ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2014
Cost-effectiveness of bariatric surgical procedures for the treatment of severe obesity.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Incremental Net Monetary Benefit of Bariatric Surgery: Systematic Review and Meta-Analysis of Cost-Effectiveness Evidences.Obesity surgery · 2021Pooled it
- Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association.Circulation · 2021Article
- Association Between Bariatric Surgery and Long-term Health Care Expenditures Among Veterans With Severe Obesity.JAMA surgery · 2019Article
- Cost-Effectiveness Evaluation of Bariatric Surgery for Morbidly Obese with Diabetes Patients in Thailand.Journal of obesity · 2019Article
- Quality Assessment of Systematic Review of the Bariatric Surgery for Diabetes Mellitus.Journal of diabetes research · 2019Article
- The Socio-economic Impact of Bariatric Surgery.Obesity surgery · 2018Article
- Patient-reported quality of life after bariatric surgery: a single institution analysis.The Journal of surgical research · 2017Article
- Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association.Circulation · 2017Review
- Cost-Utility Analysis of Bariatric Surgery in Italy: Results of Decision-Analytic Modelling.Obesity facts · 2017Article
- The use of adjustable gastric bands for management of severe and complex obesity.British medical bulletin · 2016Review
- Bariatric Surgery can Lead to Net Cost Savings to Health Care Systems: Results from a Comprehensive European Decision Analytic Model.Obesity surgery · 2015Article
- Long-Term Outcomes of Obesity Surgery and Implications for Health System Planning.Current obesity reports · 2015Review
- Medical tourism and bariatric surgery: who pays?Surgical endoscopy · 2014Article
- Bariatric surgery for obesity and metabolic conditions in adults.BMJ (Clinical research ed.) · 2014Review
- Heart disease and stroke statistics--2014 update: a report from the American Heart Association.Circulation · 2014Article
- The economic impact of weight regain.Gastroenterology research and practice · 2013Review
- Cost-effectiveness of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in two hospitals of Tehran city in 2014.Medical journal of the Islamic Republic of IranArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveOne-third of Americans are obese and an increasing number opt for bariatric surgery. This study estimates the cost-effectiveness of common bariatric surgical procedures from a healthcare system perspective.
methodsWe evaluated the three most common bariatric surgical procedures in the US: laparoscopic gastric bypass (LRYGB), conventional (open) Roux-en-Y gastric bypass (ORYGB), and laparoscopic adjustable gastric banding (LAGB) compared to no surgery. The reference case was defined as a 53-year old female with body mass index (BMI) of 44 kg/m(2). We developed a two-part model using a deterministic approach for the first 5-year period post-surgery and separate empirical forecasts for the natural history of BMI, costs and outcomes in the remaining years. We used a combination of datasets including Medicare and MarketScan(®) together with estimates from the literature to populate the model.
resultsBariatric surgery produced additional life expectancy (80-81 years) compared to no surgery (78 years). The incremental cost-effectiveness ratios (ICERs) of the surgical procedures were US $6,600 per quality-adjusted life expectancy (QALY) gained for LRYGB, US $6,200 for LAGB, and US $17,300 for ORYGB (3 % discount rate for cost and QALYs). ICERs varied according to choice of BMI forecasting method and clinically plausible variation in parameter estimates. In most scenarios, the ICER did not exceed a threshold of US $50,000 per QALY gained.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.