Evidence map›Paper›PMID 38822866›Full record

ArticleHealth economics review2024

The healthcare costs of increased body mass index-evidence from The Trøndelag Health Study.

Christina Hansen Edwards, Johan Håkon Bjørngaard, Jonas Minet Kinge, Gunnhild Åberge Vie, Vidar Halsteinli, Rønnaug Ødegård, Bård Kulseng, Gudrun Waaler Bjørnelv

Abstract read
In one paragraph

Article in Health economics review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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.

Christina Hansen EdwardsDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway. christina.h.edwards@ntnu.no.ORCID http://orcid.org/0000-0003-2329-1739
Johan Håkon BjørngaardDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Jonas Minet KingeNorwegian Institute of Public Health, Oslo, Norway.
Gunnhild Åberge VieDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Vidar HalsteinliRegional Center for Healthcare Improvement, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Rønnaug ØdegårdRegional Center for Obesity Research and Innovation, Department of Surgery, St. Olavs Hospital, Trondheim, Norway.
Bård KulsengRegional Center for Obesity Research and Innovation, Department of Surgery, St. Olavs Hospital, Trondheim, Norway.
Gudrun Waaler BjørnelvDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarlier studies have estimated the impact of increased body mass index (BMI) on healthcare costs. Various methods have been used to avoid potential biases and inconsistencies. Each of these methods measure different local effects and have different strengths and weaknesses.

methodsIn the current study we estimate the impact of increased BMI on healthcare costs using nine common methods from the literature: multivariable regression analyses (ordinary least squares, generalized linear models, and two-part models), and instrumental variable models (using previously measured BMI, offspring BMI, and three different weighted genetic risk scores as instruments for BMI). We stratified by sex, investigated the implications of confounder adjustment, and modelled both linear and non-linear associations.

resultsThere was a positive effect of increased BMI in both males and females in each approach. The cost of elevated BMI was higher in models that, to a greater extent, account for endogenous relations.

conclusionThe study provides solid evidence that there is an association between BMI and healthcare costs, and demonstrates the importance of triangulation.

Indexed as

Causal inferenceEstimationHealthInstrumental variablesMendelian randomizationObesityRegression models

Identifiers

PMID38822866
PMCPMC11143647

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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.