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Where Are the Health Care Cost Savings With Bariatric Surgery in Obesity Management?

Where Are the Health Care Cost Savings With Bariatric Surgery in Obesity Management? Opinion Where Are the Health Care Cost Savings VIEWPOINT With Bariatric Surgery in Obesity Management? In the Swedish Obese Subjects (SOS) study, the larg- have provided long enough patient follow-up for re- Allison B. Goldfine, MD est and longest-duration study comparing bariatric sur- duced utilization to become apparent. Only half of the Research Division, gical procedures with conventional medical care for pa- patients were available for follow-up of 2 years, and only Joslin Diabetes Center, tients with obesity, the study group undergoing bariatric 10%ofpatientswereavailable6yearsfollowingsurgery. Department of procedures including gastric banding, vertical banded Few data sets provide sufficient detail and retention to Medicine, Brigham and Women’s Hospital, and gastroplasty, and gastric bypass achieved greater and perform long-term assessments, and the analysis can be Harvard Medical 1 more sustained weight loss than did the control group. complicated by changing disease rates, surgical meth- School, Boston, In addition, recovery from diabetes, hypertriglyceride- ods, and pharmacologic options. Realizing cost savings Massachusetts. mia, low levels of high-density lipoprotein cholesterol, over the course of a decade remains problematic, given hypertension, and hyperuricemia was more favorable in the pressing needs to contain health care expenditures Ashley Vernon, MD Department of Surgery, the surgery group than in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Where Are the Health Care Cost Savings With Bariatric Surgery in Obesity Management?

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2013.3060
pmid
24195967
Publisher site
See Article on Publisher Site

Abstract

Opinion Where Are the Health Care Cost Savings VIEWPOINT With Bariatric Surgery in Obesity Management? In the Swedish Obese Subjects (SOS) study, the larg- have provided long enough patient follow-up for re- Allison B. Goldfine, MD est and longest-duration study comparing bariatric sur- duced utilization to become apparent. Only half of the Research Division, gical procedures with conventional medical care for pa- patients were available for follow-up of 2 years, and only Joslin Diabetes Center, tients with obesity, the study group undergoing bariatric 10%ofpatientswereavailable6yearsfollowingsurgery. Department of procedures including gastric banding, vertical banded Few data sets provide sufficient detail and retention to Medicine, Brigham and Women’s Hospital, and gastroplasty, and gastric bypass achieved greater and perform long-term assessments, and the analysis can be Harvard Medical 1 more sustained weight loss than did the control group. complicated by changing disease rates, surgical meth- School, Boston, In addition, recovery from diabetes, hypertriglyceride- ods, and pharmacologic options. Realizing cost savings Massachusetts. mia, low levels of high-density lipoprotein cholesterol, over the course of a decade remains problematic, given hypertension, and hyperuricemia was more favorable in the pressing needs to contain health care expenditures Ashley Vernon, MD Department of Surgery, the surgery group than in

Journal

JAMA SurgeryAmerican Medical Association

Published: Jan 1, 2014

References