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Health care costs attributable to overweight calculated in a standardized way for three European countries.

Lette, M; Bemelmans, W J E; Breda, J; Slobbe, L C J; Alves Dias, Joana LU and Boshuizen, H C (2014) In European Journal of Health Economics
Abstract
This article presents a tool to calculate health care costs attributable to overweight in a comparable and standardized way. The purpose is to describe the methodological principles of the tool and to put it into use by calculating and comparing the costs attributable to overweight for The Netherlands, Germany and Czech Republic. The tool uses a top-down and prevalence-based approach, consisting of five steps. Step one identifies overweight-related diseases and age- and gender-specific relative risks. Included diseases are ischemic heart disease, stroke, hypertension, type 2 diabetes mellitus, colorectal cancer, postmenopausal breast cancer, endometrial cancer, kidney cancer and osteoarthritis. Step two consists of collecting data on the... (More)
This article presents a tool to calculate health care costs attributable to overweight in a comparable and standardized way. The purpose is to describe the methodological principles of the tool and to put it into use by calculating and comparing the costs attributable to overweight for The Netherlands, Germany and Czech Republic. The tool uses a top-down and prevalence-based approach, consisting of five steps. Step one identifies overweight-related diseases and age- and gender-specific relative risks. Included diseases are ischemic heart disease, stroke, hypertension, type 2 diabetes mellitus, colorectal cancer, postmenopausal breast cancer, endometrial cancer, kidney cancer and osteoarthritis. Step two consists of collecting data on the age- and gender-specific prevalence of these diseases. Step three uses the population-attributable prevalence to determine the part of the prevalence of these diseases that is attributable to overweight. Step four calculates the health care costs associated with these diseases. Step five calculates the costs of these diseases that are attributable to overweight. Overweight is responsible for 20-26 % of the direct costs of included diseases, with sensitivity analyses varying this percentage between 15-31 %. Percentage of costs attributable to obesity and preobesity is about the same. Diseases with the highest percentage of costs due to overweight are diabetes, endometrial cancer and osteoarthritis. Disease costs attributable to overweight as a percentage of total health care expenditures range from 2 to 4 %. Data are consistent for all three countries, resulting in roughly a quarter of costs of included diseases being attributable to overweight. (Less)
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author
organization
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type
Contribution to journal
publication status
published
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in
European Journal of Health Economics
publisher
Springer
external identifiers
  • pmid:25432787
  • scopus:84953836847
ISSN
1618-7601
DOI
10.1007/s10198-014-0655-8
language
English
LU publication?
yes
id
3aa1aba0-e541-45fc-b44a-2f3223d7dba2 (old id 4935630)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25432787?dopt=Abstract
date added to LUP
2015-01-15 13:07:07
date last changed
2017-05-21 03:00:30
@article{3aa1aba0-e541-45fc-b44a-2f3223d7dba2,
  abstract     = {This article presents a tool to calculate health care costs attributable to overweight in a comparable and standardized way. The purpose is to describe the methodological principles of the tool and to put it into use by calculating and comparing the costs attributable to overweight for The Netherlands, Germany and Czech Republic. The tool uses a top-down and prevalence-based approach, consisting of five steps. Step one identifies overweight-related diseases and age- and gender-specific relative risks. Included diseases are ischemic heart disease, stroke, hypertension, type 2 diabetes mellitus, colorectal cancer, postmenopausal breast cancer, endometrial cancer, kidney cancer and osteoarthritis. Step two consists of collecting data on the age- and gender-specific prevalence of these diseases. Step three uses the population-attributable prevalence to determine the part of the prevalence of these diseases that is attributable to overweight. Step four calculates the health care costs associated with these diseases. Step five calculates the costs of these diseases that are attributable to overweight. Overweight is responsible for 20-26 % of the direct costs of included diseases, with sensitivity analyses varying this percentage between 15-31 %. Percentage of costs attributable to obesity and preobesity is about the same. Diseases with the highest percentage of costs due to overweight are diabetes, endometrial cancer and osteoarthritis. Disease costs attributable to overweight as a percentage of total health care expenditures range from 2 to 4 %. Data are consistent for all three countries, resulting in roughly a quarter of costs of included diseases being attributable to overweight.},
  author       = {Lette, M and Bemelmans, W J E and Breda, J and Slobbe, L C J and Alves Dias, Joana and Boshuizen, H C},
  issn         = {1618-7601},
  language     = {eng},
  month        = {11},
  publisher    = {Springer},
  series       = {European Journal of Health Economics},
  title        = {Health care costs attributable to overweight calculated in a standardized way for three European countries.},
  url          = {http://dx.doi.org/10.1007/s10198-014-0655-8},
  year         = {2014},
}