A recent cohort study of gastric bypass surgery at US Veterans Affairs medical centres found that health-care expenditure was not reduced in the 3 years following surgery. Several earlier studies have reported savings, but should return on investment guide decision making in chronic disease management?
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References
Maciejewski, M. L. et al. Health expenditures among high-risk patients after gastric bypass and matched controls. Arch. Surg. 147, 633–640 (2012).
Cremieux, P. Y. et al. A study on the economic impact of bariatric surgery. Am. J. Manag. Care 14, 589–596 (2008).
Finkelstein, E. A., Allaire, B. T., Burgess, S. M. & Hale, B. C. Financial implications of coverage for laparoscopic adjustable gastric banding. Surg. Obes. Relat. Dis. 7, 295–303 (2011).
Klein, S., Ghosh, A., Cremieux, P. Y., Eapen, S. & McGavock, T. J. Economic impact of the clinical benefits of bariatric surgery in diabetes patients with BMI ≥35 kg/m2. Obesity (Silver Spring) 19, 581–587 (2011).
Sampalis, J. S., Liberman, M., Auger, S. & Christou, N. V. The impact of weight reduction surgery on health-care costs in morbidly obese patients. Obes. Surg. 14, 939–947 (2004).
Scottish Intercollegiate Guidelines Network. Management of obesity: a national clinical guideline [online] (2010).
Picot, J. et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol. Assess. 13, 1–357, iii–iv (2009).
Tsai, A. G., Williamson, D. F. & Glick, H. A. Direct medical cost of overweight and obesity in the USA: a quantitative systematic review. Obes. Rev. 12, 50–61 (2011).
Finkelstein, E. A., DiBonaventura, M., Burgess, S. M. & Hale, B. C. The costs of obesity in the workplace. J. Occup. Environ. Med. 52, 971–976 (2010).
Wagner, E. H. Chronic disease management: what will it take to improve care for chronic illness? Eff. Clin. Pract. 1, 2–4 (1998).
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J. Dixon is a consultant for Allergan Health and Bariatric Advantage.
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Dixon, J. Health economics of bariatric surgery—benefit versus cost. Nat Rev Endocrinol 8, 632–633 (2012). https://doi.org/10.1038/nrendo.2012.172
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DOI: https://doi.org/10.1038/nrendo.2012.172
