Obesity

Variations in healthcare costs by body mass index and obesity‐related complications in a UK population: A retrospective open cohort study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

The economic impact of obesity could be alleviated by weight management support based on unmet need, to limit the effects of BMI progression and ORC development.

Study context

Population
UK adults with overweight or obesity in Discover, a linked primary and secondary electronic health records database covering 2.7 million individuals; costs 2015–2019
Participants
1,008,101 / 278,782 / 80,621 / 42,642
Exposure
Healthcare costs and healthcare resource utilization (HCRU) across body mass index (BMI) strata
  • Overweightn = 1,008,101
  • Obesity class In = 278,782
  • Obesity class IIn = 80,621
  • Obesity class IIIn = 42,642
Outcome
Healthcare resource utilization (HCRU) and healthcare costs (primary care, secondary care, prescriptions) by BMI
Follow-up
2015-2019
Methodological detailsopen cohort, linked primary and secondary electronic health records database
  • Open cohort
  • Linked primary and secondary electronic health records database

Main finding

As reported in the abstract

2015 and 2019

Costs per person per year, 2015 (range across BMI groups)

£851-£1321

HCRU events per person per year, 2015

10.6-13.4 events

Costs per person per year, 2019

£1143-£1871

HCRU events per person per year, 2019

11.4-14.9 events

Observational data: associations, not effects.

Further findings

Costs by complication

Groups with CKD or CVD incurred particularly high costs

Cost concentration among individuals with obesity · 2019

Individuals with obesity in 2019
270 493
Share of total healthcare costs incurred by highest cost quintile
more than 72%
Highest cost quintile had higher mean age and more obesity-related complications than lower quintiles

Original publication

Variations in healthcare costs by body mass index and obesity‐related complications in a UK population: A retrospective open cohort study. Diabetes Obes Metab. Published 19 August 2024. doi:10.1111/dom.15785

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