ArticleObesity surgery2013
Gastric bypass is a cost-saving procedure: results from a comprehensive Markov model.
Article in Obesity surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Cost-effectiveness of metabolic surgery for the treatment of type 2 diabetes and obesity: a systematic review of economic evaluations.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Pooled it
- Bariatric Surgery for Adults With Class I Obesity and Difficult-to-Manage Type 2 Diabetes: A Health Technology Assessment.Ontario health technology assessment series · 2023Pooled it
- Incremental Net Monetary Benefit of Bariatric Surgery: Systematic Review and Meta-Analysis of Cost-Effectiveness Evidences.Obesity surgery · 2021Pooled it
- Systematic review of economic evaluation of laparotomy versus laparoscopy for patients submitted to Roux-en-Y gastric bypass.PloS one · 2014Pooled it
- Health and economic gains from bariatric surgery in Portugal: an in-depth analysis using a Markov model.Health economics review · 2025Article
- A Scoping Review of Artificial Intelligence and Machine Learning in Bariatric and Metabolic Surgery: Current Status and Future Perspectives.Obesity surgery · 2021Article
- Long-term cost-effectiveness of interventions for obesity: A mendelian randomisation study.PLoS medicine · 2021Article
- Cost-Utility of Gastric Bypass Surgery Compared to Clinical Treatment for Severely Obese With and Without Diabetes in the Perspective of the Brazilian Public Health System.Obesity surgery · 2019Article
- Employment Outcomes 2 Years After Bariatric Surgery: Relationship to Quality of Life and Psychosocial Predictors.Obesity surgery · 2019Article
- Cost-Effectiveness Analysis of Bariatric Surgery for Morbid Obesity.Obesity surgery · 2018Article
- The Socio-economic Impact of Bariatric Surgery.Obesity surgery · 2018Article
- Cost-Utility Analysis of Bariatric Surgery in Italy: Results of Decision-Analytic Modelling.Obesity facts · 2017Article
- Bariatric Surgery can Lead to Net Cost Savings to Health Care Systems: Results from a Comprehensive European Decision Analytic Model.Obesity surgery · 2015Article
- Clinical Indications, Utilization, and Funding of Bariatric Surgery in Europe.Obesity surgery · 2015Article
- Gap Between Evidence and Patient Access: Policy Implications for Bariatric and Metabolic Surgery in the Treatment of Obesity and its Complications.PharmacoEconomics · 2015Review
- Employment outcomes one year after bariatric surgery: the role of patient and psychosocial factors.Obesity surgery · 2015Article
- Cost-utility analysis of gastric bypass for severely obese patients in Spain.Obesity surgery · 2014Article
- Roux-en-Y gastric bypass: limb length and weight loss.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2014Article
- Quality of life after gastric sleeve and gastric bypass for morbid obesity.Porto biomedical journalArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity is a growing public health problem in industrialized countries and is directly and indirectly responsible for almost 10% of all health expenditures. Bariatric surgery is the best available treatment, however, associated with important economical expenditures. So, cost-effectiveness analysis of the available surgical options is paramount.
methodsWe developed a Markov model for three different strategies: best medical management, gastric band, and gastric bypass. The Markov model was constructed to allow for the evaluation of the impact of several obesity-related comorbidities. The results were derived for a representative population of morbidly obese patients, and subgroup analyses were performed for patients without comorbidities, patients with diabetes mellitus, different age, and body mass index (BMI) groups. Cost-effectiveness analysis was performed accounting for lifetime costs and from a societal perspective.
resultsGastric bypass is a dominant strategy, rendering a significant decrease in lifetime costs and increase in quality-adjusted life years (QALYs). Comparing with the best medical management, in the global population of patients with a BMI of > 35 kg/m2, gastric bypass renders 1.9 extra QALYs and saves on average 13,244€ per patient. Younger patients, patients with a BMI between 40 and 50 kg/m2, and patients without obesity-related diseases are the ones with a bigger benefit in terms of cost effectiveness.
conclusionsGastric bypass surgery increases quality-adjusted survival and saves resources to health systems. As such, it can be an important process to control the ever-increasing health expenditure.
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