Obesity Science & Practice · Published 2026-07-19 · DOI 10.1002/osp4.70173
Alexander Dimitri Miras, Silvia Capucci, Sylwia Migas, Bozydar Wrona, Liwei Zhao, Johann Castañeda‐Sanabria, Lise M. Hagelund, Vasileios Antavalis, Camilla S. Morgen
ABSTRACT Objective This observational study characterized obesity care pathways and healthcare resource use in England between 2015 and 2019. Methods Data were obtained from Discover and the Salford Integrated Record (SIR), two databases of linked primary and secondary electronic health records in England. Adults with a body mass index (BMI) ≥ 30 kg/m2 who attended obesity clinics were included over 4 years (January 1, 2015 [SIR] and January 1, 2016 [Discover] to December 31, 2018). Results Overall, 1698 people living with obesity were included from Discover and 561 from SIR. Most (74.9%–78.6%) received a lifestyle intervention as their first intervention, whereas 6.2%–16.3% received a pharmacological treatment or metabolic/bariatric surgical procedure. Time to first intervention was typically > 6 months, and most individuals remained in their baseline BMI group after 8 months' follow‐up. Obesity‐related complications resulted in high annual per‐person direct healthcare costs, particularly for acute cardiovascular events such as myocardial infarction (Discover: 2285 GBP; SIR: 2194 GBP) and incident stroke (Discover: 3005 GBP; SIR: 1550 GBP). Conclusions In conclusion, the time to first intervention can be considerable for people living with obesity in England and these individuals may incur high healthcare costs. There is an unmet need for timely and effective weight management in England.
Abstract from DOAJ. Public domain (CC0 1.0).
Read the article at the publisher →
Miras, A., Capucci, S., Migas, S., et al. (2026). Mapping Obesity Care Pathways and Healthcare Resource Use From 2015 to 2019 in England. Obesity Science & Practice. https://doi.org/10.1002/osp4.70173