Weight Loss Program ( WLP): Clinical and Economic Impact Analysis (CEIA) Preliminary Data From an MCDA Related to the Adherence of Obese Patients' Study in BraziL/LATAM/LMIC
Author(s)
ELIO TANAKA, Sr., MD1, Gabriel Kenzo Tanaka, RESEARCHER2, Rogerio Scarabel Barbosa, RESEARCHER2, EDUARDO Ramos, RESEARCHER3, Isabela Farinhaki, RESEARCHER3, Rafael Gama, RESEARCHER3, ELAINE BREGOLA, RESEARCHER3, Helena Maria Romcy, MSc, MD4, RICARDO CARDOSO MARQUES, RESEARCHER3.
1MEDICAL AUDIT, TNK MEDICAL AUDIT INSTITUTION, CURITIBA, Brazil, 2MEDICAL AUDIT, TNK, CURITIBA PR, Brazil, 3TNK, CURITIBA PR, Brazil, 4TNK, RJ , BRASIL, Brazil.
1MEDICAL AUDIT, TNK MEDICAL AUDIT INSTITUTION, CURITIBA, Brazil, 2MEDICAL AUDIT, TNK, CURITIBA PR, Brazil, 3TNK, CURITIBA PR, Brazil, 4TNK, RJ , BRASIL, Brazil.
OBJECTIVES: Our aim is to analyze clinical/economic results focusing cultural aspect reflecting mental health, based on the MCDA tool related to the adherence of patients .
METHODS: The weight criteria based on the international requirement definitions . The gather data from local incidence/prevalence . The score of treatments based on RWD analysis. The WLP , as didatic example composed by multidisciplinary team for patients with a critical BMI . Assuming study conducted more than 100 patients . There was a prevalence of DMType2 , systemic arterial hypertension and dislipidemia .
RESULTS: The economic / clinical outcome were analyze and follow by recommendations , but still under protocols constructions , due to difficulties on the patients ' adherence . Based RWD assumited the total weight loss was more than 900 kg and the average BMI fell from 39 to 30 kg/m2 and there was a significant improvement in the control of comorbidities. The total cost of care , expected was USD 50.000 and the cost of medication was USD 15.000 , totaling USD 75.000. The cost avoided with bariatric surgeries expected result in savings of USD 500.000 , thus generating a return on investment of > 500%. After the program the expectancy were > 46 % of patients stopped being sedentary, > 57 % improved their sleep quality and > 92 % reported an improvement in the quality of their diet.
CONCLUSIONS: The WLP showed excellent weight loss, profound changes in lifestyle habits and improvements in the quality of life . It proved to be highly COST-EFFECTIVE even when only taking into account savings in bariatric surgery. There was a rate of weight regain and it is necessary to keep the orientation due to mental health link to cultural cluster. Further studies are necessary to confirm this data .
METHODS: The weight criteria based on the international requirement definitions . The gather data from local incidence/prevalence . The score of treatments based on RWD analysis. The WLP , as didatic example composed by multidisciplinary team for patients with a critical BMI . Assuming study conducted more than 100 patients . There was a prevalence of DMType2 , systemic arterial hypertension and dislipidemia .
RESULTS: The economic / clinical outcome were analyze and follow by recommendations , but still under protocols constructions , due to difficulties on the patients ' adherence . Based RWD assumited the total weight loss was more than 900 kg and the average BMI fell from 39 to 30 kg/m2 and there was a significant improvement in the control of comorbidities. The total cost of care , expected was USD 50.000 and the cost of medication was USD 15.000 , totaling USD 75.000. The cost avoided with bariatric surgeries expected result in savings of USD 500.000 , thus generating a return on investment of > 500%. After the program the expectancy were > 46 % of patients stopped being sedentary, > 57 % improved their sleep quality and > 92 % reported an improvement in the quality of their diet.
CONCLUSIONS: The WLP showed excellent weight loss, profound changes in lifestyle habits and improvements in the quality of life . It proved to be highly COST-EFFECTIVE even when only taking into account savings in bariatric surgery. There was a rate of weight regain and it is necessary to keep the orientation due to mental health link to cultural cluster. Further studies are necessary to confirm this data .
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
PCR144
Topic
Patient-Centered Research
Topic Subcategory
Adherence, Persistence, & Compliance, Health State Utilities, Patient Behavior and Incentives, Patient Engagement
Disease
SDC: Diabetes/Endocrine/Metabolic Disorders (including obesity), SDC: Mental Health (including addition), SDC: Neurological Disorders, STA: Alternative Medicine