Cost-effectiveness of bariatric surgery: should it be universally available?

作者: Su-Hsin Chang , Carolyn R.T. Stoll , Graham A. Colditz

DOI: 10.1016/J.MATURITAS.2011.04.007

关键词: Incremental cost-effectiveness ratioCost effectivenessObesityQuality-adjusted life yearMeta-analysisBody mass indexRandomized controlled trialSurgeryMedicineComorbidity

摘要: This paper is the first to conduct cost-effectiveness analyses of bariatric surgery comparing obese patients with obesity-related diseases people without comorbidities across different BMI categories, using meta-analysis results outcomes for our effectiveness inputs. We find that treatment in general cost-effective whose greater than 35 kg/m(2) or comorbidities, and it even cost-saving super (BMI ≥ 50 kg/m(2)) comorbidities. Our also suggest can be mildly 30 kg/m(2)). The bottom line should universally available all classes people.

参考文章(48)
Michael D Lara, Shanu N Kothari, Harvey J Sugerman, Surgical Management of Obesity Treatments in Endocrinology. ,vol. 4, pp. 55- 64 ,(2005) , 10.2165/00024677-200504010-00006
Veeraish Chauhan, Megha Vaid, Mohit Gupta, Atul Kalanuria, Akhil Parashar, Metabolic, renal, and nutritional consequences of bariatric surgery: implications for the clinician. Southern Medical Journal. ,vol. 103, pp. 775- 785 ,(2010) , 10.1097/SMJ.0B013E3181E6CC3F
Derek S. Brown, Eric A. Finkelstein, A cost-benefit simulation model of coverage for bariatric surgery among full-time employees. The American Journal of Managed Care. ,vol. 11, pp. 641- 646 ,(2005)
R. Padwal, S. Klarenbach, N. Wiebe, D. Birch, S. Karmali, B. Manns, M. Hazel, A. M. Sharma, M. Tonelli, Bariatric surgery: a systematic review and network meta-analysis of randomized trials. Obesity Reviews. ,vol. 12, pp. 602- 621 ,(2011) , 10.1111/J.1467-789X.2011.00866.X
Sylvia Weiner, Stefan Sauerland, Rudolf Weiner, M. Cyzewski, Jens Brandt, Edgar Neugebauer, Validation of the adapted Bariatric Quality of Life Index (BQL) in a prospective study in 446 bariatric patients as one-factor model. Obesity Facts. ,vol. 2, pp. 63- 66 ,(2009) , 10.1159/000198263
Juliane Matlach, Daniela Adolf, Frank Benedix, Stefanie Wolff, Small-diameter Bands Lead to High Complication Rates in Patients After Laparoscopic Adjustable Gastric Banding Obesity Surgery. ,vol. 21, pp. 448- 456 ,(2011) , 10.1007/S11695-010-0294-9
Marco Anselmino, Tanja Bammer, José Maria Fernández Cebrián, Frederic Daoud, Giuliano Romagnoli, Antonio Torres, Cost-effectiveness and Budget Impact of Obesity Surgery in Patients with Type 2 Diabetes in Three European Countries(II) Obesity Surgery. ,vol. 19, pp. 1542- 1549 ,(2006) , 10.1007/S11695-009-9946-Z
Alan Matarasso, Mitchell S. Roslin, Marina Kurian, Bariatric surgery: an overview of obesity surgery. Plastic and Reconstructive Surgery. ,vol. 119, pp. 1357- 1362 ,(2007) , 10.1097/01.PRS.0000254785.31020.E6