Bariatric surgery is expensive but improves co-morbidity: 5-year assessment of patients with obesity and type 2 diabetes
| Autor: | Tingting Wu, D K W Leung, Eleanor Grieve, Simon Kin Hung Wong, Olivia Wu, B T T Law, Clk Lam, C K H Wong, D K H Tong, Enders K.W. Ng |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Office Visits medicine.medical_treatment Population Bariatric Surgery Type 2 diabetes Comorbidity 030230 surgery 03 medical and health sciences 0302 clinical medicine Weight loss Diabetes mellitus medicine Ambulatory Care Humans Hypoglycemic Agents Obesity education Retrospective Studies education.field_of_study business.industry Type 2 Diabetes Mellitus Length of Stay Middle Aged medicine.disease Surgery Diabetes Mellitus Type 2 Case-Control Studies Propensity score matching Hong Kong Gastrectomy Female medicine.symptom business Emergency Service Hospital |
| Zdroj: | The British journal of surgery. 108(5) |
| ISSN: | 1365-2168 0007-1323 |
| Popis: | Background:\ud Bariatric surgery can be effective in weight reduction and diabetes remission in some patients, but is expensive. The costs of bariatric surgery in patients with obesity and type 2 diabetes mellitus (T2DM) were explored here.\ud \ud Methods:\ud Population‐based retrospectively gathered data on patients with obesity and T2DM from the Hong Kong Hospital Authority (2006–2017) were evaluated. Direct medical costs from baseline up to 60 months were calculated based on the frequency of healthcare service utilization and dispensing of diabetes medication. Charlson Co‐morbidity Index (CCI) scores and co‐morbidity rates were measured to compare changes in co‐morbidities between surgically treated and control groups over 5 years. One‐to‐five propensity score matching was applied.\ud \ud Results:\ud Overall, 401 eligible surgical patients were matched with 1894 non‐surgical patients. Direct medical costs were much higher for surgical than non‐surgical patients in the index year (€36 752 and €5788 respectively; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text