Burden of metabolic syndrome on primary healthcare costs among older adults: A cross-sectional study.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Sao Paulo Medical Journal Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI:10.1590/1516-3180.2023.0215.R1.13052024

Suelen Jane Ricardo, Monique Yndawe Castanho Araujo, Lionai Lima Dos Santos, Marcelo Romanzini, Rômulo Araújo Fernandes, Bruna C Turi-Lynch, Jamile Sanches Codogno

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Abstract

Background: The impact of metabolic syndrome (MetS) on healthcare costs remains unclear in the literature.

Objectives: To determine the impact of MetS on primary healthcare costs of adults, as well as to identify the impact of physical activity and other covariates on this phenomenon.

Design and setting: This cross-sectional study was conducted in the city of Presidente Prudente, State of São Paulo/Brazil, in 2016.

Methods: The sample comprised 159 older adults (> 50 years) of both sexes (110 women) who were identified from their medical records in the Brazilian National Health Service. Healthcare costs (US$) were assessed through medical records and divided into medical consultations, medications, laboratory tests, and total costs. MetS was assessed using medical records.

Results: The Brazilian National Health Service spent more on consultations (US$ 22.75 versus US$ 19.39; + 17.3%) and medication (US$ 19.65 versus US$ 8.32; + 136.1%) among adults with MetS than among those without MetS, but the costs for laboratory tests were similar (P = 0.343). Total costs were 53.9% higher in adults with MetS than in those without the diagnosis of the disease (P = 0.001). Regarding total costs, there was an increase of US$ 38.97 when five components of MetS were present (P = 0.015), representing an increase of approximately 700%, even after adjusting for sex, age, and physical activity.

Conclusion: In conclusion, the presence of the MetS is responsible for increasing primary care costs among older adults, especially in those related to medicines.

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代谢综合征对老年人初级医疗费用的影响：一项横断面研究。

背景：代谢综合征（MetS）对医疗费用的影响在文献中仍不明确：确定代谢综合征对成人初级医疗费用的影响，并确定体育锻炼和其他协变量对这一现象的影响：这项横断面研究于2016年在巴西圣保罗州普鲁登特总统市进行：样本包括 159 名老年人（大于 50 岁），男女均有（其中 110 名女性），他们的身份均来自巴西国家医疗服务机构的医疗记录。医疗费用（美元）通过医疗记录进行评估，并分为医疗咨询、药物治疗、实验室检查和总费用。MetS 通过医疗记录进行评估：结果：巴西国家医疗服务机构为患有 MetS 的成年人提供的诊疗费用（22.75 美元对 19.39 美元；+ 17.3%）和药费（19.65 美元对 8.32 美元；+ 136.1%）均高于未患有 MetS 的成年人，但化验费用却相差无几（P = 0.343）。患有 MetS 的成年人的总费用比未确诊 MetS 的成年人高 53.9%（P = 0.001）。在总费用方面，如果存在 MetS 的五个组成部分，则费用增加 38.97 美元（P = 0.015），即使对性别、年龄和体力活动进行调整后，费用仍增加了约 700%：总之，MetS 是导致老年人初级保健费用增加的原因，尤其是与药物有关的费用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sao Paulo Medical Journal 医学-医学：内科

CiteScore

2.20

自引率

7.10%

发文量

210

审稿时长

6-12 weeks

期刊介绍： Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.