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Economic analysis of nutrition interventions for chronic disease prevention: methods, research, and policy

Authors

  • John B Wong,

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  • Paul M Coates,

    1. JB Wong is with the Division of Clinical Decision Making, Tufts Medical Center, School of Medicine, Tufts University, Boston, Massachusetts, USA. PM Coates, RM Russell, and SA Peterson are with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, USA. JT Dwyer is with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, and the School of Medicine and Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA. JA Schuttinga is with the Division of Program Coordination, Planning, and Strategic Initiatives, National Institutes of Health, Bethesda, Maryland, USA. BA Bowman is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
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  • Robert M Russell,

    1. JB Wong is with the Division of Clinical Decision Making, Tufts Medical Center, School of Medicine, Tufts University, Boston, Massachusetts, USA. PM Coates, RM Russell, and SA Peterson are with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, USA. JT Dwyer is with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, and the School of Medicine and Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA. JA Schuttinga is with the Division of Program Coordination, Planning, and Strategic Initiatives, National Institutes of Health, Bethesda, Maryland, USA. BA Bowman is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
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  • Johanna T Dwyer,

    1. JB Wong is with the Division of Clinical Decision Making, Tufts Medical Center, School of Medicine, Tufts University, Boston, Massachusetts, USA. PM Coates, RM Russell, and SA Peterson are with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, USA. JT Dwyer is with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, and the School of Medicine and Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA. JA Schuttinga is with the Division of Program Coordination, Planning, and Strategic Initiatives, National Institutes of Health, Bethesda, Maryland, USA. BA Bowman is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
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  • James A Schuttinga,

    1. JB Wong is with the Division of Clinical Decision Making, Tufts Medical Center, School of Medicine, Tufts University, Boston, Massachusetts, USA. PM Coates, RM Russell, and SA Peterson are with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, USA. JT Dwyer is with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, and the School of Medicine and Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA. JA Schuttinga is with the Division of Program Coordination, Planning, and Strategic Initiatives, National Institutes of Health, Bethesda, Maryland, USA. BA Bowman is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
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  • Barbara A Bowman,

    1. JB Wong is with the Division of Clinical Decision Making, Tufts Medical Center, School of Medicine, Tufts University, Boston, Massachusetts, USA. PM Coates, RM Russell, and SA Peterson are with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, USA. JT Dwyer is with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, and the School of Medicine and Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA. JA Schuttinga is with the Division of Program Coordination, Planning, and Strategic Initiatives, National Institutes of Health, Bethesda, Maryland, USA. BA Bowman is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
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  • Sarah A Peterson

    1. JB Wong is with the Division of Clinical Decision Making, Tufts Medical Center, School of Medicine, Tufts University, Boston, Massachusetts, USA. PM Coates, RM Russell, and SA Peterson are with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, USA. JT Dwyer is with the Office of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, and the School of Medicine and Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA. JA Schuttinga is with the Division of Program Coordination, Planning, and Strategic Initiatives, National Institutes of Health, Bethesda, Maryland, USA. BA Bowman is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
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JB Wong, Division of Clinical Decision Making, Tufts Medical Center, Tufts University School of Medicine, 800 Washington St #302, Boston, MA 02111, USA. E-mail: jwong@tuftsmedicalcenter.org, Phone: +1-617-636-5695, Fax: +1-617-636-4838.

Abstract

Increased interest in the potential societal benefit of incorporating health economics as a part of clinical translational science, particularly nutrition interventions, led the Office of Dietary Supplements at the National Institutes of Health to sponsor a conference to address key questions about the economic analysis of nutrition interventions to enhance communication among health economic methodologists, researchers, reimbursement policy makers, and regulators. Issues discussed included the state of the science, such as what health economic methods are currently used to judge the burden of illness, interventions, or healthcare policies, and what new research methodologies are available or needed to address knowledge and methodological gaps or barriers. Research applications included existing evidence-based health economic research activities in nutrition that are ongoing or planned at federal agencies. International and US regulatory, policy, and clinical practice perspectives included a discussion of how research results can help regulators and policy makers within government make nutrition policy decisions, and how economics affects clinical guideline development.

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