Cost-Effectiveness Analysis of Bariatric Surgery for Morbid Obesity

Alsumali, Adnan; Eguale, Tewodros; Bairdain, Sigrid; Samnaliev, Mihail

doi:10.1007/s11695-017-3100-0

Cited by 73 publications

(69 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Besides these, the operative charges for bariatric surgery are another subject of extensive research, since the ideal operation should be characterized by optimum excess weight loss, minimization of complications rate, and reduced economic cost. Based on recent studies, the mean expenditures for the performance of LSG are not negligible [ 60 ]. Technical characteristics, such as the use of staplers also contribute to the overall increased cost [ 61 , 62 ].…”

Section: Discussionmentioning

confidence: 99%

“…In a meta-analysis by Guh et al [ 64 ], the pooled IRR estimate for hypertension in obese males was 1.84 (95% CI: 1.51, 2.24) and in females 1.90 (95% CI: 1.77, 2.03). Moreover, the obstructive sleep apnea rates in obese patients are increased, ranging from 21% to 43% [ 60 ]. Various trials have compared the efficacy of LSG and LGP in terms of comorbidities improvement rates, without identifying any significant difference [ 26 , 34 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

et al. 2018

View full text Add to dashboard Cite

Introduction A meta-analysis was conducted in order to provide an up-to-date comparison of laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP) for morbid obesity. Materials and Methods The PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions were used for the conduction of this study. A systematic literature search was performed in the electronic databases (MEDLINE, CENTRAL, and Web of Science and Scopus). The fixed effects or random effects model was used according to the Cochran Q test. Results Totally, 12 eligible studies were extracted. LSG displayed a statistically significant lower rate of overall complications (OR: 0.35; 95% CI: 0.17, 0.68; p=0.002) and a sustainable higher %EWL through all time endpoints (OR: 4.86, p=0.04; OR: 7.57, p < 0.00001; and OR: 13.74; p < 0.00001). There was no difference between the two techniques in terms of length of hospital stay (p=0.16), operative duration (p=0.81), reoperation rate (p=0.51), and cost (p=0.06). Conclusions LSG was demonstrated to have a lower overall complications and a higher weight loss rate, when compared to LGP. Further RCTs of a higher methodological quality level, with a larger sample size, are required in order to validate these findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Inúmeros estudos corroboram a premissa de que a cirurgia bariátrica é custo-efetiva 20,22,28,29 . No entanto, é necessário destacar que a cirurgia bariátrica é intervenção de risco.…”

Section: Modalidadeunclassified

“…No entanto, poucos estudos se dedicam a avaliar o custo para a saúde pública da realização de procedimentos hospitalares voltados ao tratamento da obesidade, como os procedimentos de cirurgia bariátrica. O que se observa são estudos que objetivam analisar o custo efetividade de cirurgias bariátricas ou os ganhos com o aumento da realização de cirurgias bariátricas [20][21][22] , ou ainda estudos que busquem estimar os custos decorrentes de diagnósticos de doenças relacionadas à obesidade, como diabetes, doenças cardiovasculares e depressão 15,16,19,[23][24][25] . No entanto, cirurgias desta natureza não são ações preventivas, e implicam em custos hospitalares que poderiam ser evitados através de ações de prevenção à obesidade.…”

Section: Introductionunclassified

Análise das internações hospitalares para procedimentos de cirurgias bariátricas financiadas pelo SUS em âmbito nacional

Abbade

2019

Medicina (Ribeirao Preto Online)

View full text Add to dashboard Cite

Modelo do estudo: Estudo descritivo transversal. Objetivo: O objetivo deste estudo foi analisar a evolução do quantitativo e valor aprovado no âmbito do SUS, no período de 2008 a 2018, associado aos procedimentos cirúrgicos de gastroplastia (cirurgia bariátrica) relacionados ao diagnóstico principal de obesidade por excesso de calorias. Método: Foi conduzido estudo ecológico com levantamento de dados obtidos nos Sistemas de Informações Hospitalares e Ambulatoriais do SUS (SIH/SUS e SAI/SUS). Foram levantados dados mensais do quantitativo e valor aprovado referentes aos procedimentos selecionados associados às cirurgias bariátricas em âmbito nacional compreendendo o período de janeiro de 2008 a julho de 2018. Resultados: Os resultados mostram um crescimento acentuado na quantidade de procedimentos de gastroplastia financiados pelo SUS. Em 2017 foram financiados 10.840 procedimentos de gastroplastia totalizando cerca de R$ 69 milhões. Em julho de 2018 o valor médio do custo ao SUS do procedimento de gastroplastia foi estimado em R$ 6.449,30. Observou-se que o tempo médio de internação e a taxa média de óbitos referentes a procedimentos de gastroplastia apresentam considerável redução. Também é evidenciado que as mulheres representam cerca de 85% dos pacientes de procedimentos de gastroplastia financiadas pelo SUS. Conclusão: A epidemia de obesidade que aflige a população brasileira ocasiona aumento do quantitativo de gastroplastias financiadas pelo SUS, que ainda são consideradas insuficientes, o que exige que sejam delineadas políticas e iniciativas públicas em prol do combate à obesidade coletiva no Brasil.

show abstract

“…RYGB has the additional sequel of making the choledochus inaccessible orally, complicating the eventual future treatment of bile duct lithiasis, which is why some surgeons advocate concomitant prophylactic cholecystectomy [19]. Although there is a return on investment after ~5 years (as expressed by increased survival, increased quality of life and decreased costs related to the treatment of comorbidities), the operation has a non-negligible initial price (in USA: $20,000 to $50,000; depending on the center [20]) [21]. The best achievable complication rate of primary BS, aka benchmark, expressed by the comprehensive complication index (CCI®), is currently under investigation by our study group at the University Hospital Zürich, using the benchmarking methodology previously applied in liver transplantation and esophagectomy [22][23].…”

Section: Knowledge On Benefits and Risks Of Bariatric Surgerymentioning

confidence: 99%

Mindset and Communication Barriers in the Diffusion of Bariatric Surgery

Gerö

Hulesch²,

Bueter

2018

Curr Atheroscler Rep

View full text Add to dashboard Cite

general practitioners who already referred patients for BS seem to be more confident to refer again, to tackle obesity and manage postoperative follow-up. Confirmation: postbariatric patients seem to be more self-confident and more productive at work; however, their stigmatization might prevail related to the way they have achieved weight loss. Dissemination of balanced and corroborative information seems to be the main instrument to combat mindset barriers. The integration of general practitioners under the umbrella of bariatric centers has a great potential to increase referrals. Social media may represent a helpful tool to be used by medical professionals and patient-role models to improve confident decision-making of bariatric candidates.

show abstract

Cost-Effectiveness Analysis of Bariatric Surgery for Morbid Obesity

Abstract: LRYGB is the optimal bariatric technique, being the most cost-effective compared to LSG, LAGB, and no surgery options for most subgroups. However, LSG was the most cost-effective choice when initial BMI ranged between 35 and 39.9 kg/m.

Cited by 73 publications

References 33 publications

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

Laparoscopic Gastric Plication versus Laparoscopic Sleeve Gastrectomy: An Up-to-Date Systematic Review and Meta-Analysis

Análise das internações hospitalares para procedimentos de cirurgias bariátricas financiadas pelo SUS em âmbito nacional

Mindset and Communication Barriers in the Diffusion of Bariatric Surgery

Contact Info

Product

Resources

About