Oster G, Edelsberg J, O'Sullivan A K, Thompson D
Policy Analysis, Inc. (PAI), Brookline, MA 02445, USA.
Am J Manag Care. 2000 Jun;6(6):681-9.
To estimate the clinical and economic burden of obesity in a managed care setting.
Prevalence-based cost-of-illness evaluation using modeling techniques and data from secondary sources.
The health and economic burden of obesity was estimated for a hypothetical health plan with 1 million members between the ages of 35 and 84 years, based on projections of the numbers of cases of 8 diseases for which obesity is an established risk factor (coronary heart disease, hypertension, hypercholesterolemia, gallbladder disease, stroke, type 2 diabetes, osteoarthritis of the knee, and endometrial cancer), obesity-attributable "etiologic fractions," and estimates of associated medical care costs. Our analysis was based on data from a variety of secondary sources, including a large managed care plan in the Pacific Northwest region of the United States.
In a population of 1 million persons aged 35 to 84 years, it was estimated that obesity would account for approximately 132,900 cases of hypertension (45% of all cases), 58,500 cases of type 2 diabetes (85%), 51,500 cases of hypercholesterolemia (18%), and 16,500 cases of coronary heart disease (35%). Healthcare costs attributable to obesity were estimated to total $345.9 million annually (or 41% of the total for the 8 diseases of interest).
The clinical and economic burden of obesity in a managed care setting is substantial.
评估管理式医疗环境下肥胖症的临床和经济负担。
采用建模技术和二手资料数据进行基于患病率的疾病成本评估。
基于肥胖为既定风险因素的8种疾病（冠心病、高血压、高胆固醇血症、胆囊疾病、中风、2型糖尿病、膝关节骨关节炎和子宫内膜癌）的病例数预测、肥胖归因“病因分数”以及相关医疗费用估计，对一个拥有100万名35至84岁成员的假设健康计划的肥胖症健康和经济负担进行了评估。我们的分析基于各种二手资料数据，包括美国太平洋西北地区的一个大型管理式医疗计划。
在100万名35至84岁的人群中，估计肥胖症将导致约132,900例高血压（占所有病例的45%）、58,500例2型糖尿病（85%）、51,500例高胆固醇血症（18%）和16,500例冠心病（35%）。归因于肥胖症的医疗费用估计每年总计3.459亿美元（或所关注的8种疾病总费用的41%）。
管理式医疗环境下肥胖症的临床和经济负担巨大。
