Screening and brief intervention for obesity in primary care: cost-effectiveness analysis in the BWeL trial.

ABSTRACT:

Background

The Brief Intervention for Weight Loss Trial enrolled 1882 consecutively attending primary care patients who were obese and participants were randomised to physicians opportunistically endorsing, offering, and facilitating a referral to a weight loss programme (support) or recommending weight loss (advice). After one year, the support group lost 1.4 kg more (95%CI 0.9 to 2.0): 2.4 kg versus 1.0 kg. We use a cohort simulation to predict effects on disease incidence, quality of life, and healthcare costs over 20 years.

Methods

Randomly sampling from the trial population, we created a virtual cohort of 20 million adults and assigned baseline morbidity. We applied the weight loss observed in the trial and assumed weight regain over four years. Using epidemiological da

SUBMITTER: Retat L 

PROVIDER: S-EPMC6776469 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature