Evidence map›Paper›PMID 30725428›Full record

Trial reportObesity surgery2019

Adequate Multivitamin Supplementation after Roux-En-Y Gastric Bypass Results in a Decrease of National Health Care Costs: a Cost-Effectiveness Analysis.

Jens Homan, Wendy Schijns, Ignace M C Janssen, Frits J Berends, Edo O Aarts

Erratum issuedAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jens HomanDepartment of Surgery, Rijnstate Hospital, Postal number 1190, 6800 TA, Arnhem, The Netherlands. jenshoman@hotmail.com.
Wendy SchijnsDepartment of Surgery, Rijnstate Hospital, Postal number 1190, 6800 TA, Arnhem, The Netherlands.
Ignace M C JanssenDepartment of Surgery, Rijnstate Hospital, Postal number 1190, 6800 TA, Arnhem, The Netherlands.
Frits J BerendsDepartment of Surgery, Rijnstate Hospital, Postal number 1190, 6800 TA, Arnhem, The Netherlands.
Edo O AartsDepartment of Surgery, Rijnstate Hospital, Postal number 1190, 6800 TA, Arnhem, The Netherlands.ORCID 0000-0001-9198-9181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with morbid obesity undergoing metabolic surgery are prone to develop vitamin and mineral deficiencies, which may worsen in time. In order to prevent these deficiencies after metabolic surgery, all patients are advised to take daily multivitamin supplementation. The aim of the study was to assess the cost-effectiveness of specially developed multivitamins (WLS Forte®) for metabolic surgery and over-the-counter (standard) multivitamin supplementation (sMVS).

methodsThis cost-effectiveness analysis was preformed alongside an RCT for the Netherlands. Between June 2011 and March 2012, a total of 148 patients were randomized to one tablet daily of either WLS Forte® or sMVS. The patients were followed for 12 months. Data on costs within the health sector and outside the health sector were collected. The primary outcome is financial and logistic advantages, in terms of less patient visits to the outpatient department and the relevant costs to the employer due to absenteeism.

resultsIn total, 10 (14%) patients in the WLS Forte® group versus 23 (30%) patients in the sMVS group developed a deficiency. The costs for the WLS forte® supplement were €38 versus €23 for sMVS. Additional return visits and associated costs for medical staff were the largest costs, up to 43% in the sMVS group. Total costs for supplementation with sMVS were €243 versus €134 for WLS Forte®.

conclusionPreventing deficiencies with WLS Forte® seem initially more expensive than sMVS. However, treatment with WLS Forte® resulted in less vitamin and mineral deficiencies, which eventually resulted in less overall costs.

Indexed as

AbsenteeismAdultAgedAmbulatory CareAvitaminosisCost-Benefit AnalysisFemaleGastric BypassHumansMaleMiddle AgedNetherlandsVitaminsYoung AdultVitaminsCost-effectivenessMorbid obesityMultivitamin supplementationRoux-en-Y gastric bypass

Identifiers

PMID30725428

What OpenQuestion holds

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Registered trials

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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.