Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes
Aims. The favourable effects of bariatric surgeries on body weight reduction and glucose control have been demonstrated in several studies. Additionally, the cost-effectiveness of bariatric surgeries has been confirmed in several analyses. The aim of the current analysis was to demonstrate the cost-...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2023/9686729 |
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| author | Gábor Kovács Elemér Mohos János Tibor Kis Ádám Tabák Péter Gerendy Judit Pettkó Dávid Nagy Dávid Győrbíró Zoltán Kaló |
| author_facet | Gábor Kovács Elemér Mohos János Tibor Kis Ádám Tabák Péter Gerendy Judit Pettkó Dávid Nagy Dávid Győrbíró Zoltán Kaló |
| author_sort | Gábor Kovács |
| collection | DOAJ |
| description | Aims. The favourable effects of bariatric surgeries on body weight reduction and glucose control have been demonstrated in several studies. Additionally, the cost-effectiveness of bariatric surgeries has been confirmed in several analyses. The aim of the current analysis was to demonstrate the cost-effectiveness of bariatric surgeries in obese patients with type 2 diabetes in Hungary compared to conventional diabetes treatments based on economic modelling of published clinical trial results. Materials and Methods. Patients entered the simulation model at the age of 45 with body mass index BMI≥30 kg/m2 and type 2 diabetes. The model was performed from the public payer’s perspective, comparing sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) procedures to conventional care of diabetes. The results were provided separately for three BMI categories. Results. The base-case analysis demonstrated that both surgery types were dominant; i.e., they saved 17 064 to 24 384 Euro public payer expenditures and resulted in improved health outcomes (1.36 to 1.50 quality-adjusted life years gain (QALY)) in the three BMI categories. Bariatric surgeries extended the life expectancy and the disease-free survival times of all the investigated diabetes complications. All the scenario analyses confirmed the robustness of the base-case analysis, such that bariatric surgeries remained dominant compared to conventional diabetes treatments. Conclusion. The results of this cost-effectiveness analysis highlight the importance of bariatric surgeries as alternatives to conventional diabetes treatments in the obese population. Therefore, it is strongly recommended that a wider population has access to these surgeries in Hungary. |
| format | Article |
| id | doaj-art-6d4881227d834a01b968d25d3363d888 |
| institution | Kabale University |
| issn | 2314-6753 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-6d4881227d834a01b968d25d3363d8882025-02-03T06:42:55ZengWileyJournal of Diabetes Research2314-67532023-01-01202310.1155/2023/9686729Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 DiabetesGábor Kovács0Elemér Mohos1János Tibor Kis2Ádám Tabák3Péter Gerendy4Judit Pettkó5Dávid Nagy6Dávid Győrbíró7Zoltán Kaló8Syreon Research InstituteDepartment of General Surgery Territory Hospital VeszprémDepartment of Internal Medicine CentrumDepartment of Internal Medicine and OncologyNational Health Insurance Fund ManagementEuropean Coalition for People Living with ObesitySyreon Research InstituteSyreon Research InstituteSyreon Research InstituteAims. The favourable effects of bariatric surgeries on body weight reduction and glucose control have been demonstrated in several studies. Additionally, the cost-effectiveness of bariatric surgeries has been confirmed in several analyses. The aim of the current analysis was to demonstrate the cost-effectiveness of bariatric surgeries in obese patients with type 2 diabetes in Hungary compared to conventional diabetes treatments based on economic modelling of published clinical trial results. Materials and Methods. Patients entered the simulation model at the age of 45 with body mass index BMI≥30 kg/m2 and type 2 diabetes. The model was performed from the public payer’s perspective, comparing sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) procedures to conventional care of diabetes. The results were provided separately for three BMI categories. Results. The base-case analysis demonstrated that both surgery types were dominant; i.e., they saved 17 064 to 24 384 Euro public payer expenditures and resulted in improved health outcomes (1.36 to 1.50 quality-adjusted life years gain (QALY)) in the three BMI categories. Bariatric surgeries extended the life expectancy and the disease-free survival times of all the investigated diabetes complications. All the scenario analyses confirmed the robustness of the base-case analysis, such that bariatric surgeries remained dominant compared to conventional diabetes treatments. Conclusion. The results of this cost-effectiveness analysis highlight the importance of bariatric surgeries as alternatives to conventional diabetes treatments in the obese population. Therefore, it is strongly recommended that a wider population has access to these surgeries in Hungary.http://dx.doi.org/10.1155/2023/9686729 |
| spellingShingle | Gábor Kovács Elemér Mohos János Tibor Kis Ádám Tabák Péter Gerendy Judit Pettkó Dávid Nagy Dávid Győrbíró Zoltán Kaló Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes Journal of Diabetes Research |
| title | Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes |
| title_full | Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes |
| title_fullStr | Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes |
| title_full_unstemmed | Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes |
| title_short | Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes |
| title_sort | cost effectiveness of bariatric surgery in patients living with obesity and type 2 diabetes |
| url | http://dx.doi.org/10.1155/2023/9686729 |
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