Obesity, Hospital Services use and Costs

Folmann, Nana Bro; Bossen, Kristine Skovgaard; Willaing, Ingrid; Sørensen, Jan; Andersen, John; Ladelund, Steen; Jørgensen, Torben

doi:10.1016/s0731-2199(06)17012-0

Cited by 22 publications

(13 citation statements)

References 11 publications

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“…This result is supported by a study based on the same data as in this article, which demonstrates that WC is a better predictor of future health care costs than BMI [38]. Two health economic studies [10,12] found increased costs associated with increased WC, but limitations of their study design makes it difficult to derive generally applicable estimates of the health care costs. One study only included a small and unrepresentative sample of 424 persons with a relatively low socio-economic status [10].…”

Section: Introductionsupporting

confidence: 74%

“…For comparison in the USA and in the UK these figures were 15.3 and 8.3%, respectively [45]. Two studies have used WC as measurement for obesity [10,12]. The first study [10] found that the highest WC quartile was associated with significantly higher mean total costs than the other quartiles, while the second study [12] found that the mean hospital costs over an observation period of 3 years were 38.8% higher among obese women and 45.3% higher among obese men (obesity was defined in this study as a WC ≥102 cm for men or ≥88 cm for women).…”

Section: Discussionmentioning

confidence: 99%

“…One study only included a small and unrepresentative sample of 424 persons with a relatively low socio-economic status [10]. The other study was based on a more limited cost study, which only included hospital costs [12]. Numerous studies have shown that WC is a strong predictor of obesity-related morbidity and mortality [39].…”

Section: Introductionmentioning

confidence: 99%

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Economic Costs of Abdominal Obesity

Højgaard¹,

Olsen²,

Søgaard³

et al. 2008

Obes Facts

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Background: To examine the relationship between waist circumference and future health care costs across a broad range of waist circumference values based on individual level data. Method: A prospective cohort of 31,840 subjects aged 50–64 years at baseline had health status, lifestyle and socio-economic aspects assessed at entry. Individual data on health care consumption and associated costs were extracted from registers for the subsequent 7 years. Participants were stratified by presence of chronic disease at entry. Results: Increased waist circumference at baseline was associated with higher future health care costs. For increased and substantially increased waist circumference health care costs rise at a rate of 1.25% in women and 2.08% in men, per added centimetre above normal waistline. Thus, as an example, a woman with a waistline of 95 cm and without co-morbidities can be expected to incur an added future cost of approximately USD 397.– per annum compared to a woman in the normal waist circumference group, corresponding to 22% higher health care costs. Conclusions: Future health care costs are higher for persons who have an increased waist circumference, which suggests that there may be a potential for significant resource savings through prevention of abdominal obesity.

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Section: Introductionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

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Economic Costs of Abdominal Obesity

Højgaard¹,

Olsen²,

Søgaard³

et al. 2008

Obes Facts

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“…The negative effects of obesity on mortality and perioperative complications in general surgery [13][14][15][16][17][18], cardiac surgery [19][20][21][22], urology [23], chest surgery [24][25], orthopaedics [26][27][28] and neurosurgery [29] are well known. dużo wyższe koszty opieki szpitalnej, jak i ambulatoryjnej [30][31][32]. Badania wykazują ścisłą zależność między BMI a zwiększonymi nakładami na opiekę zdrowotną [33,34].…”

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“…Występujące zmęczenie podczas rehabilitacji jest u tych pacjentów trudne do oceny. Często pozostaje niejasne, czy wynika ono z nieprawidłowo-ści w zakresie układu krążenia, oddychania, czy też wspomnianego zwiększonego wydatku energetycznego, który Thus, obesity increases the costs of hospital and outpatient care [30][31][32]. Research reveals that there is a close correlation between BMI and increased expenditure on healthcare [33,34].…”

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The significance of post-operative rehabilitation in obese and overweight patients

Sutkowska¹,

Konieczny²,

Wrzosek³

et al. 2014

Physiotherapy

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StreszczenieOtyłość jest samodzielnym czynnikiem ryzyka wielu chorób. Nieprawidłowa masa ciała utrudnia rehabilitację pacjentów po zabiegach. W okresie pooperacyjnym często dochodzi do ujawnienia wielu nieprawidłowości, wcześniej ignorowanych przez chorego. Z tego powodu okres rekonwalescencji przedłuża się i nie zawsze w pełni satysfakcjonuje pacjenta i lekarza. Odpowiednie przygotowanie pacjentów otyłych do zabiegu oraz świadomość wystąpienia trudności w czasie ich rehabilitacji po operacji jest warunkiem dobrej współpracy z chorym i bezpiecznego przebiegu rekonwalescencji. W artykule omówiono najczęstsze problemy, które mogą pojawić się po rozpoczęciu rehabilitacji u pacjentów otyłych.Słowa kluczowe: rehabilitacja, otyłość, powikłania AbstractObesity is an independent risk factor for a number of diseases. Inadequate weight makes post-operative rehabilitation more difficult. It is not uncommon that at the post-operative stage many abnormalities, often ignored by the patient, are discovered. For this reason, the recovery takes longer and its results are not always satisfactory for patients and physicians. Adequate preparation of obese patients for the procedure and awareness of potential difficulties that may arise during post-operative rehabilitation are essential requisites for effective cooperation with the patient and safe recovery. The paper describes the most frequent problems experienced by obese patients during rehabilitation. Keywords: rehabilitation, obesity, complicationsOd wielu lat obserwowana jest epidemia otyłości w krajach cywilizowanych, także w Polsce [1]. Staje się to dużym wyzwaniem dla medycyny nie tylko ze względu na powikłania internistyczne otyłości, ale również dlatego, że osoby otyłe poddawane są zabiegom operacyjnym co najmniej tak samo czę-sto jak normostenicy. Przewiduje się, że ogólna liczba operacji do 2020 roku wzrośnie o ok. 25% [2]. Skoro zwiększa się liczba otyłych pacjentów, należy się zastanowić, czy ta grupa chorych może powodować dodatkowe problemy podczas opieki okołooperacyjnej i rehabilitacji po zabiegach. Z europejskich i amerykańskich badań wynika, że otyłość wiąże się z dużo większą śmiertelnością całkowitą [3][4][5][6][7][8][9]. Ogólna częstość hospitalizacji osób otyłych jest także więk-sza niż w przypadku pozostałej populacji [10][11][12]. Znany jest negatywny wpływ otyłości na śmiertelność i powikłania okołooperacyjne w chirurgii ogólnej [13][14][15][16][17][18] For many years, the obesity epidemic has been observed in advanced countries, Poland included [1]. It is becoming a great challenge for medicine, not only on account of internal complications of obesity, but also in view of the fact the obese people undergo surgery as often as normostenics. It is anticipated that by 2020 the general number of surgeries will grow by around 25% [2]. Since the group of obese patients is growing, one should consider whether this group of patients may pose additional problems in perioperative care and post-operative rehabilitation.European and American research studies suggest...

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