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Specialized Medical Weight Management Intervention for High-Risk Obesity

Background: Bundled payments are services rendered at pre-determined costs with the goal of providing high value care. Our institution’s Episodes of Care team partnered with its tertiary care obesity center to design a novel medical weight management bundle for employers that would collectively deli...

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Autores principales: Srivastava, Gitanjali, Paris, Chelsea, Johnson, Jessica, Barnes, Emma, Cunningham, Brittany L., Stimson, C. J., Niswender, Kevin D., Poon, Sabrina J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia Data Analytics, LLC 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249093/
https://www.ncbi.nlm.nih.gov/pubmed/34250178
http://dx.doi.org/10.36469/001c.24896
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author Srivastava, Gitanjali
Paris, Chelsea
Johnson, Jessica
Barnes, Emma
Cunningham, Brittany L.
Stimson, C. J.
Niswender, Kevin D.
Poon, Sabrina J.
author_facet Srivastava, Gitanjali
Paris, Chelsea
Johnson, Jessica
Barnes, Emma
Cunningham, Brittany L.
Stimson, C. J.
Niswender, Kevin D.
Poon, Sabrina J.
author_sort Srivastava, Gitanjali
collection PubMed
description Background: Bundled payments are services rendered at pre-determined costs with the goal of providing high value care. Our institution’s Episodes of Care team partnered with its tertiary care obesity center to design a novel medical weight management bundle for employers that would collectively deliver high value obesity services. Objective: As a first step, we sought to evaluate short-term medical weight loss outcomes over 6 months at the obesity center. Methods: We retrospectively analyzed weight loss outcomes on 157 patients with commercial insurance coverage over a period of 6 months. Results: Patients ranged in age from 18-72 years, and 77.7% were female. Patients ranged in weight from 160-443 pounds, with a mean body mass index (BMI) of 42.7 kg/m2 (Class 3a severe obesity; BMI range 28.4-74.5). The prevalence of any obesity-related medical condition was 54.1%; at least a quarter of the patients had either prediabetes or Type 2 diabetes mellitus, approximately a third had hypertension, and over 8% had hyperlipidemia. Mean weight loss from the initial program start date was 6.28% (+/-0.48% standard error of mean [SEM]; 95% confidence interval [CI] 5.34-7.23%). Completers (defined as having at least 6 visits with a medical provider) achieved a higher percentage of weight loss (7.06%) from the initial program start compared to non-completers (4.68%; at least 4-5 visits with a medical provider; P<0.0158). Approximately 50% of patients were able to achieve >7% weight loss, with over 55% of patients achieving at least 3% weight loss or higher irrespective of BMI classification. Conclusions: Specialized medical weight intervention is effective in treating high-risk obesity with complications. This has implications for enhanced long-term cost savings related to employer coverage of such programs for their employees with obesity.
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spelling pubmed-82490932021-07-08 Specialized Medical Weight Management Intervention for High-Risk Obesity Srivastava, Gitanjali Paris, Chelsea Johnson, Jessica Barnes, Emma Cunningham, Brittany L. Stimson, C. J. Niswender, Kevin D. Poon, Sabrina J. J Health Econ Outcomes Res Other Conditions Background: Bundled payments are services rendered at pre-determined costs with the goal of providing high value care. Our institution’s Episodes of Care team partnered with its tertiary care obesity center to design a novel medical weight management bundle for employers that would collectively deliver high value obesity services. Objective: As a first step, we sought to evaluate short-term medical weight loss outcomes over 6 months at the obesity center. Methods: We retrospectively analyzed weight loss outcomes on 157 patients with commercial insurance coverage over a period of 6 months. Results: Patients ranged in age from 18-72 years, and 77.7% were female. Patients ranged in weight from 160-443 pounds, with a mean body mass index (BMI) of 42.7 kg/m2 (Class 3a severe obesity; BMI range 28.4-74.5). The prevalence of any obesity-related medical condition was 54.1%; at least a quarter of the patients had either prediabetes or Type 2 diabetes mellitus, approximately a third had hypertension, and over 8% had hyperlipidemia. Mean weight loss from the initial program start date was 6.28% (+/-0.48% standard error of mean [SEM]; 95% confidence interval [CI] 5.34-7.23%). Completers (defined as having at least 6 visits with a medical provider) achieved a higher percentage of weight loss (7.06%) from the initial program start compared to non-completers (4.68%; at least 4-5 visits with a medical provider; P<0.0158). Approximately 50% of patients were able to achieve >7% weight loss, with over 55% of patients achieving at least 3% weight loss or higher irrespective of BMI classification. Conclusions: Specialized medical weight intervention is effective in treating high-risk obesity with complications. This has implications for enhanced long-term cost savings related to employer coverage of such programs for their employees with obesity. Columbia Data Analytics, LLC 2021-07-01 /pmc/articles/PMC8249093/ /pubmed/34250178 http://dx.doi.org/10.36469/001c.24896 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Other Conditions
Srivastava, Gitanjali
Paris, Chelsea
Johnson, Jessica
Barnes, Emma
Cunningham, Brittany L.
Stimson, C. J.
Niswender, Kevin D.
Poon, Sabrina J.
Specialized Medical Weight Management Intervention for High-Risk Obesity
title Specialized Medical Weight Management Intervention for High-Risk Obesity
title_full Specialized Medical Weight Management Intervention for High-Risk Obesity
title_fullStr Specialized Medical Weight Management Intervention for High-Risk Obesity
title_full_unstemmed Specialized Medical Weight Management Intervention for High-Risk Obesity
title_short Specialized Medical Weight Management Intervention for High-Risk Obesity
title_sort specialized medical weight management intervention for high-risk obesity
topic Other Conditions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249093/
https://www.ncbi.nlm.nih.gov/pubmed/34250178
http://dx.doi.org/10.36469/001c.24896
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