Evidence map›Paper›PMID 31806194›Full record

ArticleValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research2019

Excess Costs and Economic Burden of Obesity-Related Cancers in the United States.

Young-Rock Hong, Jinhai Huo, Raj Desai, Michelle Cardel, Ashish A Deshmukh

Abstract read
In one paragraph

Article in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

  1. Pooled it
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  3. Pooled it
  4. Article
  5. Article
  6. The Burden of Obesity in Saudi Arabia: A Real-World Cost-of-Illness Study.ClinicoEconomics and outcomes research : CEOR · 2025
    Article
  7. Obesity-Associated Colorectal Cancer.International journal of molecular sciences · 2024
    Review
  8. Article
  9. The Role of BMI in Allostatic Load and Risk of Cancer Death.American journal of preventive medicine · 2023
    Article
  10. Trends and drivers of pharmaceutical expenditures from systemic anti-cancer therapy.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Article
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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

5 authors.

Young-Rock HongDepartment of Health Services Research, Management and Policy, University of Florida, FL, USA. Electronic address: youngrock.h@phhp.ufl.edu.
Jinhai HuoDepartment of Health Services Research, Management and Policy, University of Florida, FL, USA.
Raj DesaiDepartment of Health Services Research, Management and Policy, University of Florida, FL, USA.
Michelle CardelDepartment of Health Outcomes and Biomedical Informatics, University of Florida, FL, USA.
Ashish A DeshmukhDepartment of Management, Policy and Community Health, The University of Texas Health Science Center at Houston, Texas, USA.

Funding

Acceptance-Based Therapy Weight Loss Intervention for Adolescents: A Pilot, Randomized Controlled TrialK01HL141535 · NHLBI · UNIVERSITY OF FLORIDA · PI CARDEL, MICHELLE · 2018 to 2020
$455k
NHLBI NIH HHS K01 HL141535
6 · The paper itself

Abstract

backgroundObesity is a significant risk factor of several cancers that imposes a substantial economic burden on US healthcare that remains to be quantified. We estimated the excess costs and economic burden of obesity-related cancers in the United States.

methodsFrom the Medical Expenditure Panel Survey (2008-2015) data, we identified 19 405 cancer survivors and 175 498 non-cancer individuals. We estimated annual health expenditures using generalized linear regression with log link and gamma distribution by cancer types (stratified by 11 obesity-related cancers and other cancer types), controlling for sociodemographic and clinical characteristics. All cost estimates were adjusted to 2015 USD value.

resultsThe average annual total health expenditures were $21 503 (95% CI, $20 946-$22 061) for those with obesity-related cancer and $13 120 (95% CI, $12 920-$13 319) for those with other cancer types. There was a positive association between body mass index and health expenditures among cancer survivors: for each additional 5-unit increase in body mass index, the average predicted expenditures increase by $1503 among those with obesity-related cancer and by $722 among those with other cancers. With adjustments for sociodemographic and clinical characteristics, the mean incremental expenditures of treating obesity-related cancer were 2.1 times higher than those of other cancers ($4492 vs $2139) and more considerable among the non-elderly cancer population. Obesity-related cancers accounted for nearly 43.5% of total direct cancer care expenditures, estimated at $35.9 billion in 2015.

conclusionThe economic burden of obesity-related cancer in the United States is substantial. Our findings suggest a need for the inclusion of comprehensive obesity prevention and treatment in cancer care.

Indexed as

Cost of IllnessAdolescentAdultAgedBody Mass IndexCancer SurvivorsCase-Control StudiesComorbidityFemaleHealth ExpendituresHumansMaleMiddle AgedNeoplasmsObesityUnited Statescancer burden in the United Stateseconomic burden of cancerexcess costs of cancer careobesity-related cancer

Identifiers

PMID31806194
PMCPMC7313233

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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.