Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

Júnior, Wilson Salgado; Pitanga, Karoline Calfa; Santos, José Sebastião dos; Sankarankutty, Ajith Kumar; Silva, Orlando de Castro e; Ceneviva, Reginaldo

doi:10.1590/s0102-86502010000200014

Cited by 10 publications

(17 citation statements)

References 11 publications

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“…The majority of the studies were conducted from a US hospital perspective [23, 26–30, 32, 33], with the remaining studies taking a European [17, 18, 31], Australian [25] and Brazilian [24] hospital perspective. Limited details concerning the sources of data were provided in all the studies.…”

Section: Resultsmentioning

confidence: 99%

“…Limited details concerning the sources of data were provided in all the studies. Most commonly, data sources were simply stated as specific hospital departments or general hospital databases [17, 24, 28–30]. Other sources of data included hospital charges or claims data [23, 27, 32, 33], purchase prices [31], a dedicated bariatric surgery database [26], patient case record forms [25] and a mix of prospective, retrospective, documentation and finance department data [18].…”

Section: Resultsmentioning

confidence: 99%

“…One study reported costs for bariatric surgery, in general [32], two studies reported costs for different gastric banding procedures [25, 31] and two studies reported costs for gastric bypass procedures [17, 24]. The remaining studies compared the costs of two or more different procedures [18, 23, 26–30, 33].…”

Section: Resultsmentioning

confidence: 99%

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What Are the Real Procedural Costs of Bariatric Surgery? A Systematic Literature Review of Published Cost Analyses

et al. 2017

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This review aims to evaluate the current literature on the procedural costs of bariatric surgery for the treatment of severe obesity. Using a published framework for the conduct of micro-costing studies for surgical interventions, existing cost estimates from the literature are assessed for their accuracy, reliability and comprehensiveness based on their consideration of seven ‘important’ cost components. MEDLINE, PubMed, key journals and reference lists of included studies were searched up to January 2017. Eligible studies had to report per-case, total procedural costs for any type of bariatric surgery broken down into two or more individual cost components. A total of 998 citations were screened, of which 13 studies were included for analysis. Included studies were mainly conducted from a US hospital perspective, assessed either gastric bypass or adjustable gastric banding procedures and considered a range of different cost components. The mean total procedural costs for all included studies was US$14,389 (range, US$7423 to US$33,541). No study considered all of the recommended ‘important’ cost components and estimation methods were poorly reported. The accuracy, reliability and comprehensiveness of the existing cost estimates are, therefore, questionable. There is a need for a comparative cost analysis of the different approaches to bariatric surgery, with the most appropriate costing approach identified to be micro-costing methods. Such an analysis will not only be useful in estimating the relative cost-effectiveness of different surgeries but will also ensure appropriate reimbursement and budgeting by healthcare payers to ensure barriers to access this effective treatment by severely obese patients are minimised.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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What Are the Real Procedural Costs of Bariatric Surgery? A Systematic Literature Review of Published Cost Analyses

et al. 2017

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“…There will be an estimated 100% prevalence within the next 10 years, reducing the life expectancy by five to 20 years and becoming the great health public issue [6][7] .…”

Section: Introductionmentioning

confidence: 99%

Bariatric surgery. Analysis of hospital admissions for obesity in the Brazilian Public Health System (SUS) in Sao Paulo

Miott

Koike

2014

Acta Cir. Bras.

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PURPOSE:To characterize the comorbidities associated with hospitalizations for obesity and the relationship of these co-morbidities with bariatric surgery and hospitalization costs during the period between 2000 and 2010 in Sao Paulo that were financed by the Brazilian Public Health System (SUS). METHODS:We used data from the Hospital Information System of the Unified Health System (SIH-SUS) for selected individuals hospitalized for obesity according to International Classification of Diseases (ICD10). RESULTS:The total cost of hospitalizations was approximately two million dollars, with 67% of the total cost for bariatric and reconstructive surgery. Women accounted for 87% of hospitalizations, and 77% of subjects were aged between 30 and 59 years; the main comorbidity found was hypertension, and the procedures performed were bariatric surgery and reconstructive surgery (postbariatric surgery). CONCLUSION:Obesity is a major public health problem that affects people of productive age, causing high costs of hospitalization, which reinforces the requirement for preventive interventions beginning from childhood.

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“…(SALGADO JUNIOR et al, 2010;DORBROW et al, 2004;FRANCISCHI et al, 2000;FRANCSICHINI et al, 2000;GRACIANO, 1980;NG et al, 2014) (BOOTH et al, 2011FERREIRA, 2006;SUTER et al, 2006;MONDINI & MONTEIRO, 1998 • Obesidade grau I: quando o IMC encontra-se entre 30 e 34,9 Kg/m 2 .…”

Section: A Comissão De Pós-graduação Da Faculdade Deunclassified

Condição periodontal e hipertensão arterial em pacientes obesos mórbidos antes e após a cirurgia bariátrica: estudo de coorte prospectivo

Tavarez¹,

Darío²

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Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

Cited by 10 publications

References 11 publications

What Are the Real Procedural Costs of Bariatric Surgery? A Systematic Literature Review of Published Cost Analyses

What Are the Real Procedural Costs of Bariatric Surgery? A Systematic Literature Review of Published Cost Analyses

Bariatric surgery. Analysis of hospital admissions for obesity in the Brazilian Public Health System (SUS) in Sao Paulo

Condição periodontal e hipertensão arterial em pacientes obesos mórbidos antes e após a cirurgia bariátrica: estudo de coorte prospectivo

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