Evidence map›Paper›PMID 33409452›Full record

ArticleJNCI cancer spectrum2020

Cost-Effectiveness of a National Sugar-Sweetened Beverage Tax to Reduce Cancer Burdens and Disparities in the United States.

Mengxi Du, Christina F Griecci, David D Kim, Frederick Cudhea, Mengyuan Ruan, Heesun Eom, John B Wong, Parke E Wilde, Dominique S Michaud, Yujin Lee and 3 more

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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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  10. JNCI cancer spectrum · 2020
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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

13 authors.

Mengxi DuFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.ORCID 0000-0002-6406-7250
Christina F GriecciFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
David D KimCenter for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.ORCID 0000-0002-3383-8972
Frederick CudheaFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Mengyuan RuanDepartment of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, MA, USA.ORCID 0000-0001-7555-8963
Heesun EomFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.ORCID 0000-0002-5526-8608
John B WongDivision of Clinical Decision Making, Tufts Medical Center, Boston, MA, USA.ORCID 0000-0003-4203-9010
Parke E WildeFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Dominique S MichaudDepartment of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, MA, USA.
Yujin LeeFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Renata MichaFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.ORCID 0000-0002-3983-1632
Dariush MozaffarianFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.ORCID 0000-0001-7958-9492
Fang Fang ZhangFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.ORCID 0000-0002-3130-0087

Funding

Cost-Effectiveness of Health System and State-Level Strategies to Improve Diet and Reduce Cardiometabolic DiseasesR01HL115189 · NHLBI · TUFTS UNIVERSITY BOSTON · PI DARIUSH MOZAFFARIAN · 2013 to 2026
$8.2M
Comparative and Cost-Effectiveness of Population Strategies to Improve Diet and Reduce CancerR01MD011501 · NIMHD · TUFTS UNIVERSITY BOSTON · PI ZHANG, FANG FANG · 2016 to 2019
$2.0M
NHLBI NIH HHS R01 HL115189NIMHD NIH HHS R01 MD011501
6 · The paper itself

Abstract

backgroundSugar-sweetened beverage (SSB) consumption contributes to obesity, a risk factor for 13 cancers. Although SSB taxes can reduce intake, the health and economic impact on reducing cancer burdens in the United States are unknown, especially among low-income Americans with higher SSB intake and obesity-related cancer burdens.

methodsWe used the Diet and Cancer Outcome Model, a probabilistic cohort state-transition model, to project health gains and economic benefits of a penny-per-ounce national SSB tax on reducing obesity-associated cancers among US adults aged 20 years and older by income.

resultsA national SSB tax was estimated to prevent 22 075 (95% uncertainty interval [UI] = 16 040-28 577) new cancer cases and 13 524 (95% UI = 9841-17 681) cancer deaths among US adults over a lifetime. The policy was estimated to cost $1.70 (95% UI = $1.50-$1.95) billion for government implementation and $1.70 (95% UI = $1.48-$1.96) billion for industry compliance, while saving $2.28 (95% UI = $1.67-$2.98) billion cancer-related healthcare costs. The SSB tax was highly cost-effective from both a government affordability perspective (incremental cost-effectiveness ratio [ICER] = $1486, 95% UI = -$3516-$9265 per quality-adjusted life year [QALY]) and a societal perspective (ICER = $13 220, 95% UI = $3453-$28 120 per QALY). Approximately 4800 more cancer cases and 3100 more cancer deaths would be prevented, and $0.34 billion more healthcare cost savings would be generated among low-income (federal poverty-to-income ratio [FPIR] ≤ 1.85) than higher-income individuals (FPIR > 1.85).

conclusionsA penny-per-ounce national SSB tax is cost-effective for cancer prevention in the United States, with the largest health gains and economic benefits among low-income Americans.

Identifiers

PMID33409452
PMCPMC7771430

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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.