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February 2019. Screening and brief intervention for obesity in primary care: cost-effectiveness analysis in the BWeL trial

The Brief Intervention for Weight Loss Trial enrolled 1882 consecutively attending primary care patients who were obese and participants were randomised to physicians opportunistically endorsing, offering, and facilitating a referral to a weight loss programme (support) or recommending weight loss (advice). After one year, the support group lost 1.4 kg more (95%CI 0.9 to 2.0): 2.4 kg versus 1.0 kg. We used a cohort simulation to predict effects on disease incidence, quality of life, and healthcare costs over 20 years.

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