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- Title
Incremental Net Monetary Benefit of Bariatric Surgery: Systematic Review and Meta-Analysis of Cost-Effectiveness Evidences.
- Authors
Noparatayaporn, Prapaporn; Thavorncharoensap, Montarat; Chaikledkaew, Usa; Bagepally, Bhavani Shankara; Thakkinstian, Ammarin
- Abstract
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.
- Subjects
BARIATRIC surgery; HIGH-income countries; MIDDLE-income countries; DIABETES; OBESITY
- Publication
Obesity Surgery, 2021, Vol 31, Issue 7, p3279
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05415-9