Evidence map›Paper›PMID 34211116›Full record

ArticleInternational journal of obesity (2005)2021

Does bariatric surgery reduce future hospital costs? A propensity score-matched analysis using UK Biobank Study data.

Tingting Wu, Koen B Pouwels, Richard Welbourn, Sarah Wordsworth, Seamus Kent, Carlos K H Wong

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Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 2 countries.

Tingting WuDepartment of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0003-3609-5016
Koen B PouwelsHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Richard WelbournDepartment of Bariatric Surgery, Musgrove Park Hospital, Taunton, United Kingdom.
Sarah WordsworthHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Seamus KentHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Carlos K H WongDepartment of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China. carlosho@hku.hk.ORCID http://orcid.org/0000-0002-6895-6071
HKU-Pasteur Research Pole · HKMusgrove Park Hospital · GBNational Institute for Health and Care Excellence · GBNational Institute for Health Research · GBUniversity of Hong Kong · HKUniversity of Oxford · GB

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

objectivesTo estimate the hospital costs among persons with obesity undergoing bariatric surgery compared with those without bariatric surgery.

methodsWe analysed the UK Biobank Cohort study linked to Hospital Episode Statistics, for all adults with obesity undergoing bariatric surgery at National Health Service hospitals in England, Scotland, or Wales from 2006 to 2017. Surgery patients were matched with controls who did not have bariatric surgery using propensity scores approach with a ratio of up to 1-to-5 by year. Inverse probability of censoring weighting was used to correct for potential informative censoring. Annual and cumulative hospital costs were assessed for the surgery and control groups.

resultsWe identified 348 surgical patients (198 gastric bypass, 73 sleeve gastrectomy, 77 gastric banding) during the study period. In total, 324 surgical patients and 1506 matched control participants were included after propensity score matching. Mean 5-year cumulative hospital costs were €11,659 for 348 surgical patients. Compared with controls, surgical patients (n = 324) had significantly higher inpatient expenditures in the surgery year (€7289 vs. €2635, P < 0.001), but lower costs in the subsequent 4 years. The 5-year cumulative costs were €11,176 for surgical patients and €8759 for controls (P = 0.001).

conclusionsBariatric surgery significantly increased the inpatient costs in the surgery year, but was associated with decreased costs in the subsequent 4 years. However, any cost savings made up to 4 years were not enough to compensate for the initial surgical expenditure.

Indexed as

AdultAgedBariatric SurgeryBiological Specimen BanksCohort StudiesFemaleHospital CostsHumansMaleMiddle AgedPropensity ScoreUnited Kingdom

Identifiers

PMID34211116
OpenAlexW3173628389

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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.