Bariatric surgery versus conservative management for morbidly obese patients in Spain: a cost-effectiveness analysis

Abstract

Compared to CM, BS is a more effective and less costly alternative for treating morbid obesity in Spain.

Bariatric surgery is a cost‐saving treatment for obesity—A comprehensive meta‐analysis and updated systematic review of health economic evaluations of bariatric surgery

“…Since September 2015, n = 24 health economic evaluations regarding bariatric surgery (with comparison to conventional treatment/no surgery or “before” versus “after” comparison) have been published. The distribution of economic reporting was similar to our previous narrative review, with 10 (42%) from European countries (UK 4, Denmark 2, Belgium 1, Italy 1, Germany 1, and Spain 1), six (25%) from the USA, three (13%) from Brazil, two (8%) from Australia and New Zealand, one (4%) each from Canada, Turkey, and China . Of special note was that 21% of studies (five out of n = 24) derived from developing countries, with two of these studies informed by Asian cohorts …”

“…After removing duplicate papers 1096 studies remained for title and abstract screening, with 63 studies included for full‐text review. Of these, 24 partial and full health economic evaluation studies were included in the updated systematic review . These studies were also assessed against the eligibility criteria for quantitative meta‐analyses together with the n = 77 eligible health economic evaluations from our previous systematic review (low part of Figure ).…”

“…Therefore, of the remaining 61 studies included in our meta‐analyses, 34 (56%) and 27 (44%) were based on partial and full health economic evaluations, respectively.…”

“…Additionally, when costs were qualitatively synthesised, the review found heterogeneous results. For instance, across the depth and breadth of the comprehensive review's 77 included studies, some of the studies showed that the average total costs were higher in the bariatric group, whilst others revealed that the control group had higher costs . A narrative synthesis of the before and after bariatric surgery studies showed that total costs were higher after surgery in the shorter term …”

Análise das internações hospitalares para procedimentos de cirurgias bariátricas financiadas pelo SUS em âmbito nacional

“…Outro estudo relevante conduzido na Espanha evidenciou que ao longo de um horizonte temporal de 10 anos, a cirurgia bariátrica apresenta um incremento de custo de € 9.386 e um ganho de 1,6 QALY (quality-adjusted life years). Além disso, o estudo evidenciou que a cirurgia bariátrica teria potencial de reduzir significativamente o risco de diabetes e doenças cardiovasculares ao longo dos horizontes considerados, apresentando ganho de 0,6 LYG (life years gained) e 4,4 QALY, além de economias de custo médio de € 300/paciente ao longo da vida 27 .…”