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Multidisciplinary Approach to Obesity Management: A Case Report
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Mapping Obesity Care Pathways and Healthcare Resource Use From 2015 to 2019 in England
Alexander Dimitri Miras1,2, Silvia Capucci3, Sylwia Migas4
1Imperial College London Hammersmith Hospital London UK.
Obesity Science & Practice
|July 28, 2026
Summary
People with obesity in England face long waits for weight management interventions, leading to significant healthcare costs from complications. Timely and effective obesity care is urgently needed.
Area of Science:
- Public Health
- Health Economics
- Clinical Medicine
Background:
- Obesity is a major public health concern in England, associated with significant healthcare resource utilization.
- Understanding obesity care pathways and associated costs is crucial for developing effective interventions.
Purpose of the Study:
- To characterize obesity care pathways and healthcare resource use in England.
- To identify the time to first intervention and associated direct healthcare costs for individuals with obesity.
Main Methods:
- Observational study using linked electronic health records from Discover and the Salford Integrated Record (SIR) databases in England.
- Inclusion of adults with a body mass index (BMI) ≥ 30 kg/m² who attended obesity clinics between 2015 and 2018.
- Analysis of intervention types, time to first intervention, and annual per-person direct healthcare costs.
Main Results:
- Most individuals (74.9%-78.6%) received lifestyle interventions, while pharmacological treatments or surgery were less common (6.2%-16.3%).
- The time to the first intervention typically exceeded 6 months, with many individuals remaining in their baseline BMI category after 8 months.
- Obesity-related complications, such as myocardial infarction and stroke, incurred high annual per-person direct healthcare costs.
Conclusions:
- There are considerable delays in initiating weight management interventions for individuals living with obesity in England.
- High healthcare costs are associated with obesity-related complications, highlighting the economic burden.
- An unmet need exists for timely and effective weight management strategies to improve outcomes and reduce costs.
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