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  • Title: The clinical and economic burden of obesity in a managed care setting.
    Author: Oster G, Edelsberg J, O'Sullivan AK, Thompson D.
    Journal: Am J Manag Care; 2000 Jun; 6(6):681-9. PubMed ID: 10977477.
    Abstract:
    OBJECTIVE: To estimate the clinical and economic burden of obesity in a managed care setting. STUDY DESIGN: Prevalence-based cost-of-illness evaluation using modeling techniques and data from secondary sources. PATIENTS AND METHODS: 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. RESULTS: 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). CONCLUSION: The clinical and economic burden of obesity in a managed care setting is substantial.
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