Cost-Effectiveness of Sibutramine in the Treatment of Obesity

Warren, Emma; Brennan, Alan; Akehurst, Ron

doi:10.1177/0272989x03261565

Cited by 38 publications

(74 citation statements)

References 19 publications

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“…One study included in the NICE review of a pharmacological trial for sibutramine included diet and exercise advice as the control arm with a cost of £243.48 per person. 92 Avenell and colleagues 30 reviewed treatment for obesity and constructed an economic model for a diet and exercise intervention for individuals with impaired glucose tolerance. The total estimated cost for the LI was £324 per person in the first year and £178 per person for subsequent years.…”

Section: Other Issues and Methodological Concernsmentioning

confidence: 99%

The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review

Loveman¹,

Frampton²,

Shepherd³

et al. 2011

Health Technol Assess

240

185

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTAThe clinical effectiveness and costeffectiveness of long-term weight management schemes for adults: a systematic review ii ii NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA pro...

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Section: Other Issues and Methodological Concernsmentioning

confidence: 99%

The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review

Loveman¹,

Frampton²,

Shepherd³

et al. 2011

Health Technol Assess

240

185

View full text Add to dashboard Cite

show abstract

“…All costs were inflated to 2009 prices using an NHS-specific index. The costs of CVD were taken from Warren et al, 111 and were reported as one-off costs for fatal and non-fatal events, and as an annual cost for survivors. No other costs associated specifically with CVD were included.…”

Section: Costsmentioning

confidence: 99%

Adaptive e-learning to improve dietary behaviour: a systematic review and cost-effectiveness analysis.

Harris

Felix²,

Miners³

et al. 2011

Health Technol Assess

105

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects...

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“…Treating adult obesity with the drug orlistat costs $8,327 per QALY, 46 the drug sibutramine costs $9,299 per QALY. 47 Gastric bypass surgery costs $5,000-$16,100 per QALY for women and $10,000-$35,600 per QALY for men. 48 Wheeling Walks, a behavior modification program targeted to sedentary adults, costs $14,286 per QALY; other behavior modification programs for adults cost much more per QALY saved.…”

Section: Making Interventions Cost-effectivementioning

confidence: 99%

The Economics Of Childhood Obesity

2010

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In the past few decades, obesity rates among American children have skyrocketed. Although many factors have played a part in this unhealthy increase, this paper focuses on how economic policies may be contributing to our children's growing girth and how these policies might be altered to reverse this trend. It examines the economic causes and consequences of obesity, the rationales for government intervention, the cost-effectiveness of various policies, and the need for more research funding.I n the twenty-five years that elapsed between surveys conducted in 1971-1974 and in 1999-2000, the prevalence of obesity rose from 5 percent to 10.4 percent among two-to-five-year-olds; from 4 percent to 15.3 percent among six-to-elevenyear-olds; and from 6.1 percent to 15.5 percent among twelve-to-nineteen-year-olds. 1,2 Economic Factors And Childhood ObesityChildhood obesity is a complex, multidisciplinary issue, so the search for solutions requires information sharing across many fields. To promote such exchange, this paper describes research findings from the field of economics. Relative to other disciplines, economics has only recently been applied to the study of obesity. As a result, there are many useful applications yet to be made.Economics offers several useful tools for the study of childhood obesity: insights into the economic causes and consequences of obesity, clearly defined rationales for government intervention in markets, and the use of cost-effectiveness analysis for comparing policies to prevent or reduce obesity. This paper summarizes recent research in each of those areas. It concludes by discussing the implications for health policy.Economic explanations for the recent rise in obesity tend to focus on changes that give people incentives to consume more or to burn fewer calories. These include the following.FOOD PRICES The real price of food (the price of food adjusted for inflation across all goods and services) has declined greatly in recent decades. For example, between 1990 and 2007 the real price of a two-liter bottle of Coca-Cola fell 34.89 percent, and that of a McDonald's quarter-pounder with cheese fell 5.44 percent.3 Some research indicates that reductions in the price of food account for 41-43 percent of the rise in young adults' body mass index (BMI) between 1981 and 1994. 4 BMI is most sensitive to the price of fast food in particular for youth from families of low socioeconomic status.5 The real price of fruit and vegetables rose 17 percent between 1997 and 2003, 6 an increase that some studies have linked to higher BMI in American children and adolescents. 7,8 AGRICULTURAL POLICIES The decline in the price of food could be due to agriculture policies. However, several studies have concluded that such policies have little impact on consumer prices of energy-dense foods.9,10 About half of farm subsidies are based on historic, not current, production, which limits incentives for farmers to increase output.9 Moreover, U.S. farm policy raises John Cawley (JHC38@cornell .ed...

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Cost-Effectiveness of Sibutramine in the Treatment of Obesity

Abstract: Sibutramine is a cost-effective treatment for obesity when combined with diet and lifestyle advice.

Cited by 38 publications

References 19 publications

The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review

The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review

Adaptive e-learning to improve dietary behaviour: a systematic review and cost-effectiveness analysis.

The Economics Of Childhood Obesity

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