A systematic review of the cost-effectiveness of non-surgical obesity interventions in men

Boyers, Dwayne; Avenell, Alison; Stewart, Fiona; Robertson, Clare; Archibald, Daryll; Douglas, Flora; Hoddinott, Pat; Teijlingen, Edwin van

doi:10.1016/j.orcp.2015.03.001

Cited by 12 publications

(7 citation statements)

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“…1 25 ); an additional 15 records [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] were identified manually via systematic reviews. [41][42][43][44][45][46] After removing duplicates, 1792 records were screened on title/abstract, and 1577 records were excluded based on the eligibility criteria. The remaining 215 articles underwent full-text screening, which resulted in a final list of 49 articles.…”

Section: Resultsmentioning

confidence: 99%

“…100 Moreover, multiple criteria decision analysis might be considered for future research, because there are many factors besides cost-effectiveness that affect the value of PN. 42,[101][102][103] Personal preferences might be relevant as well, and particularly for dietrelated interventions, since food-and all activities related to food-has a profound role in a person's life. Therefore, any assessment of the merits of PN strategies should consider preferences.…”

Section: Future Researchmentioning

confidence: 99%

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A Systematic Review of Cost-Effectiveness Studies of Interventions With a Personalized Nutrition Component in Adults

2021

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Important links between dietary patterns and diseases have been widely applied to establish nutrition interventions. However, knowledge about between-person heterogeneity regarding the benefits of nutrition intervention can be used to personalize the intervention and thereby improve health outcomes and efficiency. We performed a systematic review of cost-effectiveness analyses (CEAs) of interventions with a personalized nutrition (PN) component to assess their methodology and findings. Methods: A systematic search (March 2019) was performed in 5 databases: EMBASE, Medline Ovid, Web of Science, Cochrane CENTRAL, and Google Scholar. CEAs involving interventions in adults with a PN component were included; CEAs focusing on clinical nutrition or undernutrition were excluded. The CHEERS checklist was used to assess the quality of CEAs. Results: We identified 49 eligible studies among 1792 unique records. Substantial variation in methodology was found. Most studies (91%) focused only on psychological concepts of PN such as behavior and preferences. Thirty-four CEAs were trial-based, 13 were modeling studies, and 4 studies were both trial-and model-based. Thirty-two studies used qualityadjusted life-year as an outcome measure. Different time horizons, comparators, and modeling assumptions were applied, leading to differences in costs/quality-adjusted life-years. Twenty-eight CEAs (49%) concluded that the intervention was cost-effective, and 75% of the incremental cost-utility ratios were cost-effective given a willingness-to-pay threshold of $50 000 per quality-adjusted life-year. Conclusions: Interventions with PN components are often evaluated using various types of models. However, most PN interventions have been considered cost-effective. More studies should examine the cost-effectiveness of PN interventions that combine psychological and biological concepts of personalization.

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Section: Resultsmentioning

confidence: 99%

Section: Future Researchmentioning

confidence: 99%

A Systematic Review of Cost-Effectiveness Studies of Interventions With a Personalized Nutrition Component in Adults

2021

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“…The obesity epidemic has been historically considered as a disease of high-income countries, but now is clearly characterizing also low- and middle-income countries with an increasing economic burden ( Mitchell and Shaw, 2015 ). Although this scenario is critical, lifestyle interventions show promising results in terms of clinical evidence and cost-effectiveness ( Nugent, 2008 ; Boyers et al, 2015 ; Jerome et al, 2015 ; Whitfield et al, 2015 ).…”

Section: High Costs and Long-term Problems Of Adherence In Traditionamentioning

confidence: 99%

Chronic care management of globesity: promoting healthier lifestyles in traditional and mHealth based settings

et al. 2015

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Obesity and being overweight could be real chronic conditions above all if there are other complications such as type 2 diabetes, cardiovascular diseases, hypertension, dyslipidemia, hypercholesterolemia, cancer, and various psychosocial and psychopathological disorders. Due to the multifactorial etiology of obesity, evidence-based interventions to improve weight loss, maintain a healthy weight, and reduce related comorbidities combine different treatment approaches: dietetic, nutritional, physical, behavioral, psychological, and, in some situations, pharmacological and surgical. There are significant limitations in this multidisciplinary chronic care management of obesity, most notably those regarding costs and long-term adherence and efficacy. Programs including eHealth platforms and new technologies could overcome limitations connected to the traditional in-patient chronic care management of obesity, thus providing promising opportunities in enhancing weight reduction and reducing complications in terms of long-term efficacy and effectiveness across clinical, organizational, and economic perspectives.

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“…[ 5 , 10 , 14 ]. EQ-5D-5L is the preferred instrument for evaluation of QoL by the National Institute of Health and Care Excellence (NICE) UK, the Canadian agency for drugs and technology in health (CADTH), the European network of technology assessment (EunetHTA) and other decision making bodies [ 15 , 16 ]. Utility values obtained by EQ-5D-5L questionnaire can be used for assessment of QALYs [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of utility values and QALYs after primary PCI with DP-Xience and BP-Biomatrix stents

et al. 2021

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Background Primary percutaneous coronary intervention (PPCI) is the recommended treatment in ST elevated myocardial infarction (STEMI). The determination of Quality of life (QoL) for various options of coronary revascularization is important for establishment of a comprehensive care plan. Studies of QoL in interventional cardiology are scarce. Our study has compared utility scores and quality adjusted life year (QALY) of 2nd and 3rd generation drug eluting stents (DES). Methods An observational cohort study was conducted to evaluate QoL and QALY using EQ-5D-5L questionnaire. Patients undergoing PPCI between July-Dec 2019 were evaluated after completion of one year of procedure. Results Total 334 patients were evaluated, study population consisted of a greater number of males (87.13%) than females. Mean utility value was more in 3rd G Biomatrix stents; 0.829 ± 0.11 than 2nd G Xience stents; 0.794 ± 0.11 (p < 0.05). Visual analogue scale (VAS) value was also high in 3rd G DES (81.84 ± 8.29) as compared to 2nd G DES (77.81 ± 9.01); p< 0.05. A significant association was found between utility scores/VAS and age, DM, HTN, Current smoking, family history and CAD diagnosis. There was a gain of 0.035 QALY with the use of Biomatrix DES. Conclusion Health related quality of life (HRQOL) is a leading support in the decision making of therapeutic interventions. Our study has found that Biodegradable polymer (BP) Biomatrix DES are superior to the Durable polymer (DP) Xience DES having better QoL and QALY.

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A systematic review of the cost-effectiveness of non-surgical obesity interventions in men

Abstract: review is an update of the NIHR project. We would also like to thank the Men's Health Forums of 46

Cited by 12 publications

References 28 publications

A Systematic Review of Cost-Effectiveness Studies of Interventions With a Personalized Nutrition Component in Adults

A Systematic Review of Cost-Effectiveness Studies of Interventions With a Personalized Nutrition Component in Adults

Chronic care management of globesity: promoting healthier lifestyles in traditional and mHealth based settings

Assessment of utility values and QALYs after primary PCI with DP-Xience and BP-Biomatrix stents

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