The Business Case for Bariatric Surgery Revisited: A Non-Randomized Case-Control Study
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{"title"=>"The Business Case for Bariatric Surgery Revisited: A Non-Randomized Case-Control Study", "type"=>"journal", "authors"=>[{"first_name"=>"Eric A.", "last_name"=>"Finkelstein", "scopus_author_id"=>"7005845861"}, {"first_name"=>"Benjamin T.", "last_name"=>"Allaire", "scopus_author_id"=>"6603438271"}, {"first_name"=>"Denise", "last_name"=>"Globe", "scopus_author_id"=>"6603806298"}, {"first_name"=>"John B.", "last_name"=>"Dixon", "scopus_author_id"=>"36014175500"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84884375331", "doi"=>"10.1371/journal.pone.0075498", "sgr"=>"84884375331", "isbn"=>"1932-6203 (Electronic)\\n1932-6203 (Linking)", "pmid"=>"24069423", "issn"=>"19326203", "pui"=>"369857613"}, "id"=>"c0aa713e-f9dc-3515-9f46-d60fcd9c580b", "abstract"=>"BACKGROUND AND AIM: Prior studies reporting that bariatric surgery (including laparoscopic adjustable gastric band (LAGB) and [laparoscopic Roux-en-Y] Gastric Bypass (LRYGB)) is cost-saving relied on a comparison sample of those with a morbid obesity (MO) diagnosis code, a high cost group who may not be reflective of those who opt for the procedures. We re-estimate net costs and time to breakeven using an alternative sample that does not rely on this code.\\n\\nMATERIALS AND METHODS: Non-randomized case-control study using medical claims data from a commercial database in the USA. LAGB and LRYGB claimants were propensity score matched to two control samples: one restricted to those with a MO diagnosis code and one without this restriction.\\n\\nRESULTS: When using the MO sample, costs for LAGB and LRYGB are recovered in 1.5 (Confidence Interval [CI]: 1.45 to 1.55) and 2.25 years (CI: 2.07 to 2.43), and 5 year savings are $78,980 (CI: 62,320 to 100,550) for LAGB and $61,420 (CI: 44,710 to 82,870) for LRYGB. Without the MO requirement, time to breakeven for LAGB increases to 5.25 (CI: 4.25 to 10+) years with a 5 year net cost of $690 (CI: 6,800 to 8.400). For LRYGB, time to breakeven exceeds 10 years and 5 year net costs are $18,940 (CI: 10,390 to 26,740).\\n\\nCONCLUSIONS: The net costs and time to breakeven resulting from bariatric surgery are likely less favorable than has been reported in prior studies, and especially for LRYGB, with a time to breakeven of more than twice the 5.25 year estimate for LAGB.", "link"=>"http://www.mendeley.com/research/business-case-bariatric-surgery-revisited-nonrandomized-casecontrol-study", "reader_count"=>21, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>8, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>2, "Other"=>1, "Student > Bachelor"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>8, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>2, "Other"=>1, "Student > Bachelor"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Engineering"=>1, "Medicine and Dentistry"=>6, "Agricultural and Biological Sciences"=>4, "Business, Management and Accounting"=>1, "Chemistry"=>1, "Psychology"=>1, "Social Sciences"=>3, "Computer Science"=>2}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>6}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>3}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Computer Science"=>{"Computer Science"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>2}}, "reader_count_by_country"=>{"United States"=>1, "Italy"=>1}, "group_count"=>4}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1210537"], "description"=>"<p>Panel A illustrates Mean Total Payments after matching in the Diabetes Sample. Panel B illustrates Mean Inpatients Payments after matching in the Diabetes Sample. Panel C illustrates Mean Outpatient Payments after matching in the Diabetes Sample. Panel D illustrates Mean Pharmaceutical Payments after matching in the Diabetes Sample. For scaling purposes, Q1 costs have not been included in the graph. The surgical date has been replaced with a red line. Comp is short for comparison sample; MO is short for morbid obesity.</p>", "links"=>[], "tags"=>["subsample", "expenditures"], "article_id"=>804113, "categories"=>["Science Policy", "Biological Sciences"], "users"=>["Eric A. Finkelstein", "Benjamin T. Allaire", "Denise Globe", "John B. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0074935.g002", "stats"=>{"downloads"=>1, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Diabetes_Subsample_Mean_Medical_Expenditures_By_Quarter_/804113", "title"=>"Diabetes Subsample – Mean Medical Expenditures By Quarter.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-09-19 03:10:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/1210527"], "description"=>"<p>Panel A illustrates Mean Total Payments after matching in the Full Sample. Panel B illustrates Mean Inpatients Payments after matching in the Full Sample. Panel C illustrates Mean Outpatient Payments after matching in the Full Sample. Panel D illustrates Mean Pharmaceutical Payments after matching in the Full Sample. For scaling purposes, Q1 costs have not been included in the graph. The surgical date has been replaced with a red line. Comp is short for comparison sample; MO is short for morbid obesity.</p>", "links"=>[], "tags"=>["expenditures"], "article_id"=>804103, "categories"=>["Science Policy", "Biological Sciences"], "users"=>["Eric A. Finkelstein", "Benjamin T. Allaire", "Denise Globe", "John B. Dixon"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0074935.g001", "stats"=>{"downloads"=>6, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Full_Sample_Mean_Medical_Expenditures_By_Quarter_/804103", "title"=>"Full Sample – Mean Medical Expenditures By Quarter.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-09-19 03:10:40"}

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Relative Metric

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