Evidence map›Paper›PMID 39192764›Full record

ArticleObesity (Silver Spring, Md.)2024

Cost-effectiveness of a primary care-based Healthy Weight Clinic compared with usual care.

Mona Sharifi, Lauren G Fiechtner, Jessica L Barrett, Giselle O'Connor, Meghan Perkins, Jennifer Reiner, Mandy Luo, Elsie M Taveras, Steven L Gortmaker

Abstract readComparative Study
In one paragraph

Article in Obesity (Silver Spring, Md.), 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.

  1. Review
  2. Review
  3. Article
  4. 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

9 authors.

Mona SharifiSection of General Pediatrics, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0002-1632-7038
Lauren G FiechtnerDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-0180-3385
Jessica L BarrettDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-1011-934X
Giselle O'ConnorDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts, USA.
Meghan PerkinsDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts, USA.
Jennifer ReinerDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Mandy LuoDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts, USA.
Elsie M TaverasDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts, USA.
Steven L GortmakerDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-4904-9377

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Prevention Research Center on Nutrition and Physical ActivityU48DP006376 · DP · HARVARD SCHOOL OF PUBLIC HEALTH · PI GORTMAKER, STEVEN L · 2018 to 2023
$5.0M
Dissemination and Implementation of the Bright Bodies Intervention for Childhood ObesityR01HL151603 · NHLBI · YALE UNIVERSITY · PI Mahnoosh Sharifi · 2020 to 2026
$4.7M
Implementation of Decision Support for the Management of Obesity in a National Pediatric Primary Care Research NetworkR01MD014853 · NIMHD · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2020 to 2024
$3.9M
Clinical-Community Approaches to Pediatric Weight Management: MA CORD 2.0U18DP006259 · DP · MASSACHUSETTS STATE DEPT OF PUB HEALTH · PI LAND, THOMAS GROVER, TAVERAS BENAVIDEZ, ELSIE MIREYA · 2016 to 2017
$3.3M
Simulation Modeling and Disparities in Obesity and Chronic DiseaseR01HL146625 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI GORTMAKER, STEVEN L · 2019 to 2022
$1.6M
Patient Oriented Research and Mentorship in Childhood Obesity DisparitiesK24DK105989 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TAVERAS BENAVIDEZ, ELSIE MIREYA · 2015 to 2019
$907k
Creating effective childhood obesity interventions through the study ofpositive outliersK23HD090222 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI FIECHTNER, LAUREN GEHLER · 2018 to 2021
$696k
Patient Oriented Research and Mentorship in Childhood Obesity DisparitiesK24HL159680 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI TAVERAS BENAVIDEZ, ELSIE MIREYA · 2021 to 2025
$510k
Using Electronic Health Records to Support Decision-Making in Pediatric Obesity CareK08HS024332 · AHRQ · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2016 to 2018
$461k
AHRQ HHS K08 HS024332AHRQ HHS K08HS024332Eunice Kennedy Shriver National Institute of Child Health and Human Development K23HD090222JPB Foundation 1085NCATS NIH HHS UL1 TR001863NCCDPHP CDC HHS U18 DP006259NCCDPHP CDC HHS U18DP006259NCCDPHP CDC HHS U48 DP006376NCCDPHP CDC HHS U48DP006376NHLBI NIH HHS K24 HL159680NHLBI NIH HHS K24HL159680NHLBI NIH HHS R01 HL146625NHLBI NIH HHS R01HL146625NHLBI NIH HHS R01 HL151603NHLBI NIH HHS R01HL151603NICHD NIH HHS K23 HD090222NIDDK NIH HHS K24 DK105989NIDDK NIH HHS K24DK105989NIMHD NIH HHS R01 MD014853NIMHD NIH HHS R01MD014853
6 · The paper itself

Abstract

objectiveThe objective of this study was to project the cost-effectiveness of implementing the Healthy Weight Clinic (HWC), a primary care-based intervention for 6- to 12-year-old children with overweight or obesity, at federally qualified health centers (FQHCs) nationally.

methodsWe estimated intervention costs from a health care sector and societal perspective and used BMI change estimates from the HWC trial. Our microsimulation of national HWC implementation among all FQHCs from 2023 to 2032 estimated cost per child and per quality-adjusted life year (QALY) gained and projected impact on obesity prevalence by race and ethnicity. Probabilistic sensitivity analyses assessed uncertainty around estimates.

resultsNational implementation is projected to reach 888,000 children over 10 years, with a mean intervention cost of $456 (95% uncertainty interval [UI]: $409-$506) per child to the health care sector and $211 (95% UI: $175-$251) to families (e.g., time participating). Assuming effect maintenance, national implementation could result in 2070 (95% UI: 859-3220) QALYs gained and save $14.6 million (95% UI: $5.6-$23.5 million) in health care costs over 10 years, yielding a net cost of $278,000 (95% CI: $177,000-$679,000) per QALY gained. We project greater reductions in obesity prevalence among Hispanic/Latino and Black versus White populations.

conclusionsThe HWC is relatively low-cost per child and projected to reduce obesity disparities if implemented nationally in FQHCs.

Indexed as

Cost-Benefit AnalysisPediatric ObesityPrimary Health CareQuality-Adjusted Life YearsBlack or African AmericanBody Mass IndexChildFemaleHealth Care CostsHispanic or LatinoHumansMaleOverweightPrevalenceUnited StatesWhite

Identifiers

PMID39192764
PMCPMC11361715

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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.