Evidence map›Paper›PMID 41061006›Full record

SynthesisPloS one2025

Costs of mental health care resource use in people with obesity: A systematic review.

Nienke de Graef, Arianna Morris Gouveia, Aggie Paulus, Inge van der Putten, Emma Frew, Irina Pokhilenko

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Nienke de GraefDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.ORCID https://orcid.org/0009-0007-3019-3092
Arianna Morris GouveiaHealth Economics Unit, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, The United Kingdom.ORCID https://orcid.org/0009-0003-9611-6760
Aggie PaulusDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Inge van der PuttenDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Emma FrewCentre for Economics of Obesity, Health Economics Unit, School of Health Science, College of Medicine and Health, University of Birmingham, Birmingham, The United Kingdom.
Irina PokhilenkoCentre for Economics of Obesity, Health Economics Unit, School of Health Science, College of Medicine and Health, University of Birmingham, Birmingham, The United Kingdom.ORCID https://orcid.org/0000-0001-6390-2851

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is a complex condition with significant economic implications. Healthcare costs associated with obesity are spread across all categories of health services, including mental health care. However, little evidence is available regarding the magnitude and types of costs associated with mental health care resource use by people with obesity.

objectivesThis systematic review aimed to synthesise the evidence on the costs of mental health care resource use by people with obesity.

methodsA systematic literature search was conducted in PubMed (Medline), Embase (Ovid), PsycINFO (EBSCO), and Econlit (EBSCO) based on PRISMA guidelines to identify cost-of-illness (COI) studies of obesity published in English since 2016. Peer-reviewed studies estimating obesity-related costs using primary or secondary data in children or adults were included. The COI studies quality tool by Schnitzler et al. was adopted to assess the methodological quality of studies. Data extracted included general study characteristics and costs associated with mental health care. Results were synthesised narratively.

resultsA total of 5,565 records were identified post-duplication removal. Following selection, 33 COI studies were included, which mentioned mental health care costs; fifteen considered the monetary value of mental health care costs as separate costs in their analyses. The proportion of total annual healthcare costs attributable to mental health care ranged between 0.70% and 25.10%. DISCUSSION: Our findings suggest that people with obesity incur substantial costs related to the use of mental health care, yet less than half of the included COI studies reported mental health care costs separately from total healthcare costs attributable to obesity. This highlights the importance of greater transparency and granularity when reporting costs. Furthermore, it is imperative to shed more light on the economic impact of co-morbid obesity and mental health. This research is essential for facilitating effective resource allocation and addressing the healthcare needs of this population.

Indexed as

Health Care CostsMental Health ServicesObesityCost of IllnessHumans

Identifiers

PMID41061006
PMCPMC12507204

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.