Cost-utility of bariatric surgery for morbid obesity in Finland
- PMID: 21887777
- DOI: 10.1002/bjs.7640
Cost-utility of bariatric surgery for morbid obesity in Finland
Abstract
Background: The aim of this study was to evaluate the cost-utility of bariatric surgery (gastric bypass, sleeve gastrectomy and gastric banding) compared with ordinary treatment in the Finnish healthcare system.
Methods: Analysis was done from a healthcare provider's perspective using a combination of a decision tree and a Markov model, with a time horizon of 10 years. Health-related quality of life was estimated from a representative population survey, and other parameter values were based on registers, systematic reviews, controlled studies and expert opinion.
Results: In the base-case analysis, bariatric surgery was both more effective and less costly than the ordinary treatment. The mean costs were €33,870 and €50,495, and the mean number of quality-adjusted life-years 7·63 and 7·05, for bariatric surgery and ordinary treatment respectively. Uncertainty around the parameter values was tested comprehensively in sensitivity analyses, and the results were robust.
Conclusion: Surgery for morbid obesity increases health-related quality of life, and reduces the need for further treatments and total healthcare costs. According to this analysis, non-operative care would be more costly for the Finnish healthcare system on average after 5 years following surgery.
Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Comment in
-
Cost–utility of bariatric surgery for morbid obesity in Finland (Br J Surg 2011; 98: 1422–1429) [corrected].Br J Surg. 2011 Oct;98(10):1430. doi: 10.1002/bjs.7641. Br J Surg. 2011. PMID: 21887778 No abstract available.
Similar articles
-
[Cost-utility of bariatric surgery in the treatment for morbid obesity in Finland].Duodecim. 2009;125(20):2265-73. Duodecim. 2009. PMID: 19998764 Finnish.
-
Cost-effectiveness analysis of bariatric surgery for morbid obesity in Belgium.J Med Econ. 2018 Apr;21(4):365-373. doi: 10.1080/13696998.2017.1419958. Epub 2018 Jan 10. J Med Econ. 2018. PMID: 29271279
-
[From bariatric to metabolic surgery: 15 years experience in a French university hospital].Bull Acad Natl Med. 2010 Jan;194(1):25-36; discussion 36-8. Bull Acad Natl Med. 2010. PMID: 20669557 Review. French.
-
The cost-effectiveness of bariatric surgery.Am J Gastroenterol. 2003 Sep;98(9):2097-8. doi: 10.1111/j.1572-0241.2003.07671.x. Am J Gastroenterol. 2003. PMID: 14499794 Review.
-
Cost-effectiveness of laparoscopic gastric banding and bypass for morbid obesity.Am J Manag Care. 2010 Jul 1;16(7):e174-87. Am J Manag Care. 2010. PMID: 20645663
Cited by
-
Cost-Utility of Gastric Bypass Surgery Compared to Clinical Treatment for Severely Obese With and Without Diabetes in the Perspective of the Brazilian Public Health System.Obes Surg. 2019 Oct;29(10):3202-3211. doi: 10.1007/s11695-019-03957-7. Obes Surg. 2019. PMID: 31214966
-
Gastric bypass is a cost-saving procedure: results from a comprehensive Markov model.Obes Surg. 2013 Apr;23(4):460-6. doi: 10.1007/s11695-012-0816-8. Obes Surg. 2013. PMID: 23341033
-
Cost-Effectiveness Analysis of Bariatric Surgery for Morbid Obesity.Obes Surg. 2018 Aug;28(8):2203-2214. doi: 10.1007/s11695-017-3100-0. Obes Surg. 2018. PMID: 29335933
-
Emotional eating: a virtually untreated risk factor for outcome following bariatric surgery.ScientificWorldJournal. 2012;2012:365961. doi: 10.1100/2012/365961. Epub 2012 Apr 1. ScientificWorldJournal. 2012. PMID: 22566765 Free PMC article. Review.
-
Effectiveness and efficiency of a special program to reduce the bariatric surgery waiting list at a tertiary hospital.Cir Esp (Engl Ed). 2021 Apr;99(4):276-281. doi: 10.1016/j.ciresp.2020.05.033. Epub 2020 Jul 14. Cir Esp (Engl Ed). 2021. PMID: 32674840 Free PMC article. English, Spanish.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical