The long-term cost-effectiveness of obesity prevention interventions: systematic literature review.
Standard
The long-term cost-effectiveness of obesity prevention interventions: systematic literature review. / Lehnert, Thomas; Sonntag, Diana; Konnopka, Alexander; Riedel-Heller, S; König, Hans-Helmut.
In: OBES REV, Vol. 13, No. 6, 6, 2012, p. 537-553.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - The long-term cost-effectiveness of obesity prevention interventions: systematic literature review.
AU - Lehnert, Thomas
AU - Sonntag, Diana
AU - Konnopka, Alexander
AU - Riedel-Heller, S
AU - König, Hans-Helmut
PY - 2012
Y1 - 2012
N2 - Obesity prevention provides a major opportunity to improve population health. As health improvements usually require additional and scarce resources, novel health technologies (interventions) should be economically evaluated. In the prevention of obesity, health benefits may slowly accumulate over time and it can take many years before an intervention has reached full effectiveness. Decision-analytic simulation models (DAMs), which combine evidence from diverse sources, can be utilized to evaluate the long-term cost-effectiveness of such interventions. This literature review summarizes long-term economic findings (defined as ? 40 years) for 41 obesity prevention interventions, which had been evaluated in 18 cost-utility analyses, using nine different DAMs. Interventions were grouped according to their method of delivery, setting and risk factors targeted into behavioural (n=21), community (n=12) and environmental interventions (n=8). The majority of interventions offered good value for money, while seven were cost-saving. Ten interventions were not cost-effective (defined as >50,000 US dollar), however. Interventions that modified a target population's environment, i.e. fiscal and regulatory measures, reported the most favourable cost-effectiveness. Economic findings were accompanied by a large uncertainty though, which complicates judgments about the comparative cost-effectiveness of interventions.
AB - Obesity prevention provides a major opportunity to improve population health. As health improvements usually require additional and scarce resources, novel health technologies (interventions) should be economically evaluated. In the prevention of obesity, health benefits may slowly accumulate over time and it can take many years before an intervention has reached full effectiveness. Decision-analytic simulation models (DAMs), which combine evidence from diverse sources, can be utilized to evaluate the long-term cost-effectiveness of such interventions. This literature review summarizes long-term economic findings (defined as ? 40 years) for 41 obesity prevention interventions, which had been evaluated in 18 cost-utility analyses, using nine different DAMs. Interventions were grouped according to their method of delivery, setting and risk factors targeted into behavioural (n=21), community (n=12) and environmental interventions (n=8). The majority of interventions offered good value for money, while seven were cost-saving. Ten interventions were not cost-effective (defined as >50,000 US dollar), however. Interventions that modified a target population's environment, i.e. fiscal and regulatory measures, reported the most favourable cost-effectiveness. Economic findings were accompanied by a large uncertainty though, which complicates judgments about the comparative cost-effectiveness of interventions.
KW - Humans
KW - Cost-Benefit Analysis
KW - Behavior Therapy
KW - Public Health
KW - Anti-Obesity Agents/therapeutic use
KW - Caloric Restriction
KW - Obesity/economics/prevention & control
KW - Quality-Adjusted Life Years
KW - Humans
KW - Cost-Benefit Analysis
KW - Behavior Therapy
KW - Public Health
KW - Anti-Obesity Agents/therapeutic use
KW - Caloric Restriction
KW - Obesity/economics/prevention & control
KW - Quality-Adjusted Life Years
M3 - SCORING: Journal article
VL - 13
SP - 537
EP - 553
JO - OBES REV
JF - OBES REV
SN - 1467-7881
IS - 6
M1 - 6
ER -