Evidence map›Paper›PMID 28550438›Full record

SynthesisObesity surgery2017

What Are the Real Procedural Costs of Bariatric Surgery? A Systematic Literature Review of Published Cost Analyses.

Brett Doble, Sarah Wordsworth, Chris A Rogers, Richard Welbourn, James Byrne, Jane M Blazeby, By-Band-Sleeve Trial Management Group

Erratum issued Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02841527 (Gastric Bypass, Adjustable Gastric Banding or Sleeve Gastrectomy Surgery to Treat Severe and Complex Obesity), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02841527 nacompletednot on this map

Gastric Bypass, Adjustable Gastric Banding or Sleeve Gastrectomy Surgery to Treat Severe and Complex Obesity: a Multi-centre Randomised Controlled Trial

TypeinterventionalSponsorUniversity of BristolRan2012 to 2023Enrolled1,351ConditionsObesity, Surgery, Quality of Life, Weight LossArmsGastric Band, Gastric Bypass, Sleeve Gastrectomy
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. COSTS FOR THE SURGICAL TREATMENT OF OBESITY THROUGH LAPAROSCOPY IN A FEDERAL TERTIARY HOSPITAL BY THE BRAZILIAN UNIFIED HEALTH SYSTEM.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Observational
  10. Article
  11. Article
  12. Article
  13. Brown adipose tissue and regulation of human body weight.Diabetes/metabolism research and reviews · 2023
    Review
  14. Resource utilization and disaggregated cost analysis of bariatric surgery in the Australian public healthcare system.The European journal of health economics : HEPAC : health economics in prevention and care · 2022
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Management of Obesity in Adults with CKD.Journal of the American Society of Nephrology : JASN · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Brett DobleHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, OX3 7LF, UK. brett.doble@dph.ox.ac.uk.ORCID 0000-0002-4948-8831
Sarah WordsworthHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, OX3 7LF, UK.
Chris A RogersClinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Bristol, BS2 8HW, UK.
Richard WelbournDepartment of Upper Gastrointestinal and Bariatric Surgery, Musgrove Park Hospital, Taunton, TA1 5DA, UK.
James ByrneSouthampton University Hospitals NHS Trust, Southampton, SO16 6YD, UK.
Jane M BlazebyBristol Centre for Surgical Research, School of Social and Community Medicine, University of Bristol, Bristol, BS8 2PS, UK.
By-Band-Sleeve Trial Management Group

Funding

Department of Health 09/127/53
6 · The paper itself

Abstract

This review aims to evaluate the current literature on the procedural costs of bariatric surgery for the treatment of severe obesity. Using a published framework for the conduct of micro-costing studies for surgical interventions, existing cost estimates from the literature are assessed for their accuracy, reliability and comprehensiveness based on their consideration of seven 'important' cost components. MEDLINE, PubMed, key journals and reference lists of included studies were searched up to January 2017. Eligible studies had to report per-case, total procedural costs for any type of bariatric surgery broken down into two or more individual cost components. A total of 998 citations were screened, of which 13 studies were included for analysis. Included studies were mainly conducted from a US hospital perspective, assessed either gastric bypass or adjustable gastric banding procedures and considered a range of different cost components. The mean total procedural costs for all included studies was US$14,389 (range, US$7423 to US$33,541). No study considered all of the recommended 'important' cost components and estimation methods were poorly reported. The accuracy, reliability and comprehensiveness of the existing cost estimates are, therefore, questionable. There is a need for a comparative cost analysis of the different approaches to bariatric surgery, with the most appropriate costing approach identified to be micro-costing methods. Such an analysis will not only be useful in estimating the relative cost-effectiveness of different surgeries but will also ensure appropriate reimbursement and budgeting by healthcare payers to ensure barriers to access this effective treatment by severely obese patients are minimised.

Indexed as

Bariatric SurgeryCosts and Cost AnalysisHumansAdjustable gastric bandingBottom-up costingCostsGastric bypassGross costingMicro-costingObesitySleeve gastrectomyTop-down costing

Identifiers

PMID28550438
PMCPMC5509820

What OpenQuestion holds

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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.