Evidence map›Paper›PMID 37308927›Full record

ArticleBMC health services research2023

Outpatient healthcare costs associated with overweight and obesity in Italy.

Vincenzo Atella, Federico Belotti, Claudio Cricelli, Matilde Giaccherini, Gerardo Medea, Antonio Nicolucci, Andrea Piano Mortari, Paolo Sbraccia

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Association of body mass index categories with healthcare use and health expenditures in Switzerland: a cross-sectional, community-based study.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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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

8 authors.

Vincenzo AtellaDepartment of Economics and Finance, University of Rome Tor Vergata, via Columbia n. 2, 00133, Roma, Italy. atella@uniroma2.it.
Federico BelottiDepartment of Economics and Finance, University of Rome Tor Vergata, via Columbia n. 2, 00133, Roma, Italy.
Claudio CricelliItalian College of General Practitioners, Florence, Italy.
Matilde GiaccheriniCEIS Tor Vergata, University of Rome Tor Vergata, Roma, Italy.
Gerardo MedeaItalian College of General Practitioners, Florence, Italy.
Antonio NicolucciCenter for Outcomes Research and Clinical Epidemiology - CORESEARCH, Pescara, Italy.
Andrea Piano MortariDepartment of Economics and Finance, University of Rome Tor Vergata, via Columbia n. 2, 00133, Roma, Italy.
Paolo SbracciaDepartment of Systems Medicine, University of Rome Tor Vergata, Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate outpatient healthcare expenditure associated with different levels of BMI and glucose metabolism alterations.

methodsThe study is based on a representative national sample of adults, with data obtained from electronic clinical records of 900 Italian general practitioners. Data relative to the year 2018 were analyzed. The study population was classified according to BMI (normal weight, overweight, and obesity classes 1, 2, and 3) and glucose metabolism status (normoglycemia - NGT; impaired fasting glucose - IFG; diabetes mellitus - DM). Outpatient health expenditures include diagnostic tests, specialist visits, and drugs.

resultsData relative to 991,917 adults were analyzed. Annual per capita expenditure rose from 252.2 Euro among individuals with normal weight to 752.9 Euro among those with class 3 obesity. The presence of obesity determined an excess cost, particularly among younger individuals. Within each BMI class, the presence of IFG or DM2 identified subgroups of individuals with substantially higher healthcare expenditures.

conclusionsOutpatient healthcare costs markedly increased with increasing BMI in all age categories, particularly among individuals below 65. Addressing the double burden of excess weight and hyperglycemia represents a significant challenge and a healthcare priority.

Indexed as

OutpatientsOverweightAdultGlucoseHealth Care CostsHumansItalyObesityGlucoseComorbiditiesHealthcare costsObesity

Identifiers

PMID37308927
PMCPMC10258973

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.