Suelen Jane Ricardo, Monique Yndawe Castanho Araujo, Lionai Lima Dos Santos, Marcelo Romanzini, Rômulo Araújo Fernandes, Bruna C Turi-Lynch, Jamile Sanches Codogno
{"title":"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。","authors":"Suelen Jane Ricardo, Monique Yndawe Castanho Araujo, Lionai Lima Dos Santos, Marcelo Romanzini, Rômulo Araújo Fernandes, Bruna C Turi-Lynch, Jamile Sanches Codogno","doi":"10.1590/1516-3180.2023.0215.R1.13052024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The impact of metabolic syndrome (MetS) on healthcare costs remains unclear in the literature.</p><p><strong>Objectives: </strong>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.</p><p><strong>Design and setting: </strong>This cross-sectional study was conducted in the city of Presidente Prudente, State of São Paulo/Brazil, in 2016.</p><p><strong>Methods: </strong>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$) were assessed through medical records and divided into medical consultations, medications, laboratory tests, and total costs. MetS was assessed using medical records.</p><p><strong>Results: </strong>The Brazilian National Health Service spent more on consultations (US$ 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.</p><p><strong>Conclusion: </strong>In conclusion, the presence of the MetS is responsible for increasing primary care costs among older adults, especially in those related to medicines.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"142 6","pages":"e2023215"},"PeriodicalIF":1.3000,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11318962/pdf/","citationCount":"0","resultStr":"{\"title\":\"Burden of metabolic syndrome on primary healthcare costs among older adults: A cross-sectional study.\",\"authors\":\"Suelen Jane Ricardo, Monique Yndawe Castanho Araujo, Lionai Lima Dos Santos, Marcelo Romanzini, Rômulo Araújo Fernandes, Bruna C Turi-Lynch, Jamile Sanches Codogno\",\"doi\":\"10.1590/1516-3180.2023.0215.R1.13052024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The impact of metabolic syndrome (MetS) on healthcare costs remains unclear in the literature.</p><p><strong>Objectives: </strong>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.</p><p><strong>Design and setting: </strong>This cross-sectional study was conducted in the city of Presidente Prudente, State of São Paulo/Brazil, in 2016.</p><p><strong>Methods: </strong>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$) were assessed through medical records and divided into medical consultations, medications, laboratory tests, and total costs. MetS was assessed using medical records.</p><p><strong>Results: </strong>The Brazilian National Health Service spent more on consultations (US$ 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.</p><p><strong>Conclusion: </strong>In conclusion, the presence of the MetS is responsible for increasing primary care costs among older adults, especially in those related to medicines.</p>\",\"PeriodicalId\":49574,\"journal\":{\"name\":\"Sao Paulo Medical Journal\",\"volume\":\"142 6\",\"pages\":\"e2023215\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-08-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11318962/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sao Paulo Medical Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1516-3180.2023.0215.R1.13052024\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sao Paulo Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1516-3180.2023.0215.R1.13052024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Burden of metabolic syndrome on primary healthcare costs among older adults: A cross-sectional study.
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.
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.