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. 2023 May 1;158(5):554-556.
doi: 10.1001/jamasurg.2022.7749.

Financial Impact of Metabolic Surgery on Prescription Diabetes Medications in Michigan

Oliver A Varban  1 , Kristen P Hassett  2 , Monica Yost  2 , Arthur M Carlin  1 , Amir A Ghaferi  3   4 , Jonathan F Finks  3   4 , Anne P Ehlers  3   4
Affiliations

Financial Impact of Metabolic Surgery on Prescription Diabetes Medications in Michigan

Oliver A Varban et al. JAMA Surg. .
No abstract available

Plain language summary

This study compares expenditures for diabetes medications before and after metabolic surgery among patients with diabetes in Michigan.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Varban reported salary support from Blue Cross Blue Shield of Michigan for leadership and participation in the Michigan Bariatric Surgery Collaborative during the conduct of the study. Dr Carlin reported an honorarium from Blue Cross Blue Shield Blue Care Network of Michigan for a leadership role in the Michigan Bariatric Surgery Collaborative outside the submitted work. Dr Ghaferi reported grants from Blue Cross Blue Shield of Michigan during the conduct of the study. Dr Finks reported salary support from Blue Cross Blue Shield of Michigan Blue Care Network for a leadership role in the Michigan Bariatric Surgery Collaborative outside the submitted work. No other disclosures were reported.

Figures

Figure.
Figure.. Prescription Medication Use for Diabetes Before and After Metabolic Surgery
Multimodal therapy denotes a combination of glucagon-like peptide-1 receptor agonists (GLP-RA), insulin, and oral medications for diabetes.
See this image and copyright information in PMC

References

    1. US Centers for Disease Control and Prevention . National diabetes statistics report. Accessed October 1, 2022. https://diabetes.org/about-us/statistics/cost-diabetes
    1. Varban OA, Bonham AJ, Carlin AM, Ghaferi AA, Finks JF, Ehlers AP. Independent predictors of discontinuation of diabetic medication after sleeve gastrectomy and gastric bypass. J Am Coll Surg. 2022;235(4):654-665. doi:10.1097/XCS.0000000000000306 - DOI - PubMed
    1. Adams TD, Davidson LE, Litwin SE, et al. . Weight and metabolic outcomes 12 years after gastric bypass. N Engl J Med. 2017;377(12):1143-1155. doi:10.1056/NEJMoa1700459 - DOI - PMC - PubMed
    1. Healy MA, Mullard AJ, Campbell DA Jr, Dimick JB. Hospital and payer costs associated with surgical complications. JAMA Surg. 2016;151(9):823-830. doi:10.1001/jamasurg.2016.0773 - DOI - PubMed
    1. Sjöström L, Peltonen M, Jacobson P, et al. . Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA. 2014;311(22):2297-2304. doi:10.1001/jama.2014.5988 - DOI - PubMed

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