Evidence map›Paper›PMID 37907133›Full record

ArticleAmerican journal of preventive medicine2024

Changes in Healthcare Utilization After Lifestyle Intervention for Weight Loss.

Sylvia E K Sudat, Qiwen Huang, Nina Szwerinski, Robert J Romanelli, Kristen M J Azar

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. [The Pierde Kilos, Gana Vida strategy, scope and prospects].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Article
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 at 2 institutions in 2 countries.

Sylvia E K SudatSutter Health, Center for Health Systems Research, Walnut Creek, California. Electronic address: sylvia.sudat@sutterhealth.org.
Qiwen HuangSutter Health, Center for Health Systems Research, Palo Alto, California.
Nina SzwerinskiSutter Health, Center for Health Systems Research, Palo Alto, California.
Robert J RomanelliRAND Europe, Health & Wellbeing, Cambridge, UK.
Kristen M J AzarSutter Health, Center for Health Systems Research, Palo Alto, California; Sutter Health, Institute for Advancing Health Equity, Sacramento, California; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Sutter Health · USRAND Europe · GB

Funding

Evaluation of a Lifestyle Intervention Adopted for Clinical Practice for Diabetes Prevention (ELEVATE-DP)R18DK110739 · NIDDK · PALO ALTO MEDICAL FOUNDATION RES INST · PI AZAR, KRISTEN M.J. · 2017 to 2021
$3.2M
NIDDK NIH HHS R18 DK110739
6 · The paper itself

Abstract

introductionThis study evaluates the real-world impact of a lifestyle change program (LCP) on healthcare utilization in a large health system.

methodsUsing electronic health record data from a large health system in northern California, U.S., LCP participant and propensity-score-matched nonparticipant outcomes were compared in the second year post-participation: (1) overall healthcare utilization and (2) utilization and medications related to cardiometabolic conditions and obesity. Adult LCP participants between 2010 and 2017 were identified and matched 1:1 with replacement to comparable nonparticipants. Participants without electronic health record activity in the 12-36 months before baseline, or with conditions or procedures associated with substantial weight change, were excluded. Statistical analysis and modeling were performed in 2021-22.

resultsCompared to matched nonparticipants, LCP participants in the 12-24 months post-baseline were more likely to have specialty-care visits (+4.7%, 95% CI +1.8%, +7.6%), electronic communications (8.6%, 95% CI +5.6%, +11.7%), and urgent-care visits (+6.5%, 95% CI +3.0%, 10.0%). Participants also had more office visits for cardiometabolic conditions and obesity (+1.72 visits/patient, 95% CI +1.05, +2.39).

conclusionsCompared with matched nonparticipants, LCP participation was associated with higher utilization of outpatient services post-participation. Additional research could assess whether this indicates an increase in preventive care that could lead to improved future outcomes.

Indexed as

Cardiovascular DiseasesLife StyleAdultHumansObesityPatient Acceptance of Health CareWeight Loss

Identifiers

PMID37907133
PMCPMC10957326
OpenAlexW4388140631

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.