Evidence mapPaperPMID 34769879Full record

ArticleInternational journal of environmental research and public health2021

Lifestyle Medicine and Economics: A Proposal for Research Priorities Informed by a Case Series of Disease Reversal.

Kara A Livingston, Kelly J Freeman, Susan M Friedman, Ron W Stout, Liana S Lianov, David Drozek, Jamie Shallow, Dexter Shurney, Padmaja M Patel, Thomas M Campbell and 3 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Lifestyle Medicine in Medical Education: Maximizing Impact.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Kara A LivingstonAmerican College of Lifestyle Medicine, Chesterfield, MO 63006, USA.ORCID 0000-0003-0998-1178
Kelly J FreemanDepartment of Member Engagement & Administration, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
Susan M FriedmanSchool of Medicine and Dentistry, University of Rochester, Rochester, NY 14620, USA.
Ron W StoutArdmore Institute of Health, Ardmore, OK 73401, USA.
Liana S LianovAmerican College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
David DrozekAmerican College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
Jamie ShallowBright Health Group, Minneapolis, MN 55437, USA.
Dexter ShurneyAmerican College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
Padmaja M PatelAmerican College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
Thomas M CampbellMedical Center, University of Rochester, Rochester, NY 14642, USA.
Kaitlyn R PaulyDepartment of Member Engagement & Administration, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
Kathryn J PollardDepartment of Research, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
Micaela C KarlsenDepartment of Research, American College of Lifestyle Medicine, Chesterfield, MO 63006, USA.
Indiana University – Purdue University Indianapolis · USMidland College · USOhio University · USUniversity of Rochester · USUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic disease places an enormous economic burden on both individuals and the healthcare system, and existing fee-for-service models of healthcare prioritize symptom management, medications, and procedures over treating the root causes of disease through changing health behaviors. Value-based care is gaining traction, and there is a need for value-based care models that achieve the quadruple aim of (1) improved population health, (2) enhanced patient experience, (3) reduced healthcare costs, and (4) improved work life and decreased burnout of healthcare providers. Lifestyle medicine (LM) has the potential to achieve these four aims, including promoting health and wellness and reducing healthcare costs; however, the economic outcomes of LM approaches need to be better quantified in research. This paper demonstrates proof of concept by detailing four cases that utilized an intensive, therapeutic lifestyle intervention change (ITLC) to dramatically reverse disease and reduce healthcare costs. In addition, priorities for lifestyle medicine economic research related to the components of quadruple aim are proposed, including conducting rigorously designed research studies to adequately measure the effects of ITLC interventions, modeling the potential economic cost savings enabled by health improvements following lifestyle interventions as compared to usual disease progression and management, and examining the effects of lifestyle medicine implementation upon different payment models.

Indexed as

Fee-for-Service PlansHealth Care CostsHumansLife StylePalliative CareResearchchronic diseasecost savingsdiabetes remissionhealthcare costslifestyle medicine

Identifiers

PMID34769879
PMCPMC8583680
OpenAlexW3209962536

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.