BARIATRIC SURGERY AND COSTS ASSOCIATED WITH HEALTHCARE USE AT TWO YEARS' FOLLOW-UP
Author(s)
Vartiainen P1, Toivanen V2, Saarinen T1, Sammalkorpi H1, Leivonen M3, Juuti A1, Roine RP4
1Helsinki University Hospital and University of Helsinki, Helsinki, Finland, 2University of Helsinki, Rovaniemi, Finland, 3Seinäjoki Central Hospital, Hospital District of South Ostrobotnia, Seinäjoki, Finland, 4Helsinki University Hospital and University of Eastern Finland, Helsinki, Finland
OBJECTIVES: Bariatric surgery is effective in weight loss as well as in reducing comorbidities of obesity. Our aim is to analyse the effect of bariatric surgery on costs associated with health care use during follow-up of two years. METHODS: RESULTS: At the follow-up of two years, the median of self-reported health care use-associated costs reduced from 800€ (interquartile range 350€ - 1930€) to 384€ (interquartile range 60€-1005€) with p<0.001. The number of patients on diabetes medication reduced from 88 (38%) to 28 (17%), with p<0.001, and the number of patients on blood pressure-lowering medication from 164 (64%) to 81 (45%), with p<0.001. There was no statistically significant difference in those taking depression medication before or after the operation. CONCLUSIONS: According to our results, bariatric surgery significantly reduces the costs associated with health care use already 2 years after the operation. Because self-reported use of health care is prone to bias, the next step is to collect the costs of hospital services from the electronic hospital archives.
Conference/Value in Health Info
2018-11, ISPOR Europe 2018, Barcelona, Spain
Value in Health, Vol. 21, S3 (October 2018)
Code
PSY61
Topic
Economic Evaluation
Topic Subcategory
Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
Diabetes/Endocrine/Metabolic Disorders