Evidence map›Paper›PMID 42775344›Full record

ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2026

Long-Term Healthcare-Related Costs Eight Years After Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: A Nationwide Register-Based Study.

Johanne Gormsen, Ismail Gögenur, Jakob Kjellberg, Frederik Helgstrand

Abstract read
In one paragraph

Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Johanne GormsenFrom the Department of Surgery, Center for Surgical Science, Zealand University Hospital, Køge, Denmark.
Ismail GögenurFrom the Department of Surgery, Center for Surgical Science, Zealand University Hospital, Køge, Denmark.
Jakob KjellbergThe Danish Center for Social Science Research (VIVE), Copenhagen, Denmark.
Frederik HelgstrandFrom the Department of Surgery, Center for Surgical Science, Zealand University Hospital, Køge, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare long-term healthcare-related costs and contacts up to eight years after laparoscopic Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), and to identify factors associated with increasing postoperative expenditures. Background: Bariatric surgery is a highly effective treatment for severe obesity, but knowledge regarding long-term healthcare utilization after different surgical procedures remains limited. Methods: A nationwide register-based study of patients undergoing RYGB or SG in Denmark between 2008 and 2018, with follow-up until June 2023. Healthcare-related costs (primary healthcare, secondary healthcare, and pharmaceuticals) were analyzed across sectors. Cost trends were discounted and plotted annually. Multivariable logistic regression identified risk factors for increasing healthcare-related costs. Results: A total of 18,090 individuals were included: 16,387 RYGB and 1703 SG. Median follow-up was 13 years for RYGB and six years for SG. Total healthcare-related costs were higher after RYGB during the first three postoperative years, followed by a gradual decline. Costs after SG increased from the third postoperative year onward. In multivariable logistic regression analyses, SG was associated with increasing total healthcare-related costs (odds ratio 1.54, 95% confidence interval 1.38-1.72, p<0.0001) and secondary healthcare costs (odds ratio 1.59, 95% confidence interval 1.42-1.78, p<0.0001). These findings remained consistent in subgroup analyses evaluating weight loss and attrition patterns. Conclusions: RYGB was associated with higher healthcare-related costs during the early postoperative period, whereas SG was associated with increasing costs from the third postoperative year onward. These differing cost trajectories may reflect important long-term differences in healthcare utilization following bariatric surgery.

Identifiers

PMID42775344
PMCPMC13596961

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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.