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Cost-effectiveness of bariatric surgical procedures for the treatment of severe obesity

Author

Listed:
  • Bruce Wang
  • Edwin Wong
  • Rafael Alfonso-Cristancho
  • Hao He
  • David Flum
  • David Arterburn
  • Louis Garrison
  • Sean Sullivan

Abstract

Bariatric surgery produced additional life expectancy (80–81 years) compared to no surgery (78 years). The incremental cost-effectiveness ratios (ICERs) of the surgical procedures were US $6,600 per quality-adjusted life expectancy (QALY) gained for LRYGB, US $6,200 for LAGB, and US $17,300 for ORYGB (3 % discount rate for cost and QALYs). ICERs varied according to choice of BMI forecasting method and clinically plausible variation in parameter estimates. In most scenarios, the ICER did not exceed a threshold of US $50,000 per QALY gained. Copyright Springer-Verlag Berlin Heidelberg 2014

Suggested Citation

  • Bruce Wang & Edwin Wong & Rafael Alfonso-Cristancho & Hao He & David Flum & David Arterburn & Louis Garrison & Sean Sullivan, 2014. "Cost-effectiveness of bariatric surgical procedures for the treatment of severe obesity," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(3), pages 253-263, April.
    • Handle: RePEc:spr:eujhec:v:15:y:2014:i:3:p:253-263
    DOI: 10.1007/s10198-013-0472-5
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    References listed on IDEAS

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    5. Pierre Lévy & Martin Fried & Ferruccio Santini & Nick Finer, 2007. "The Comparative Effects of Bariatric Surgery on Weight and Type 2 Diabetes," Post-Print hal-01293732, HAL.
    6. Manning, Willard G. & Mullahy, John, 2001. "Estimating log models: to transform or not to transform?," Journal of Health Economics, Elsevier, vol. 20(4), pages 461-494, July.
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    More about this item

    Keywords

    Obesity; Bariatric surgery; Cost-effectiveness; QALY; I10; D61; D81;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • D81 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Criteria for Decision-Making under Risk and Uncertainty

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