Evidence map›Paper›PMID 37704630›Full record

ArticleNature communications2023

Quantifying the causal impact of biological risk factors on healthcare costs.

Jiwoo Lee, Sakari Jukarainen, Antti Karvanen, Padraig Dixon, Neil M Davies, George Davey Smith, Pradeep Natarajan, Andrea Ganna

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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.

Jiwoo LeeBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-0555-585X
Sakari JukarainenInstitute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland.
Antti KarvanenInstitute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland.
Padraig DixonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Neil M DaviesDivision of Psychiatry, University College London, Maple House, 149 Tottenham Court Rd, London, W1T 7NF, UK.ORCID http://orcid.org/0000-0002-2460-0508
George Davey SmithMedical Research Council Integrative Epidemiology Unit, University of Bristol, BS8 2BN, Bristol, UK.ORCID http://orcid.org/0000-0002-1407-8314
Pradeep NatarajanBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-8402-7435
Andrea GannaBroad Institute of MIT and Harvard, Cambridge, MA, USA. andrea.ganna@helsinki.fi.ORCID http://orcid.org/0000-0002-8147-240X

Funding

Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00032/1
6 · The paper itself

Abstract

Understanding the causal impact that clinical risk factors have on healthcare-related costs is critical to evaluate healthcare interventions. Here, we used a genetically-informed design, Mendelian Randomization (MR), to infer the causal impact of 15 risk factors on annual total healthcare costs. We calculated healthcare costs for 373,160 participants from the FinnGen Study and replicated our results in 323,774 individuals from the United Kingdom and Netherlands. Robust causal effects were observed for waist circumference (WC), adult body mass index, and systolic blood pressure, in which a standard deviation increase corresponded to 22.78% [95% CI: 18.75-26.95], 13.64% [10.26-17.12], and 13.08% [8.84-17.48] increased healthcare costs, respectively. A lack of causal effects was observed for certain clinically relevant biomarkers, such as albumin, C-reactive protein, and vitamin D. Our results indicated that increased WC is a major contributor to annual total healthcare costs and more attention may be given to WC screening, surveillance, and mitigation.

Indexed as

AlbuminsHealth Care CostsAdultBody Mass IndexCausalityHumansRisk FactorsAlbumins

Identifiers

PMID37704630
PMCPMC10499912

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.