ArticleObesity surgery2014
Cost-utility analysis of gastric bypass for severely obese patients in Spain.
Article in Obesity surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Incremental Net Monetary Benefit of Bariatric Surgery: Systematic Review and Meta-Analysis of Cost-Effectiveness Evidences.Obesity surgery · 2021Pooled it
- Quality of life and bariatric surgery: a systematic review of short- and long-term results and comparison with community norms.European journal of clinical nutrition · 2017Pooled it
- Development and Validation of a Discrete Event Simulation Model to Evaluate the Cardiovascular Impact of Population Policies for Obesity.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Article
- Effect of Roux-en-Y gastric bypass on pharmacologic dependence in obese patients with type 2 diabetesCanadian journal of surgery. Journal canadien de chirurgie · 2019Article
- DAG-informed regression modelling, agent-based modelling and microsimulation modelling: a critical comparison of methods for causal inference.International journal of epidemiology · 2019Article
- Cost-Effectiveness Analysis of Bariatric Surgery for Morbid Obesity.Obesity surgery · 2018Article
- An Exploratory Study of Long-Term Publicly Waitlisted Bariatric Surgery Patients' Quality of Life Before and 1 Year After Bariatric Surgery, and Considerations for Healthcare Planners.PharmacoEconomics - open · 2018Article
- Magnetic resonance imaging has no role in diagnosing the origin of pain in patients with overwhelmingly painful inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo assess the cost-utility of gastric bypass versus usual care for patients with severe obesity in Spain.
methodsWe have implemented a discrete-event simulation model with two branches: one branch involves gastric bypass, thereby reducing patients' BMI, and another branch where patients do not undergo surgery. The model analyzes the emergence of comorbidities (stroke, coronary obstructive disease, diabetes, and breast cancer) associated with obesity during a lifetime horizon. The selected measure of effectiveness is health-related quality of life. Both costs and effects are discounted at 3 %. A probabilistic sensitivity analysis is also performed using second-order Monte Carlo simulation; acceptability curves for different time horizons were also calculated.
resultsPatients with gastric bypass result in a lifetime increase of 5.63 quality-adjusted life years (QALYs) (18.18 vs. 12.55 QALYs). In addition, because of the reduced spending associated with the treatment of various obesity-related comorbidities, final savings stand at 13,994 <euro>. The total cost of the intervention branch is close to half the cost of the non-intervention branch (17,431 vs. 31,425 <euro>).
conclusionsGastric bypass is an intervention that dominates over the option of not intervening when a lifetime horizon is considered.
Indexed as
Identifiers
24913241What OpenQuestion holds
Registered trials
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.