Evidence map›Paper›PMID 38351395›Full record

ArticleObesity (Silver Spring, Md.)2024

Comparison of health care costs following sleeve gastrectomy versus Roux-en-Y gastric bypass among patients with type 2 diabetes.

Stephanie Argetsinger, Robert F LeCates, Fang Zhang, Dennis Ross-Degnan, James F Wharam, David E Arterburn, Adolfo Fernandez, Kristina H Lewis

Open access · hybridAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 94% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Long-Term Healthcare-Related Costs Eight Years After Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: A Nationwide Register-Based Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
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

8 authors at 3 institutions in 1 country.

Stephanie ArgetsingerDivision of Health Policy & Insurance Research, Department of Population Medicine, Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0009-0009-0609-3811
Robert F LeCatesDivision of Health Policy & Insurance Research, Department of Population Medicine, Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, Massachusetts, USA.
Fang ZhangDivision of Health Policy & Insurance Research, Department of Population Medicine, Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, Massachusetts, USA.
Dennis Ross-DegnanDivision of Health Policy & Insurance Research, Department of Population Medicine, Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, Massachusetts, USA.
James F WharamDivision of Health Policy & Insurance Research, Department of Population Medicine, Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, Massachusetts, USA.
David E ArterburnKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA.
Adolfo FernandezDepartment of Surgery, Wake Forest University Health Sciences, Winston-Salem, North Carolina, USA.
Kristina H LewisDepartment of Surgery, Wake Forest University Health Sciences, Winston-Salem, North Carolina, USA.ORCID 0000-0002-4921-7230
Harvard University · USWake Forest University · USKaiser Permanente Washington Health Research Institute · US

Funding

Clinical and Health Care Use Outcomes for Vertical Sleeve Gastrectomy vs. Roux-en-Y Gastric Bypass Using a National Commercial Insurance Claims DatasetR01DK112750 · NIDDK · HARVARD PILGRIM HEALTH CARE, INC. · PI LEWIS, KRISTINA H · 2017 to 2021
$2.4M
NIDDK NIH HHS R01 DK112750
6 · The paper itself

Abstract

objectiveThe objective of this study was to compare the impact of sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) on overall and diabetes-specific health care costs among patients with type 2 diabetes.

methodsThis retrospective cohort study examined patients with type 2 diabetes after SG and RYGB using data from Optum's deidentified Clinformatics® Data Mart database. The matched study group included 9608 patients who underwent SG or RYGB and were enrolled between 2007 and 2019. The primary outcomes assessed were overall and diabetes-specific health care costs.

resultsHealth care costs associated with type 2 diabetes declined substantially in the first few years following both SG and RYGB. RYGB was associated with a larger decrease in pharmacy costs, as well as type 2 diabetes-specific office and laboratory costs. SG was associated with lower total health care costs in the first three follow-up periods and lower acute care costs in the first 2 years after surgery.

conclusionsIn this nationwide study, patients with type 2 diabetes at baseline undergoing RYGB appear to experience a reduced need for ambulatory type 2 diabetes monitoring and reduced requirements for antidiabetes medication but, despite this, did not experience an overall medical cost-benefit in the first few years after RYGB versus SG.

Indexed as

Diabetes Mellitus, Type 2Gastric BypassObesity, MorbidGastrectomyHealth Care CostsHumansRetrospective StudiesTreatment OutcomeWeight Loss

Identifiers

PMID38351395
PMCPMC11070223
OpenAlexW4392784149

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.