Cost of Surgical Treatment of Obesity and Its Impact on Healthcare Expense-Nationwide Data from a Polish Registry.
bariatric surgery
cost
cost-effectiveness
obesity
overweight
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
08 01 2023
08 01 2023
Historique:
received:
28
11
2022
revised:
03
01
2023
accepted:
05
01
2023
entrez:
21
1
2023
pubmed:
22
1
2023
medline:
25
1
2023
Statut:
epublish
Résumé
Weight loss surgery is linked to health benefits and may reduce the cost to the public healthcare systems. The aim of this study was to assess the cost and cost-structure in the one-year periods before and after a bariatric surgery in the Polish nationwide registry. The study included 2390 obese adults which underwent surgical treatment for obesity in 2017. The cost structure and the total costs per patient for one year before bariatric surgery, preoperatively, and for one year after surgery were analyzed. The total cost of the postoperative period was about PLN 3 million lower than during the preoperative period. After bariatric surgery, a reduction of approximately 59% in costs associated with hospital treatment was observed. The costs of outpatient specialist services, hospital treatment, psychiatric care, and addiction treatment also significantly decreased. There was a negative correlation between the changes in the cost of treatment of patients undergoing obesity surgery and their age. The health care cost during the period of one year after bariatric surgery is lower than in the year preceding the surgery (a greater cost difference is observed in younger people). This is mainly influenced by the reduction in costs associated with hospital treatment.
Identifiants
pubmed: 36673873
pii: ijerph20021118
doi: 10.3390/ijerph20021118
pmc: PMC9859611
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
Surg Obes Relat Dis. 2022 Dec;18(12):1345-1356
pubmed: 36280539
SAGE Open Med. 2014 Apr 23;2:2050312114530917
pubmed: 26770722
Surg Today. 2021 Jan;51(1):61-69
pubmed: 32725350
Cad Saude Publica. 2015 Aug;31(8):1587-601
pubmed: 26375639
BMJ. 2013 Oct 22;347:f5934
pubmed: 24149519
Eat Weight Disord. 2022 May;27(4):1457-1466
pubmed: 34426952
Medicine (Baltimore). 2019 Jan;98(3):e13824
pubmed: 30653091
Obesity (Silver Spring). 2011 Mar;19(3):581-7
pubmed: 20829800
J Glob Health Rep. 2019;3:
pubmed: 34027129
Obes Surg. 2022 Apr;32(4):998-1004
pubmed: 35083702
Value Health. 2017 Jan;20(1):85-92
pubmed: 28212974
Am Heart J. 2011 Oct;162(4):717-24
pubmed: 21982665
Obes Surg. 2018 Feb;28(2):338-348
pubmed: 28735376
Obes Surg. 2012 Feb;22(2):266-70
pubmed: 22139831
Obes Surg. 2021 Nov;31(11):4754-4760
pubmed: 34345959
Health Aff (Millwood). 2004 Mar-Apr;23(2):199-205
pubmed: 15046144
J Manag Care Spec Pharm. 2021 Mar;27(3):354-366
pubmed: 33470881
JAMA. 2003 Jan 8;289(2):187-93
pubmed: 12517229
Obes Surg. 2017 Aug;27(8):2179-2192
pubmed: 28550438
JAMA. 2013 Aug 21;310(7):742-3
pubmed: 23989885
Obes Rev. 2020 Jan;21(1):e12932
pubmed: 31733033
Lancet. 2012 Dec 15;380(9859):2224-60
pubmed: 23245609
BMC Health Serv Res. 2022 Jan 7;22(1):41
pubmed: 34996426
J Am Geriatr Soc. 2017 Feb;65(2):257-268
pubmed: 27641543
Sao Paulo Med J. 2011;129(5):291-9
pubmed: 22069127
Lancet. 2017 Dec 16;390(10113):2627-2642
pubmed: 29029897