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Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011
BACKGROUND: Obesity is a global public health problem and a risk factor for several diseases that financially impact healthcare systems. OBJECTIVE: To estimate the direct costs attributable to obesity (body mass index {BMI} ≥ 30 kg/m(2)) and morbid obesity (BMI ≥ 40 kg/m(2)) in adults aged ≥ 20 incu...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4382114/ https://www.ncbi.nlm.nih.gov/pubmed/25830909 http://dx.doi.org/10.1371/journal.pone.0121160 |
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author | de Oliveira, Michele Lessa Santos, Leonor Maria Pacheco da Silva, Everton Nunes |
author_facet | de Oliveira, Michele Lessa Santos, Leonor Maria Pacheco da Silva, Everton Nunes |
author_sort | de Oliveira, Michele Lessa |
collection | PubMed |
description | BACKGROUND: Obesity is a global public health problem and a risk factor for several diseases that financially impact healthcare systems. OBJECTIVE: To estimate the direct costs attributable to obesity (body mass index {BMI} ≥ 30 kg/m(2)) and morbid obesity (BMI ≥ 40 kg/m(2)) in adults aged ≥ 20 incurred by the Brazilian public health system in 2011. SETTINGS: Public hospitals and outpatient care. METHODS: A cost-of-illness method was adopted using a top-down approach based on prevalence. The proportion of the cost of each obesity-associated comorbidity was calculated and obesity prevalence was used to calculate attributable risk. Direct healthcare cost data (inpatient care, bariatric surgery, outpatient care, medications and diagnostic procedures) were extracted from the Ministry of Health information systems, available on the web. RESULTS: Direct costs attributable to obesity totaled US$ 269.6 million (1.86% of all expenditures on medium- and high-complexity health care). The cost of morbid obesity accounted for 23.8% (US$ 64.2 million) of all obesity-related costs despite being 18 times less prevalent than obesity. Bariatric surgery costs in Brazil totaled US$ 17.4 million in 2011. The cost of morbid obesity in women was five times higher than it was in men. CONCLUSION: The cost of morbid obesity was found to be proportionally higher than the cost of obesity. If the current epidemic were not reversed, the prevalence of obesity in Brazil will increase gradually in the coming years, as well as its costs, having serious implications for the financial sustainability of the Brazilian public health system. |
format | Online Article Text |
id | pubmed-4382114 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-43821142015-04-09 Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011 de Oliveira, Michele Lessa Santos, Leonor Maria Pacheco da Silva, Everton Nunes PLoS One Research Article BACKGROUND: Obesity is a global public health problem and a risk factor for several diseases that financially impact healthcare systems. OBJECTIVE: To estimate the direct costs attributable to obesity (body mass index {BMI} ≥ 30 kg/m(2)) and morbid obesity (BMI ≥ 40 kg/m(2)) in adults aged ≥ 20 incurred by the Brazilian public health system in 2011. SETTINGS: Public hospitals and outpatient care. METHODS: A cost-of-illness method was adopted using a top-down approach based on prevalence. The proportion of the cost of each obesity-associated comorbidity was calculated and obesity prevalence was used to calculate attributable risk. Direct healthcare cost data (inpatient care, bariatric surgery, outpatient care, medications and diagnostic procedures) were extracted from the Ministry of Health information systems, available on the web. RESULTS: Direct costs attributable to obesity totaled US$ 269.6 million (1.86% of all expenditures on medium- and high-complexity health care). The cost of morbid obesity accounted for 23.8% (US$ 64.2 million) of all obesity-related costs despite being 18 times less prevalent than obesity. Bariatric surgery costs in Brazil totaled US$ 17.4 million in 2011. The cost of morbid obesity in women was five times higher than it was in men. CONCLUSION: The cost of morbid obesity was found to be proportionally higher than the cost of obesity. If the current epidemic were not reversed, the prevalence of obesity in Brazil will increase gradually in the coming years, as well as its costs, having serious implications for the financial sustainability of the Brazilian public health system. Public Library of Science 2015-04-01 /pmc/articles/PMC4382114/ /pubmed/25830909 http://dx.doi.org/10.1371/journal.pone.0121160 Text en © 2015 de Oliveira et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article de Oliveira, Michele Lessa Santos, Leonor Maria Pacheco da Silva, Everton Nunes Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011 |
title | Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011 |
title_full | Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011 |
title_fullStr | Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011 |
title_full_unstemmed | Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011 |
title_short | Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011 |
title_sort | direct healthcare cost of obesity in brazil: an application of the cost-of-illness method from the perspective of the public health system in 2011 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4382114/ https://www.ncbi.nlm.nih.gov/pubmed/25830909 http://dx.doi.org/10.1371/journal.pone.0121160 |
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