Evidence map›Paper›PMID 41098876›Full record

ReviewInternational journal of preventive medicine2025

Economic Evaluation of Medications in Prevention and Treatment of Obesity: A Systematic Review.

Somaye Afshari, Majid Khosravi, Mahmood Zamandi, Aziz Rezapour, Marziye Hadian, Aghdas Souresrafil, Elaheh Mazaheri, Nasrin Abolhasanbeigi Gallehzan

Abstract readReview
In one paragraph

Review in International journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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.

Somaye AfshariHealth Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Majid KhosraviGastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences Qom, Iran.
Mahmood ZamandiDepartment of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Aziz RezapourHealth Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Marziye HadianHealth Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Aghdas SouresrafilDepartment of Health Services and Health Promotion, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences Rafsanjan, Iran.
Elaheh MazaheriChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Nasrin Abolhasanbeigi GallehzanHealth Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Obesity imposes a heavy burden on healthcare systems and society. Despite various treatment options, choosing cost-effective pharmacological interventions remains a key concern for health policymakers. This study systematically reviews economic evaluations of antiobesity drugs, comparing their costs and outcomes with those of lifestyle interventions. Methods: A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four databases (PubMed, Scopus, Web of Science, and Embase) were searched for full economic evaluations of FDA-approved antiobesity drugs, including semaglutide, liraglutide, tirzepatide, phentermine-topiramate, and orlistat. Inclusion criteria required studies to report cost-effectiveness, cost-utility, or cost-benefit outcomes. Data on incremental cost-effectiveness ratios (ICERs), quality-adjusted life years (QALY), or disability-adjusted life years (DALY) were extracted and adjusted to 2024 USD using PPP. Study quality was assessed using CHEERS 2022. Results: Fifteen studies met the inclusion criteria. Most used Markov models and cost-effectiveness analyses. The review of articles showed that 60% of the articles were conducted in the United States of America, 33.33% of the articles in Europe, and 6.66% of the articles in Australia. Among the reviewed studies, semaglutide was found to be the most cost-effective and clinically effective drug in most scenarios. Phentermine-topiramate showed acceptable cost-effectiveness, particularly in low-resource settings. Orlistat and naltrexone-bupropion were also considered affordable options, though with lower effectiveness. Tirzepatide, despite its high efficacy, demonstrated a higher ICER, making its cost-effectiveness context-dependent. Conclusions: These findings highlight the importance of integrating cost-effective pharmacological treatments into obesity management strategies. Semaglutide appears to be a highly effective and economically favorable option, while phentermine-topiramate and orlistat offer practical alternatives in resource-limited settings. Economic evaluations can inform policy decisions and optimize healthcare resource allocation in combating obesity.

Indexed as

Economic evaluationmedications-related weight lossobesitysystematic review

Identifiers

PMID41098876
PMCPMC12520633

What OpenQuestion holds

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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.