Post–Bariatric Surgery Body Contouring Treatment in the Public Health System

Poyatos, Jordi Vilà; Sales, Benjamín Oller; Vidal, Antonio Alastrué

doi:10.1097/prs.0000000000000428

Cited by 23 publications

(6 citation statements)

References 6 publications

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“…A recent study from the UK, which reviewed funding models and access for bariplastic surgery, highlighted that there was very little in the literature on the prevalence of bariplastic surgery after bariatric surgery . The only available and recent evidence based on a survey of 100 patients who had completed post‐bariatric body contouring surgery in the Spanish public health system found that the cost of post‐bariatric surgery body contouring treatment in a public health system unit was €8,264 (1.66 operations per patient) and that severe complications increase the average cost per patient 2.96 times . Importantly, the study indicated that it provided conservative estimates (public health system costs) and the rate of complications was high (up to 50%), and that although the more severe complications are rare, these represent high costs (mean €24,463).…”

Section: Discussionmentioning

confidence: 95%

“…Patients requiring body contouring surgery after bariatric surgery have been described as a new and unique population that is difficult to manage, with 96% of post‐bariatric surgery patients developing multiple redundant skin flaps . An unfortunate consequence of massive weight loss is the persistence of large quantities of excess and often inelastic skin and subcutaneous tissue.…”

Section: Discussionmentioning

confidence: 99%

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Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

et al. 2016

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There is a need for studies that assume a broader societal perspective (including out-of-pocket costs, costs to family and productivity losses) and longer-term costs (capture reoperations/complications, waiting, body contouring), and consequences (health-related quality-of-life). Full economic evaluation underpinned by reporting standards should inform prioritization of patients (e.g. type 2 diabetes mellitus with body mass index 30 to 34.9 kg/m(2) or long-term waitlisted) for surgery. © 2016 World Obesity.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

et al. 2016

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“…Vários relatos na literatura já descreveram abordagens de sistemas nacionais de saúde para pacientes com grande perda ponderal após cirurgia bariátrica, principalmente na América do Norte e da Europa [12][13][14][15][16][17] .…”

Section: R E S U M O R E S U M Ounclassified

“…De forma análoga a outros países -Polônia, Espanha, Áustria e Itália -o Brasil oferece procedimentos de contorno corporal de forma gratuita através do SUS 14,16,19,20 . Os critérios de inclusão são similares aos propostos pela Sociedade Americana de Cirurgia Plástica (ASAPS), relacionados principalmente às comorbidades e redundância cutânea, diferente de países como Itália, Noruega e Inglaterra, que colocam o IMC como critério de inclusão 3,20,21 .…”

Section: Procedimentounclassified

Acesso à cirurgia plástica reparadora para pacientes submetidos à cirurgia bariátrica no Sistema Único de Saúde (SUS)

Secanho

Junior

Carneiro

et al. 2023

Rev. Col. Bras. Cir.

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RESUMO Introdução: obesidade é uma das doenças mais comuns do mundo e a cirurgia bariátrica é o tratamento mais eficaz até o momento. Um dos impactos negativos do procedimento é o dismorfismo corporal causado pelo excesso cutâneo. No Brasil, o Sistema Único de Saúde (SUS) promove cirurgia de contorno corporal para tratar pacientes com perda ponderal maciça desde 2007. Este artigo tem como objetivo descrever a abordagem do SUS para pacientes pós-bariátricos através de análise do banco de dados do próprio sistema. Métodos: foi realizada pesquisa no banco de dados do SUS para procedimentos em pós-bariátricos entre 2007 e 2021. As variáveis analisadas foram localização geográfica, ano, tempo médio de internação, morte e taxa de mortalidade. Também analisamos o número de procedimentos bariátricos realizados no mesmo período. Análise estatística foi realizada utilizando os testes t de Student e do Qui-Quadrado, considerando valor p<0,5 como significante. Resultados: um total de 12.717 procedimentos de cirurgia plástica foram realizados em pacientes pós-bariátricos, com prevalência nacional de 13,8%. Dermolipectomia foi o procedimento mais realizado, com um total de 6.719. Nos anos de 2020 e 2021 houve um decréscimo de 64,3 e 70,9% no total de cirurgias, respectivamente (p<0,001). Procedimentos bariátricos tiveram maior número total e taxa de crescimento maiores do que cirurgia pós-bariátricas (p<0,001), totalizando 93.589 cirurgias. Conclusões: houve um número significativo de cirurgias de contorno corporal no Brasil, embora com baixa prevalência. Dermolipectomia foi o procedimento mais realizado. Notamos impacto significativo da pandemia Sars-CoV-2 no total de procedimentos realizados.

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“…Several reports in the literature have already described national health system approaches for patients with severe weight loss after bariatric surgery, mainly in North America and Europe [12][13][14][15][16][17] . SUS is known worldwide as one of the largest public health systems.…”

Section: Introductionmentioning

confidence: 99%

Access to reconstructive plastic surgery for patients undergoing bariatric surgery in the Unified Health System (SUS)

Secanho

Junior

Carneiro

et al. 2023

Rev. Col. Bras. Cir.

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Introduction: obesity is one of the most common diseases worldwide, and the most effective treatment to it is the bariatric surgery. One of the negative impacts of this procedure is the body dysmorphia caused by overhanging skin. In Brazil, the national health system - Sistema Único de Sáude (SUS) - provide body contouring surgery to treat post-bariatric patients, since 2007. This article aims to describe the Brazilian public health approach to post bariatric patients and perform an analyze in the Brazilian health care database. Methods: in Brazilian Health System database, a search for the post-bariatric procedures performed between 2007 to 2021 was done. The variables analyzed were geographic location, year, mean days of hospitalization, death, and mortality rate. Also, we evaluated the number of bariatric procedures done in the same period. Statistical analysis was performed using the Student-t and the chi-square tests and p-value <0.5 was considered significant. Results: a total of 12,717 plastic surgery procedures in post bariatric patients were done, with a national prevalence of 13.8%. Dermolipectomy was the most performed procedure, with 6,719. The years of 2020 and 2021 suffered a decreased of 64.3% and 70.9% in the number of surgeries (p<0,001). Bariatric Procedures had a high rate and a higher percentage of growth comparing to post bariatric surgery (p<0,001), totalizing 93,589 surgeries. Conclusions: Brazil had a significant number of body contouring surgery, however with a low prevalence. Dermoliepctomy was the most common procedure performed. We could notice a significant impact of COVID pandemic in those procedures .

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Post–Bariatric Surgery Body Contouring Treatment in the Public Health System

Abstract: The average cost of post-bariatric surgery body contouring treatment in this unit is &OV0556;8263.95 (1.66 operations per patient). The severe complications increase by 2.96 times the average cost per patient.

Cited by 23 publications

References 6 publications

Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

Acesso à cirurgia plástica reparadora para pacientes submetidos à cirurgia bariátrica no Sistema Único de Saúde (SUS)

Access to reconstructive plastic surgery for patients undergoing bariatric surgery in the Unified Health System (SUS)

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