The cost of investigating weight‐related comorbidities in children and adolescents in Aotearoa/New Zealand
Aim Expert recommendations for child/adolescent obesity include extensive investigation for weight‐related comorbidities, based on body mass index (BMI) percentile cut‐offs. This study aimed to estimate the cost of initial investigations for weight‐related comorbidities in children/adolescents with...
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| Veröffentlicht in: | Journal of paediatrics and child health 2021-12, Vol.57 (12), p.1942-1948 |
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| container_end_page | 1948 |
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| container_issue | 12 |
| container_start_page | 1942 |
| container_title | Journal of paediatrics and child health |
| container_volume | 57 |
| creator | Karalus, Miriam A Sullivan, Trudy A Wild, Cervantée E Cave, Tami L O'Sullivan, Niamh A Hofman, Paul L Edwards, Elizabeth A Mouat, Stephen Wong, William Anderson, Yvonne C |
| description | Aim
Expert recommendations for child/adolescent obesity include extensive investigation for weight‐related comorbidities, based on body mass index (BMI) percentile cut‐offs. This study aimed to estimate the cost of initial investigations for weight‐related comorbidities in children/adolescents with obesity, according to international expert guidelines.
Methods
The annual mean cost of investigations for weight‐related comorbidities in children/adolescents was calculated from a health‐funder perspective using 2019 cost data obtained from three New Zealand District Health Boards. Prevalence data for child/adolescent obesity (aged 2–14 years) were obtained from the New Zealand Health Survey (2017/2018), and prevalence of weight‐related comorbidities requiring further investigation were obtained from a previous New Zealand study of a cohort of children with obesity.
Results
The cost of initial laboratory screening for weight‐related comorbidities per child was NZD 28.36. Based on national prevalence data from 2018/2019 for children with BMI greater than the 98th percentile (obesity cut‐off), the total annual cost for initial laboratory screening for weight‐related comorbidities in children/adolescents aged 2–14 years with obesity was estimated at NZD 2,665,840. The cost of further investigation in the presence of risk factors was estimated at NZD 2,972,934.
Conclusions
Investigating weight‐related comorbidities in New Zealand according to international expert guidelines is resource‐intensive. Ways to further determine who warrants investigation with an individualised approach are required. |
| doi_str_mv | 10.1111/jpc.15618 |
| format | Article |
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Expert recommendations for child/adolescent obesity include extensive investigation for weight‐related comorbidities, based on body mass index (BMI) percentile cut‐offs. This study aimed to estimate the cost of initial investigations for weight‐related comorbidities in children/adolescents with obesity, according to international expert guidelines.
Methods
The annual mean cost of investigations for weight‐related comorbidities in children/adolescents was calculated from a health‐funder perspective using 2019 cost data obtained from three New Zealand District Health Boards. Prevalence data for child/adolescent obesity (aged 2–14 years) were obtained from the New Zealand Health Survey (2017/2018), and prevalence of weight‐related comorbidities requiring further investigation were obtained from a previous New Zealand study of a cohort of children with obesity.
Results
The cost of initial laboratory screening for weight‐related comorbidities per child was NZD 28.36. Based on national prevalence data from 2018/2019 for children with BMI greater than the 98th percentile (obesity cut‐off), the total annual cost for initial laboratory screening for weight‐related comorbidities in children/adolescents aged 2–14 years with obesity was estimated at NZD 2,665,840. The cost of further investigation in the presence of risk factors was estimated at NZD 2,972,934.
Conclusions
Investigating weight‐related comorbidities in New Zealand according to international expert guidelines is resource‐intensive. Ways to further determine who warrants investigation with an individualised approach are required.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.15618</identifier><identifier>PMID: 34196427</identifier><language>eng</language><publisher>Australia: John Wiley & Sons Australia, Ltd</publisher><subject>Adolescence ; Adolescent ; Body Mass Index ; Child ; Children & youth ; Comorbidity ; cost ; Humans ; individualised care ; investigation ; Investigations ; Laboratories ; New Zealand - epidemiology ; Obesity ; Pediatric Obesity - epidemiology ; Pediatrics ; Prevalence ; Teenagers ; tests</subject><ispartof>Journal of paediatrics and child health, 2021-12, Vol.57 (12), p.1942-1948</ispartof><rights>2021 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</rights><rights>2021 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-70efb12daeaa0550087da455bb90c35740dde7d8d3caaaf87ba73153d6fc354d3</citedby><cites>FETCH-LOGICAL-c3538-70efb12daeaa0550087da455bb90c35740dde7d8d3caaaf87ba73153d6fc354d3</cites><orcidid>0000-0001-5377-6222 ; 0000-0003-2054-338X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpc.15618$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpc.15618$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34196427$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karalus, Miriam A</creatorcontrib><creatorcontrib>Sullivan, Trudy A</creatorcontrib><creatorcontrib>Wild, Cervantée E</creatorcontrib><creatorcontrib>Cave, Tami L</creatorcontrib><creatorcontrib>O'Sullivan, Niamh A</creatorcontrib><creatorcontrib>Hofman, Paul L</creatorcontrib><creatorcontrib>Edwards, Elizabeth A</creatorcontrib><creatorcontrib>Mouat, Stephen</creatorcontrib><creatorcontrib>Wong, William</creatorcontrib><creatorcontrib>Anderson, Yvonne C</creatorcontrib><title>The cost of investigating weight‐related comorbidities in children and adolescents in Aotearoa/New Zealand</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Aim
Expert recommendations for child/adolescent obesity include extensive investigation for weight‐related comorbidities, based on body mass index (BMI) percentile cut‐offs. This study aimed to estimate the cost of initial investigations for weight‐related comorbidities in children/adolescents with obesity, according to international expert guidelines.
Methods
The annual mean cost of investigations for weight‐related comorbidities in children/adolescents was calculated from a health‐funder perspective using 2019 cost data obtained from three New Zealand District Health Boards. Prevalence data for child/adolescent obesity (aged 2–14 years) were obtained from the New Zealand Health Survey (2017/2018), and prevalence of weight‐related comorbidities requiring further investigation were obtained from a previous New Zealand study of a cohort of children with obesity.
Results
The cost of initial laboratory screening for weight‐related comorbidities per child was NZD 28.36. Based on national prevalence data from 2018/2019 for children with BMI greater than the 98th percentile (obesity cut‐off), the total annual cost for initial laboratory screening for weight‐related comorbidities in children/adolescents aged 2–14 years with obesity was estimated at NZD 2,665,840. The cost of further investigation in the presence of risk factors was estimated at NZD 2,972,934.
Conclusions
Investigating weight‐related comorbidities in New Zealand according to international expert guidelines is resource‐intensive. Ways to further determine who warrants investigation with an individualised approach are required.</description><subject>Adolescence</subject><subject>Adolescent</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Children & youth</subject><subject>Comorbidity</subject><subject>cost</subject><subject>Humans</subject><subject>individualised care</subject><subject>investigation</subject><subject>Investigations</subject><subject>Laboratories</subject><subject>New Zealand - epidemiology</subject><subject>Obesity</subject><subject>Pediatric Obesity - epidemiology</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Teenagers</subject><subject>tests</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10b1OwzAQB3ALgfgeeAEUiQWGtHZs18mIKj6FgAEWFusSX1pXaVzslIqNR-AZeRJMCwxIeLGl--mvOx8hB4z2WDz9yazqMTlg-RrZZkLQlCkp1uObcpGKnNEtshPChFKaSZlvki0uWDEQmdomzcMYk8qFLnF1YtsXDJ0dQWfbUbJAOxp3H2_vHhvo0EQ2db60xnYWQ8RJNbaN8dgm0JoEjGswVNh2y9qp6xC8g_4tLpInhCaaPbJRQxNw__veJY_nZw_Dy_Tm7uJqeHqTVlzyPFUU65JlBhCASklprgwIKcuyoFEoQY1BZXLDKwCoc1WC4kxyM6hjWRi-S45XuTPvnudxJD21sbMm9oBuHnQmhZK8yFQW6dEfOnFz38budDaghchVkdGoTlaq8i4Ej7WeeTsF_6oZ1V8r0HEFermCaA-_E-flFM2v_PnzCPorsLANvv6fpK_vh6vIT_5rkgA</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Karalus, Miriam A</creator><creator>Sullivan, Trudy A</creator><creator>Wild, Cervantée E</creator><creator>Cave, Tami L</creator><creator>O'Sullivan, Niamh A</creator><creator>Hofman, Paul L</creator><creator>Edwards, Elizabeth A</creator><creator>Mouat, Stephen</creator><creator>Wong, William</creator><creator>Anderson, Yvonne C</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5377-6222</orcidid><orcidid>https://orcid.org/0000-0003-2054-338X</orcidid></search><sort><creationdate>202112</creationdate><title>The cost of investigating weight‐related comorbidities in children and adolescents in Aotearoa/New Zealand</title><author>Karalus, Miriam A ; Sullivan, Trudy A ; Wild, Cervantée E ; Cave, Tami L ; O'Sullivan, Niamh A ; Hofman, Paul L ; Edwards, Elizabeth A ; Mouat, Stephen ; Wong, William ; Anderson, Yvonne C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-70efb12daeaa0550087da455bb90c35740dde7d8d3caaaf87ba73153d6fc354d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescence</topic><topic>Adolescent</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Children & youth</topic><topic>Comorbidity</topic><topic>cost</topic><topic>Humans</topic><topic>individualised care</topic><topic>investigation</topic><topic>Investigations</topic><topic>Laboratories</topic><topic>New Zealand - epidemiology</topic><topic>Obesity</topic><topic>Pediatric Obesity - epidemiology</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Teenagers</topic><topic>tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karalus, Miriam A</creatorcontrib><creatorcontrib>Sullivan, Trudy A</creatorcontrib><creatorcontrib>Wild, Cervantée E</creatorcontrib><creatorcontrib>Cave, Tami L</creatorcontrib><creatorcontrib>O'Sullivan, Niamh A</creatorcontrib><creatorcontrib>Hofman, Paul L</creatorcontrib><creatorcontrib>Edwards, Elizabeth A</creatorcontrib><creatorcontrib>Mouat, Stephen</creatorcontrib><creatorcontrib>Wong, William</creatorcontrib><creatorcontrib>Anderson, Yvonne C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karalus, Miriam A</au><au>Sullivan, Trudy A</au><au>Wild, Cervantée E</au><au>Cave, Tami L</au><au>O'Sullivan, Niamh A</au><au>Hofman, Paul L</au><au>Edwards, Elizabeth A</au><au>Mouat, Stephen</au><au>Wong, William</au><au>Anderson, Yvonne C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The cost of investigating weight‐related comorbidities in children and adolescents in Aotearoa/New Zealand</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2021-12</date><risdate>2021</risdate><volume>57</volume><issue>12</issue><spage>1942</spage><epage>1948</epage><pages>1942-1948</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>Aim
Expert recommendations for child/adolescent obesity include extensive investigation for weight‐related comorbidities, based on body mass index (BMI) percentile cut‐offs. This study aimed to estimate the cost of initial investigations for weight‐related comorbidities in children/adolescents with obesity, according to international expert guidelines.
Methods
The annual mean cost of investigations for weight‐related comorbidities in children/adolescents was calculated from a health‐funder perspective using 2019 cost data obtained from three New Zealand District Health Boards. Prevalence data for child/adolescent obesity (aged 2–14 years) were obtained from the New Zealand Health Survey (2017/2018), and prevalence of weight‐related comorbidities requiring further investigation were obtained from a previous New Zealand study of a cohort of children with obesity.
Results
The cost of initial laboratory screening for weight‐related comorbidities per child was NZD 28.36. Based on national prevalence data from 2018/2019 for children with BMI greater than the 98th percentile (obesity cut‐off), the total annual cost for initial laboratory screening for weight‐related comorbidities in children/adolescents aged 2–14 years with obesity was estimated at NZD 2,665,840. The cost of further investigation in the presence of risk factors was estimated at NZD 2,972,934.
Conclusions
Investigating weight‐related comorbidities in New Zealand according to international expert guidelines is resource‐intensive. Ways to further determine who warrants investigation with an individualised approach are required.</abstract><cop>Australia</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34196427</pmid><doi>10.1111/jpc.15618</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5377-6222</orcidid><orcidid>https://orcid.org/0000-0003-2054-338X</orcidid></addata></record> |
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| identifier | ISSN: 1034-4810 |
| ispartof | Journal of paediatrics and child health, 2021-12, Vol.57 (12), p.1942-1948 |
| issn | 1034-4810 1440-1754 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adolescence Adolescent Body Mass Index Child Children & youth Comorbidity cost Humans individualised care investigation Investigations Laboratories New Zealand - epidemiology Obesity Pediatric Obesity - epidemiology Pediatrics Prevalence Teenagers tests |
| title | The cost of investigating weight‐related comorbidities in children and adolescents in Aotearoa/New Zealand |
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