Evidence map›Paper›PMID 41365841›Full record

SynthesisDiabetes, obesity & metabolism2026

GLP-1 receptor agonists for treating obesity without diabetes: A systematic review and meta-analysis of economic evaluations.

Teerapon Dhippayom, Manuel Meraz, Haeseon Lee, Chin Hur, John M Inadomi, Sajesh K Veettil, Jeffrey D Dunn, Nathorn Chaiyakunapruk

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. How users perceive meta-analysis of economic evaluations.International journal of technology assessment in health care · 2026
    Article
  5. Modern Management of CKM Syndrome: Use of GLP-1 Receptor Agonists in a Multidisciplinary Setting-Expert Group Recommendations from Kuwait.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  6. 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.

Teerapon DhippayomDepartment of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, Utah, USA.ORCID 0000-0001-6222-6476
Manuel MerazDepartment of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, Utah, USA.
Haeseon LeeDepartment of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, Utah, USA.
Chin HurDepartment of Medicine, Columbia University, Irving Medical Center, New York, New York, USA.
John M InadomiDepartment of Internal Medicine, University of Utah, Spencer Fox Eccles School of Medicine, Salt Lake City, Utah, USA.
Sajesh K VeettilSchool of Pharmacy, IMU University, Kuala Lumpur, Malaysia.
Jeffrey D DunnDepartment of Pharmacy, Cooperative Benefits Group (CBG), Sandy, Utah, USA.
Nathorn ChaiyakunaprukDepartment of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, Utah, USA.ORCID 0000-0003-4572-8794

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo pool the incremental net benefits (INBs) of using glucagon-like peptide-1 receptor agonists (GLP-1RAs) for treating obesity without diabetes. MATERIALS AND

methodsPubMed, Embase, EconLit, CEA Registry, ProQuest Dissertation and Theses Global were searched from inception to April 2024. Cost-effectiveness studies were included if they reported economic outcomes of any GLP-1RAs in the treatment of obesity without diabetes for a minimum time horizon of 5 years. Details of the study characteristics, economic model inputs, costs, and outcomes were extracted. Monetary units were converted to 2023 US dollars. INBs with 95% confidence interval (CI) were pooled using a random-effects model. Statistical heterogeneity between studies was assessed using the I

resultsOf 634 studies identified, 9 from high-income countries (HICs) with 23 comparisons were included. The pooled INB demonstrated that semaglutide and liraglutide were not cost-effective compared to no intervention (-$3659 [95% CI, -$74 379 to $67 062] and -$32 032 [95% CI, -$101 534 to $37 488], respectively) and lifestyle interventions (-$84 060 [95% CI, -$152 645 to -$15 475] and -$70 563 [95% CI, -$106 520 to -$34 605], respectively).

conclusionsGLP-1RAs are generally not cost-effective for obesity treatment in patients without diabetes in HICs from a healthcare/payer perspective. However, they may be cost-effective in subgroups evaluated over longer time horizons. Most included studies focused on weight-related outcomes, potentially underestimating the broader economic value of GLP-1RAs. This pooled economic evidence may inform the decision-making process.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsObesityCost-Benefit AnalysisHumansHypoglycemic AgentsLiraglutideGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLiraglutidecost‐effectivenessglucagon‐like peptide‐1 receptor agonistsincremental net benefitsmeta‐analysisobesity

Identifiers

PMID41365841
PMCPMC12803668

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY
Read underepoch 390

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.