Evidence map›Paper›PMID 37990675›Full record

ArticleObesity pillars2023

Weight management treatment modalities in patients with overweight or obesity: A retrospective cohort study of administrative claims data.

Hong Kan, Jason P Swindle, Jay Bae, Julia P Dunn, Erin K Buysman, Noelle N Gronroos, Lindsay Bengtson, Chanadda Chinthammit, Janet Ford, Nadia Ahmad

Open access · diamondAbstract read
In one paragraph

Article in Obesity pillars, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 5 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Hong KanEli Lilly, 893 Delaware St, Indianapolis, IN, USA.
Jason P SwindleEvidera, 500 Totten Pond Rd, Waltham, MA, 02451, USA.
Jay BaeEli Lilly, 893 Delaware St, Indianapolis, IN, USA.
Julia P DunnEli Lilly, 893 Delaware St, Indianapolis, IN, USA.
Erin K BuysmanOptum, 11000 Optum Circle, Eden Prairie, MN, USA.
Noelle N GronroosOptum, 11000 Optum Circle, Eden Prairie, MN, USA.
Lindsay BengtsonBoehringer Ingelheim, 900 Ridgebury Rd, Ridgefield, CT, USA.
Chanadda ChinthammitEli Lilly, 893 Delaware St, Indianapolis, IN, USA.
Janet FordAgios Pharmaceuticals, Inc., Cambridge, MA, USA.
Nadia AhmadEli Lilly, 893 Delaware St, Indianapolis, IN, USA.
Eli Lilly (United States) · USOptum (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The purpose of this study was to describe demographic and clinical characteristics among patients who have medical encounters for weight management treatments and to investigate the association of those characteristics with treatment modality. Methods: This was a retrospective database study using medical claims, pharmacy claims, and enrollment information from commercial and Medicare Advantage with Part D members in the Optum Research Database from 01/01/2011-2/29/2020. Adult patients with a claim for a weight management treatment from 01/01/2012-2/28/2019 were categorized into cohorts according to the highest intensity intervention received. To examine the association between patient characteristics and treatment modality received, a multinomial logit model was performed. Results: Cohorts by increasing intensity included lifestyle intervention (LSI, n = 67,679), weight reduction pharmacotherapy (WRRx) with an anti-obesity medication (AOM, n = 6,905), weight reduction procedure (WRP, n = 1,172), and weight reduction surgery (WRS, n = 18,036). Approximately 32.1% and 16.6% of patients who received WRS or WRP had an LSI during the 12-month baseline, and only 0.6% and 0.4% had treatment with long-term AOMs. In a multinomial logit model, patients with type 2 diabetes (not including WRRx cohort), respiratory disorders, cardiovascular risk factors, pain disorders, and mental health conditions had increased odds of treatment with higher intensity intervention versus LSI. Patients who were male, received an intervention more recently (2016-2019), or had a Charlson comorbidity score of 1 (compared to 0) had decreased odds of treatment with higher intensity interventions. Conclusion: In this study, age, sex, body mass index, obesity-related complications, and Charlson comorbidity score appeared to influence the type of weight management treatment modality received. This study improves understanding of weight management treatment utilization and identifies gaps and opportunities to improve obesity care with the appropriate use of different treatment modalities.

Indexed as

Anti-Obesity medicationsLifestyle interventionObesityOverweightSurgeryWeight reduction

Identifiers

PMID37990675
PMCPMC10661997
OpenAlexW4377690858

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.