakiDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Norihisa OsawaDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Katsutaro MorinoDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Osamu SekineDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Satoshi UgiDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Atsunori KashiwagiKusatsu General Hospital, Kusatsu, Shiga, Japan.
Hiroshi MaegawaDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionDiabetes and obesity are important health and economic concerns. We investigated the influence of obesity on diabetes control, the annual medical expenditures and medications in Japanese patients with type 2 diabetes who were relatively lean in comparison with those in Western countries. MATERIALS AND

methodsA total of 402 Japanese patients with type 2 diabetes were enrolled and their annual medical expenditures investigated. Obesity was defined as body mass index ≥25 kg/m

resultsA total of 165 patients (41.0%) were classified as obese. The obese group was younger, had poor glycemic control and higher frequency of hypertension than the non-obese group. The median total annual medical expenditures for all participants was ¥269,333 (interquartile range ¥169,664-437,437), which was equivalent to approximately $US2,450. The annual medical expenditure was significantly higher in patients with obesity than in non-obese patients (P < 0.001). This difference was mainly attributed to the annual expenditures for medication and hospitalization. In particular, the medication expenditures and the average number of drug classes for hyperglycemia and hypertension were significantly higher in the obese group.

conclusionsJapanese patients with type 2 diabetes and obesity had higher annual medical expenditures and a larger number of medications, but their diabetes control care was insufficient in comparison with those without obesity. Further studies are required to assess the effect of reducing bodyweight on diabetes control and costs.

Indexed as

Health ExpendituresAgedAsian PeopleBody Mass IndexDiabetes Mellitus, Type 2FemaleHumansJapanMaleMiddle AgedObesityAnnual medical expenditureMedicationObesity

Identifiers

PMID29068148
PMCPMC6031508

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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.