2011
DOI: 10.1007/s11606-011-1721-x
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Bariatric Surgery: A Systematic Review of the Clinical and Economic Evidence

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Cited by 181 publications
(113 citation statements)
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References 72 publications
(75 reference statements)
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“…2,3 According to Canadian guidelines, surgical treatment of adult obesity is indicated in medical refractory patients with a BMI of 40 or higher or with a BMI of 35 or higher combined with at least 1 comorbid condition. 4 Newfoundland and Labrador (NL) has the highest rates of obesity in Canada, with estimated increases projected.…”
Section: Discussionmentioning
confidence: 99%
“…2,3 According to Canadian guidelines, surgical treatment of adult obesity is indicated in medical refractory patients with a BMI of 40 or higher or with a BMI of 35 or higher combined with at least 1 comorbid condition. 4 Newfoundland and Labrador (NL) has the highest rates of obesity in Canada, with estimated increases projected.…”
Section: Discussionmentioning
confidence: 99%
“…The second review was a narrative analysis of 13 studies, including RCTs, cohorts and literature reviews. 85 Again, the heterogeneity of the sources led to a large variation in estimated ICERs, from US$1000 to US$40,000 per QALY. Surgery was found to be more cost-effectiveness in diabetic study populations.…”
Section: Cost-effectivenessmentioning
confidence: 99%
“…30 This surgery involves removing most of the greater curvature of the stomach, leaving a gastric "tube" or sleeve with a capacity of 60 to 100 mL. 34 The procedure is well tolerated, has lower complication rates and a shorter operating time than Roux-en-Y gastric bypass, and achieves greater weight loss than adjustable gastric banding. [35][36][37] Improvement in or resolution of diabetes, hypertension, and dyslipidemia has been observed after laparoscopic sleeve gastrectomy, although the mechanism is not clearly understood.…”
Section: Introductionmentioning
confidence: 99%