Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011

摘要: Background Obesity is a global public health problem and risk factor for several diseases that financially impact healthcare systems. Objective To estimate the direct costs attributable to obesity (body mass index {BMI} ≥ 30 kg/m2) morbid (BMI 40 in adults aged 20 incurred by Brazilian system 2011. Settings Public hospitals outpatient care. Methods A cost-of-illness method was adopted using top-down approach based on prevalence. The proportion of cost each obesity-associated comorbidity calculated prevalence used calculate risk. Direct data (inpatient care, bariatric surgery, medications diagnostic procedures) were extracted from Ministry Health information systems, available web. Results Direct totaled US$ 269.6 million (1.86% all expenditures medium- high-complexity care). accounted 23.8% (US$ 64.2 million) obesity-related despite being 18 times less prevalent than obesity. Bariatric surgery Brazil 17.4 2011. women five higher it men. Conclusion The found be proportionally If current epidemic not reversed, will increase gradually coming years, as well its costs, having serious implications financial sustainability system.