Cost-Effectiveness of a Primary Care-Based Healthy Weight Clinic Compared with Usual Care

Details

• Alternative Title:
  Obesity (Silver Spring)
• Personal Author:
  Sharifi, Mona ; Fiechtner, Lauren G ; Barrett, Jessica L ; O’Connor, Giselle ; Perkins, Meghan ; Reiner, Jennifer ; Luo, Mandy ; Taveras, Elsie M ; Gortmaker, Steven L
• Description:
  Objective:
  
  To project the cost-effectiveness of implementing the Healthy Weight Clinic (HWC), a primary care-based intervention for 6- to 12-year-old children with overweight/obesity, at federally qualified health centers (FQHCs) nationally.
  
  Design/Methods:
  
  We estimated intervention costs from a healthcare and societal perspective and used BMI change estimates from the HWC trial. Our microsimulation of national HWC implementation among all FQHCs from 2023–2032 estimated cost per child and per quality-adjusted life year (QALY) gained, and projected impact on obesity prevalence by race and ethnicity. Probabilistic sensitivity analyses assessed uncertainty around estimates.
  
  Results:
  
  National implementation is projected to reach 888,000 children over 10 years with a mean intervention cost of $456 (95% Uncertainty Interval [UI]: $409; $506) per child to the healthcare sector and $211 ($175, $251) to families (e.g., time participating). Assuming effect maintenance, national implementation could result in 2,070 (859, 3,220) QALYs gained and save $14.6 million ($5.6, $23.5 million) in health care costs over 10 years, yielding a net cost of $278,000 ($177,000, $679,000) per QALY gained. We project greater reductions in obesity prevalence among Hispanic/Latino and Black versus white populations.
  
  Conclusions:
  
  The HWC is relatively low-cost per child and projected to reduce obesity disparities if implemented nationally at FQHCs.
  
  
• Subjects:
  Black Or African American Body Mass Index Child Cost-Benefit Analysis Female Health Care Costs Hispanic Or Latino Humans Male Overweight Pediatric Obesity Prevalence Primary Health Care Quality-Adjusted Life Years United States White

  More +
• Keywords:
  Childhood Obesity Economic Evaluation Lifestyle Intervention Pediatric Primary Care
• Source:
  Obesity (Silver Spring). 32(9):1734-1744
• Pubmed ID:
  39192764
• Pubmed Central ID:
  PMC11361715
• Document Type:
  Journal Article
• Funding:
  U48DP006376/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006259/DP/NCCDPHP CDC HHSUnited States/ ; K23 HD090222/HD/NICHD NIH HHSUnited States/ ; K24HL159680/HL/NHLBI NIH HHSUnited States/ ; U48DP006376/ACL/ACL HHSUnited States/ ; R01 HL151603/HL/NHLBI NIH HHSUnited States/ ; U18DP006259/ACL/ACL HHSUnited States/ ; K08HS024332/Agency for Healthcare Research and Quality/ ; 1085/JPB Foundation/ ; K23HD090222/Eunice Kennedy Shriver National Institute of Child Health and Human Development/ ; U18DP006259/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP006376/DP/NCCDPHP CDC HHSUnited States/ ; R01 MD014853/MD/NIMHD NIH HHSUnited States/ ; K24DK105989/DK/NIDDK NIH HHSUnited States/ ; R01HL151603/HL/NHLBI NIH HHSUnited States/ ; R01 HL146625/HL/NHLBI NIH HHSUnited States/ ; K08 HS024332/HS/AHRQ HHSUnited States/ ; R01HL146625/HL/NHLBI NIH HHSUnited States/ ; R01MD014853/MD/NIMHD NIH HHSUnited States/ ; K24 HL159680/HL/NHLBI NIH HHSUnited States/ ; K24 DK105989/DK/NIDDK NIH HHSUnited States/
• Volume:
  32
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:f87a09bb3e0424585d0edab7dd1170e64c8a72a53e8031a35081a7342df42e2b5b9efa8e68f7ab9940f336f5b573264464b05a14aa394f4e4d32e920b0c4df60
• Download URL:
  https://stacks.cdc.gov/view/cdc/160695/cdc_160695_DS1.pdf
• File Type:
  [PDF - 429.58 KB ]