Autor: |
Simon Kin Hung Wong, Eleanor Grieve, Daniel King Hung Tong, Carlos K. H. Wong, David Kai Wing Leung, Tingting Wu, Cindy L. K. Lam, Betty Tsz Ting Law, Enders K.W. Ng, Olivia Wu |
Rok vydání: |
2020 |
Předmět: |
|
DOI: |
10.21203/rs.3.rs-16320/v1 |
Popis: |
Background: Bariatric surgery is effective in weight reduction and diabetes remission. This study aimed to estimate direct medical costs and changes of comorbidities after bariatric surgery up to five years among obese patients with type 2 diabetes mellitus. Methods: A population-based retrospective cohort of obese type 2 diabetes patients from Hong Kong Hospital Authority between 2006 and 2017 was assembled. One-to-five propensity score matching method was applied to match 401 eligible surgical patients with 1,894 non-surgical patients. Frequency of healthcare service utilization and dispense of diabetes medication were collected for both groups to estimate the direct medical costs from baseline to up to 60 months; Charlson Comorbidity Index (CCI) and number of comorbidities were measured to compare the changes of comorbidities between two groups over the 5 years. Results: Direct medical costs were US$40,889 for surgical patients and US$6,163 for controls in the index year (p |
Databáze: |
OpenAIRE |
Externí odkaz: |
|