Kovács, Gábor;
Mohos, Elemér;
Kis, János Tibor;
Tabák, Ádám;
Gerendy, Péter;
Pettkó, Judit;
Nagy, Dávid;
... Kaló, Zoltán; + view all
(2023)
Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes.
Journal of Diabetes Research
, 2023
, Article 9686729. 10.1155/2023/9686729.
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Abstract
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.
| Type: | Article |
|---|---|
| Title: | Cost-Effectiveness of Bariatric Surgery in Patients Living with Obesity and Type 2 Diabetes |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1155/2023/9686729 |
| Publisher version: | http://dx.doi.org/10.1155/2023/9686729 |
| Language: | English |
| Additional information: | Copyright © 2023 Gábor Kovács et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Humans, Diabetes Mellitus, Type 2, Obesity, Morbid, Cost-Effectiveness Analysis, Cost-Benefit Analysis, Bariatric Surgery, Obesity, Gastric Bypass, Gastrectomy, Treatment Outcome, Retrospective Studies |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Mental Health of Older People |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10184796 |
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