Obesity

Estimated Costs and Cost-Effectiveness of a Pediatric Weight Management Program

JAMA Netw OpenPublished Economic evaluation

Main finding · ICER per QALY gainedResult — go to the resultICER $10 554 per QALY gained

Authors' conclusion

In this economic evaluation of a pediatric weight management program, the Connect for Health program was estimated to be cost-effective. These findings are important for health care systems that serve children who are less likely to receive obesity-related care in making decisions about program adoption.

Study context

Population
Simulated pediatric cohort mirroring the Connect for Health randomized clinical trial (RCT) population (Boston, MA); 47% female, mean (SD) age 8.0 (3.0) years, mean (SD) BMI z score 1.91 (0.56)simulated cohort
Participants
2,494 participants
Exposure
Connect for Health program vs no intervention
Outcome
Costs of program implementation and ICER per quality-adjusted life-year (QALY) gained
Methodological detailsMarkov cohort model, simulation model, based on the Connect for Health RCT and implementation study, 2 academic medical centers, Data analyzed October 2023 to March 2025
  • Markov cohort model
  • Simulation model
  • Based on the Connect for Health RCT and implementation study
  • 2 academic medical centers
  • Data analyzed October 2023 to March 2025

Main finding

ICER per QALY gained · 2 years

Incremental cost-effectiveness ratio (ICER)

$10 554 per QALY gained

As reported in the abstract

Observational data: associations, not effects.

Further findings

Implementation costs in primary care

1-time startup costs
$58 000
Ongoing monthly costs
$1300

Cohort size threshold to amortize costs

Children in a cohort needed to effectively amortize costs
534

Original publication

Estimated Costs and Cost-Effectiveness of a Pediatric Weight Management Program. JAMA Netw Open. Published 1 May 2025. doi:10.1001/jamanetworkopen.2025.10087

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