Economic evaluation of surgical treatment of obesity
Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved..
INTRODUCTION: Obesity surgery is the best treatment for extreme obesity, with demonstrated long-term positive outcomes. The potential cost-savings generated by the improvement of comorbidities after surgery can justify the allocation of more resources in the surgical treatment of obesity.
METHODS: This was an observational, descriptive, longitudinal and retrospective study. Eligible patients underwent Roux-en-Y gastric bypass surgery at the Hospital Universitario Central de Asturias between 2003 and 2012. The established minimum follow-up period was two years. We calculated the individualized cost per patient treated (bottom-up) as well as per Diagnosis-Related Group (DRG) codes (top-down).
RESULTS: Our study included 307 patients. The average cost per hospitalization calculated by DRG codes was €6,545.90, and the average cost per patient was €10,572.20. DRG 288 represented 91% of the series, with a value of €4,631. The number of medications also decreased during this period, from 2.86 to 0.78 per medically treated patient, representing a cost reduction of €4,433 per patient with all the obesity-related comorbidities analyzed.
CONCLUSIONS: Two years after Roux-en-Y gastric bypass conducted at Hospital Universitario Central de Asturias, the savings in drug costs for patients with multiple pathologies would compensate the inherent costs of the surgical treatment itself. Our results showed that DRG-related costs was insufficient to make a correct economic evaluation, so we recommend an individualized cost calculating method.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:98 |
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| Enthalten in: |
Cirugia espanola - 98(2020), 7 vom: 10. Aug., Seite 381-388 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Evaluación económica del tratamiento quirúrgico de la obesidad |
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| Beteiligte Personen: |
Rodicio Miravalles, José Luis [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 21.05.2021 Date Revised 21.05.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ciresp.2020.01.001 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM307275787 |
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| 100 | 1 | |a Rodicio Miravalles, José Luis |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Economic evaluation of surgical treatment of obesity |
| 246 | 3 | 3 | |a Evaluación económica del tratamiento quirúrgico de la obesidad |
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| 500 | |a Date Completed 21.05.2021 | ||
| 500 | |a Date Revised 21.05.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a INTRODUCTION: Obesity surgery is the best treatment for extreme obesity, with demonstrated long-term positive outcomes. The potential cost-savings generated by the improvement of comorbidities after surgery can justify the allocation of more resources in the surgical treatment of obesity | ||
| 520 | |a METHODS: This was an observational, descriptive, longitudinal and retrospective study. Eligible patients underwent Roux-en-Y gastric bypass surgery at the Hospital Universitario Central de Asturias between 2003 and 2012. The established minimum follow-up period was two years. We calculated the individualized cost per patient treated (bottom-up) as well as per Diagnosis-Related Group (DRG) codes (top-down) | ||
| 520 | |a RESULTS: Our study included 307 patients. The average cost per hospitalization calculated by DRG codes was €6,545.90, and the average cost per patient was €10,572.20. DRG 288 represented 91% of the series, with a value of €4,631. The number of medications also decreased during this period, from 2.86 to 0.78 per medically treated patient, representing a cost reduction of €4,433 per patient with all the obesity-related comorbidities analyzed | ||
| 520 | |a CONCLUSIONS: Two years after Roux-en-Y gastric bypass conducted at Hospital Universitario Central de Asturias, the savings in drug costs for patients with multiple pathologies would compensate the inherent costs of the surgical treatment itself. Our results showed that DRG-related costs was insufficient to make a correct economic evaluation, so we recommend an individualized cost calculating method | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Bariatric surgery | |
| 650 | 4 | |a Bypass gástrico | |
| 650 | 4 | |a Cirugía bariátrica | |
| 650 | 4 | |a Coste de fármacos | |
| 650 | 4 | |a Costes y análisis de costes | |
| 650 | 4 | |a Costs and cost analysis | |
| 650 | 4 | |a Diagnosis-related groups | |
| 650 | 4 | |a Drug costs | |
| 650 | 4 | |a Gastric bypass | |
| 650 | 4 | |a Grupos relacionados por el diagnóstico | |
| 700 | 1 | |a Alonso Fernández, Josefina |e verfasserin |4 aut | |
| 700 | 1 | |a Moreno Gijón, María |e verfasserin |4 aut | |
| 700 | 1 | |a Rizzo Ramos, Amaya |e verfasserin |4 aut | |
| 700 | 1 | |a Turienzo Santos, Estrella |e verfasserin |4 aut | |
| 700 | 1 | |a Sanz Álvarez, Lourdes |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez García, José Ignacio |e verfasserin |4 aut | |
| 700 | 1 | |a González González, Juan José |e verfasserin |4 aut | |
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