USPSTF: Intensive Behavioral Counseling Recommendations for Obese Adults Cost-Effective

Nearly 98 million overweight or obese US adults would benefit from intensive behavioral counseling.
Nearly 98 million overweight or obese US adults would benefit from intensive behavioral counseling.

HealthDay News — Implementing the 2014 US Preventive Services Task Force (USPSTF) recommendations for behavioral counseling is likely to be cost-effective for overweight and obese adults, according to research published in Diabetes Care.

Ji Lin, PhD, from the US Centers for Disease Control and Prevention in Atlanta, and colleagues examined the long-term cost-effectiveness of implementing the USPSTF behavioral counselling intervention for overweight or obese adults. A disease progression model was used to simulate the 25-year cost-effectiveness of the recommendation for eligible US adults. Data from systematic reviews were obtained for the cost and effectiveness of the intervention. To assess the cost-effectiveness of the intervention versus no intervention, incremental cost-effectiveness ratios (ICERs), measured in cost/quality-adjusted life-year (QALY), were used.

The researchers estimated that about 98 million US adults would be eligible for the recommended USPSTF intervention. The ICER of the intervention versus no intervention would be $13,900/QALY. There was wide variation in cost-effectiveness among subgroups, ranging from $302 cost saving per capita for obese individuals with impaired fasting glucose, hypertension, and dyslipidemia, to a cost of $103,200/QALY for overweight individuals without those conditions.

"Considerable variation in cost-effectiveness across the recommended subpopulations suggests that prioritization based on risk level would yield larger total health gains per dollar spent," the authors write.

Reference

Lin J, Zhuo X, Bardenheier B, et al. Cost-effectiveness of the 2014 US Preventive Services Task Force (USPSTF) recommendations for intensive behavioral counseling interventions for adults with cardiovascular risk factors [published online February 17, 2017]. Diabetes Care. doi: 10.2337/dc16-1186

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