Evidence map›Paper›PMID 29253487›Full record

ArticleThe Lancet. Public health2017

Hospital costs in relation to body-mass index in 1·1 million women in England: a prospective cohort study.

Seamus Kent, Jane Green, Gillian Reeves, Valerie Beral, Alastair Gray, Susan A Jebb, Benjamin J Cairns, Borislava Mihaylova, Million Women Study collaborators

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Lancet. Public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Effects of Peptide YY on the Hypothalamic-Pituitary-Gonadal Axis in Healthy Men.The Journal of clinical endocrinology and metabolism · 2020
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  8. Cost-Effectiveness of Bariatric Surgery in Tunisia.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Article
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  18. Review
  19. Sugar, Taxes, & Choice.The Hastings Center report · 2019
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Seamus KentCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK; Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK. Electronic address: seamus.kent@dph.ox.ac.uk.
Jane GreenCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Gillian ReevesCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Valerie BeralCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Alastair GrayHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Susan A JebbNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Benjamin J CairnsCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Borislava MihaylovaHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Million Women Study collaborators

Funding

Cancer Research UK 16491Cancer Research UK C570/A16491Medical Research Council G0700474Medical Research Council MR/K02700X/1
6 · The paper itself

Abstract

backgroundExcess weight is associated with poor health and increased health-care costs. However, a detailed understanding of the effects of excess weight on total hospital costs and costs for different health conditions is needed.

methodsWomen in England aged 50-64 years were recruited into the prospective Million Women Study cohort in 1996-2001 through 60 NHS breast cancer screening centres. Participants were followed up and annual hospital costs and admission rates were estimated for April 1, 2006, to March 31, 2011, in relation to body-mass index (BMI) at recruitment, overall and for categories of health conditions defined by the International Classification of Diseases 10th revision chapter of the primary diagnosis at admission. Associations of BMI with hospital costs were projected to the 2013 population of women aged 55-79 years in England.

findings1 093 866 women who provided information on height and weight, had a BMI of at least 18·5 kg/m

interpretationExcess body weight is associated with increased hospital costs for middle-aged and older women in England across a broad range of conditions, especially knee replacement surgery and diabetes. These results provide reliable up-to-date estimates of the health-care costs of excess weight and emphasise the need for investment to tackle this public health issue.

fundingCancer Research UK; Medical Research Council; National Institute for Health Research.

Indexed as

Body Mass IndexEnglandFemaleHospital CostsHumansMiddle AgedOverweightProspective Studies

Identifiers

PMID29253487
PMCPMC6196771

What OpenQuestion holds

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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.