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Hospitalization costs in Portugal among people with obesity

2024-04-24Artigo científico Acesso aberto
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dc.contributor.authorDestri, Kelli
dc.contributor.authorDestri, Kelli
dc.contributor.authorHenriques, Ana Rita
dc.contributor.authorOliveira Henriques, Ana Rita
dc.contributor.authorMendonça, Nuno
dc.contributor.authorMendonça, Nuno
dc.contributor.authorAlves, Joana
dc.contributor.authorBarcelos, Anabela
dc.contributor.authorBarcelos, Anabela
dc.contributor.authorDias, Sara Simões
dc.contributor.authorDias, Sara Simões
dc.contributor.authorGregório, Maria João
dc.contributor.authorGregório, Maria João
dc.contributor.authorCanhão, Helena
dc.contributor.authorCanhão, Helena
dc.contributor.authorRodrigues, Ana Maria
dc.contributor.authorMaria Rodrigues, Ana
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblFrontiers Media
dc.date.accessioned2024-06-07T00:37:48Z
dc.date.available2024-06-07T00:37:48Z
dc.date.issued2024-04-24
dc.descriptionFunding Information: The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was funded by the Funda\u00E7\u00E3o para Ci\u00EAncia e Tecnologia, FCT, I. P. reference SFRH (PD/BD/135589/2018) and by Comprehensive Health Research Center (CHRC) (UIDP/04923/2020). Publisher Copyright: Copyright © 2024 Destri, Henriques, Mendonça, Alves, Barcelos, Dias, Gregório, Canhão and Rodrigues.
dc.description.abstractBackground: Obesity has been extensively studied over the years, primarily focusing on the physiological aspects of the disease. However, the general burden of obesity mainly the financial implications and its influence on hospitalization and length of stay have only recently garnered attention in the literature, particularly in the case of Portugal. Aim: This study aimed to investigate the association between obesity and hospitalizations in the Portuguese adult population and compare the average costs of hospitalization among participants with and without obesity. Methods: At baseline, the analytic sample consisted of 10,102 participants aged ≥18 years from the Portuguese population-based Epidemiology of Chronic Diseases Cohort (EpiDoC). Participants were then followed for up to 10 years from 2011 to 2021 in three more waves of data collection. Body mass index was derived from self-reported weight and height, and instances of hospitalization were self-reported by the participants. The associated costs for each hospitalization episode were categorized according to national legislation and valued according to the pricing for Diagnosis Related Groups. Results: Obesity was associated with more hospitalizations (for example, Obesity class I vs. normal weight: OR = 1.33 [1.14–1.55]). However, when the presence of multimorbidity was considered, this association diminished. While longer hospital length of stay was observed in individuals with higher obesity categories, this difference did not reach statistical significance. On average, the total hospitalization costs per patient with obesity amounted to €200.4 per year. Conclusion: Obesity is as a risk factor for hospitalizations and potentially with higher length of stay hospitalizations, with this effect being partially mediated by the concurrent presence of multimorbidity. Consequently, obesity constitutes an additional burden on healthcare systems. This underscores the imperative of implementing cost-effective prevention programs aimed at addressing and managing this significant public health concern.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1874522
dc.identifier.doi10.3389/fpubh.2024.1380690
dc.identifier.issn2296-2565
dc.identifier.otherPURE: 89299663
dc.identifier.otherPURE UUID: 0f208340-1577-4edb-96bc-ac855d884ffd
dc.identifier.otherORCID: /0000-0002-5736-6519/work/158499143
dc.identifier.otherPubMed: 38721535
dc.identifier.otherPubMedCentral: PMC11076754
dc.identifier.otherWOS: 001215232800001
dc.identifier.otherScopus: 85192255551
dc.identifier.otherORCID: /0000-0001-7589-9901/work/161108895
dc.identifier.otherORCID: /0000-0003-1894-4870/work/161109197
dc.identifier.urihttp://hdl.handle.net/10362/168339
dc.identifier.urlhttp://dx.doi.org/10.3389/fpubh.2024.1380690
dc.identifier.urlhttps://www.scopus.com/pages/publications/85192255551
dc.language.isoeng
dc.peerreviewedyes
dc.subjecteconomic
dc.subjectepidemiology
dc.subjecthospitalizations
dc.subjectobesity
dc.subjectpublic health
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleHospitalization costs in Portugal among people with obesityen
dc.title.subtitleresults from a nationwide population-based cohort 2011 to 2021en
dc.typejournal article
degois.publication.titleFrontiers in public health
degois.publication.volume12
dspace.entity.typePublication
person.familyNameDestri
person.familyNameOliveira Henriques
person.familyNameMendonça
person.familyNameBarcelos
person.familyNameDias
person.familyNameGregório
person.familyNameCanhão
person.familyNameRodrigues
person.givenNameKelli
person.givenNameAna Rita
person.givenNameNuno
person.givenNameAnabela
person.givenNameSara
person.givenNameMaria João
person.givenNameHelena
person.givenNameAna Maria
person.identifier1483963
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person.identifier.orcid0000-0002-0532-1298
person.identifier.orcid0000-0003-4581-0843
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person.identifier.orcid0000-0002-4116-8964
person.identifier.orcid0000-0001-6782-7481
person.identifier.orcid0000-0002-0380-7833
person.identifier.orcid0000-0003-1894-4870
person.identifier.orcid0000-0003-2046-8017
person.identifier.ridI-9965-2018
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rcaap.rightsopenAccess
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