What Are the Real Procedural Costs of Bariatric Surgery? A Systematic Literature Review of Published Cost Analyses
dc.contributor.author | Doble, B | |
dc.contributor.author | Wordsworth, S | |
dc.contributor.author | Rogers, CA | |
dc.contributor.author | Welbourn, R | |
dc.contributor.author | Byrne, J | |
dc.contributor.author | Blazeby, JM | |
dc.date.accessioned | 2019-01-30T11:56:46Z | |
dc.date.issued | 2017-05-26 | |
dc.description.abstract | This review aims to evaluate the current literature on the procedural costs of bariatric surgery for the treatment of severe obesity. Using a published framework for the conduct of micro-costing studies for surgical interventions, existing cost estimates from the literature are assessed for their accuracy, reliability and comprehensiveness based on their consideration of seven ‘important’ cost components. MEDLINE, PubMed, key journals and reference lists of included studies were searched up to January 2017. Eligible studies had to report per-case, total procedural costs for any type of bariatric surgery broken down into two or more individual cost components. A total of 998 citations were screened, of which 13 studies were included for analysis. Included studies were mainly conducted from a US hospital perspective, assessed either gastric bypass or adjustable gastric banding procedures and considered a range of different cost components. The mean total procedural costs for all included studies was US$14,389 (range, US$7423 to US$33,541). No study considered all of the recommended ‘important’ cost components and estimation methods were poorly reported. The accuracy, reliability and comprehensiveness of the existing cost estimates are, therefore, questionable. There is a need for a comparative cost analysis of the different approaches to bariatric surgery, with the most appropriate costing approach identified to be micro-costing methods. Such an analysis will not only be useful in estimating the relative cost-effectiveness of different surgeries but will also ensure appropriate reimbursement and budgeting by healthcare payers to ensure barriers to access this effective treatment by severely obese patients are minimised. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.identifier.citation | Vol. 27 (8), pp. 2179 - 2192 | en_GB |
dc.identifier.doi | 10.1007/s11695-017-2749-8 | |
dc.identifier.grantnumber | 09/127/53 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/35643 | |
dc.language.iso | en | en_GB |
dc.publisher | Springer Verlag for International Federation for the Surgery of Obesity and Metabolic Disorders | en_GB |
dc.rights | © The Author(s) 2017. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. | en_GB |
dc.subject | Adjustable gastric banding | en_GB |
dc.subject | Costs | en_GB |
dc.subject | Bottom-up costing | en_GB |
dc.subject | Gastric bypass | en_GB |
dc.subject | Gross costing | en_GB |
dc.subject | Micro-costing | en_GB |
dc.subject | Obesity | en_GB |
dc.subject | Sleeve gastrectomy | en_GB |
dc.subject | Top-down costing | en_GB |
dc.title | What Are the Real Procedural Costs of Bariatric Surgery? A Systematic Literature Review of Published Cost Analyses | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2019-01-30T11:56:46Z | |
dc.identifier.issn | 0960-8923 | |
dc.description | This is the final version. Available on open access from Springer Verlag via the DOI in this record | en_GB |
dc.identifier.journal | Obesity Surgery | en_GB |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2017-05-26 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2017-05-26 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2019-01-30T11:52:12Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2019-01-30T11:56:48Z | |
refterms.depositException | publishedGoldOA |
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Open Access.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.