Laparoscopic adjustable gastric banding vs standard medical management in obese patients with type 2 diabetes: a budget impact analysis in the UK

Pollock, Richard F; Chilcott, James; Muduma, Gorden; Valentine, William J.

doi:10.3111/13696998.2012.751388

Cited by 4 publications

(18 citation statements)

References 31 publications

(39 reference statements)

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“…Fifty six percent ( n = 43) of studies' data is predominantly is sourced from or originated from the USA . Studies also originated from Sweden 10% ( n = 8), Australia 8% ( n = 6), UK 8% ( n = 6), Canada , and the remainder of the included studies each for France ( n = 2),Germany , (Austria, Italy, Spain) , Spain , Norway , Portugal , the Netherlands , Finland , South Korea , Brazil ( n = 2) and Mexico . Two studies reported data from three countries (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…Seventy six studies reported a time horizon. Of those that reported a time horizon, 42% ( n = 32) adopted a timeframe of ≤5 years and 53% of these studies reported results for ≤2 years ( n = 17) (mostly cost and cost analyses). Some cost and cost analyses reported a longer time horizon of 6–10 years ( n = 12, 16%) or 11–20 years ( n = 3, 4%) .…”

Section: Resultsmentioning

confidence: 99%

“…In these studies, there was a significant loss of participants to follow‐up in the later years for large samples or analyses were informed by a small sample from a single study centre . Modelling studies that generated cost‐effectiveness or cost‐utility metrics ( n = 25, 33%) generally extrapolated data from 2 to 5 years to longer term or lifetime , 10 years or <10 years (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…Nested cohorts from the Swedish Obese Subjects study investigated costs of in‐patient care , sick leave and disability pension , medication costs and healthcare costs for patients with differing baseline glucose status . Just over one‐third of studies utilized modelling techniques to facilitate a full economic evaluation of the intervention ( n = 29, 38%) . Some collected economic data prospectively (Table ).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

et al. 2016

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There is a need for studies that assume a broader societal perspective (including out-of-pocket costs, costs to family and productivity losses) and longer-term costs (capture reoperations/complications, waiting, body contouring), and consequences (health-related quality-of-life). Full economic evaluation underpinned by reporting standards should inform prioritization of patients (e.g. type 2 diabetes mellitus with body mass index 30 to 34.9 kg/m(2) or long-term waitlisted) for surgery. © 2016 World Obesity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

et al. 2016

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“… 37 There is some evidence that bariatric surgery can reduce in cost savings that offset the initial costs of surgery, though little UK evidence for RYGB and SG. 38–40 …”

Section: Introductionmentioning

confidence: 99%

Protocol for a 1-year prospective, longitudinal cohort study of patients undergoing Roux-en-Y gastric bypass and sleeve gastrectomy: the BARI-LIFESTYLE observational study

et al. 2018

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IntroductionRoux-en-Y gastric bypass and sleeve gastrectomy are the two most common bariatric surgery performed in the UK that result in comparable weight loss and remission of obesity-associated comorbidities. However, there is a paucity of studies examining the impact of these procedures on body composition, physical activity levels, sedentary behaviour, physical function and strength, dietary intake, health-related quality of life and costs.Methods and analysisThe BARI-LIFESTYLE observational study is a 1-year prospective, longitudinal cohort study within a real-world routine clinical care setting aiming to recruit 100 patients with severe obesity undergoing either primary Roux-en-Y gastric bypass or sleeve gastrectomy from two bariatric centres in London, UK. Participants will be followed up four times during the study period; presurgery baseline (T0) and at 3 (T1), 6 (T2) and 12 months (T3) postsurgery. In addition to the standard follow-up investigations, assessments including dual-energy X-ray absorptiometry scan, bioelectric impedance analysis, 6 min walk test, sit-to-stand test and handgrip test will be undertaken together with completion of questionnaires. Physical activity levels and sedentary behaviour will be assessed using accelerometer, and dietary intake will be recorded using a 3-day food diary. Outcome measures will include body weight, body fat mass, lean muscle mass, bone mineral density, physical activity levels, sedentary behaviour, physical function and strength, dietary intake, health-related quality of life, remission of comorbidities, healthcare resource utilisation and costs.Ethics and disseminationThis study has been reviewed and given a favourable ethical opinion by London-Dulwich Research Ethics Committee (17/LO/0950). The results will be presented to stakeholder groups locally, nationally and internationally and published in peer-reviewed medical journals. The lay-person summary of the findings will be published on the Centre for Obesity Research, University College London website (http://www.ucl.ac.uk/obesity).

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Incremental Net Monetary Benefit of Bariatric Surgery: Systematic Review and Meta-Analysis of Cost-Effectiveness Evidences

et al. 2021

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This systematic review aimed to comprehensively synthesize cost-effectiveness evidences of bariatric surgery by pooling incremental net monetary benefits (INB). Twenty-eight full economic evaluation studies comparing bariatric surgery with usual care were identified from five databases. In high-income countries (HICs), bariatric surgery was cost-effective among mixed obesity group (i.e., obesity with/without diabetes) over a 10-year time horizon (pooled INB = $53,063.69; 95% CI $42,647.96, $63,479.43) and lifetime horizon (pooled INB = $101,897.96; 95% CI $79,390.93, $124,404.99). All studies conducted among obese with diabetes reported that bariatric surgery was cost-effective. Also, the pooled INB for obesity with diabetes group over lifetime horizon in HICs was $80,826.28 (95% CI $32,500.75, $129,151.81). Nevertheless, no evidence is available in low- and middle-income countries. Graphical abstract

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Laparoscopic adjustable gastric banding vs standard medical management in obese patients with type 2 diabetes: a budget impact analysis in the UK

Cited by 4 publications

References 31 publications

Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

Diverse approaches to the health economic evaluation of bariatric surgery: a comprehensive systematic review

Protocol for a 1-year prospective, longitudinal cohort study of patients undergoing Roux-en-Y gastric bypass and sleeve gastrectomy: the BARI-LIFESTYLE observational study

Incremental Net Monetary Benefit of Bariatric Surgery: Systematic Review and Meta-Analysis of Cost-Effectiveness Evidences

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