Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort Study
Objective:. This study compared the effectiveness of 4 main revisional bariatric surgery (RBS) sequences after sleeve gastrectomy (SG) and adjustable gastric banding (AGB), on the reimbursement of antidiabetic treatments in France. Background:. Few large-scale prospective cohort studies have assesse...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-06-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000420 |
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| author | Jérémie Thereaux, MD, PhD Mohammed Bennani, PhD Jean Khemis, MD Elisabeth Ohayon, MD Isabelle Visnovec Buissez, MD Alexandre Lafourcade, MSc Laëtitia Quiriconi, MSc Caroline Philippe, MSc Jean-Michel Oppert, MD, PhD |
| author_facet | Jérémie Thereaux, MD, PhD Mohammed Bennani, PhD Jean Khemis, MD Elisabeth Ohayon, MD Isabelle Visnovec Buissez, MD Alexandre Lafourcade, MSc Laëtitia Quiriconi, MSc Caroline Philippe, MSc Jean-Michel Oppert, MD, PhD |
| author_sort | Jérémie Thereaux, MD, PhD |
| collection | DOAJ |
| description | Objective:. This study compared the effectiveness of 4 main revisional bariatric surgery (RBS) sequences after sleeve gastrectomy (SG) and adjustable gastric banding (AGB), on the reimbursement of antidiabetic treatments in France.
Background:. Few large-scale prospective cohort studies have assessed the changes in antidiabetic treatments after RBS.
Method:. This nationwide observational population-based cohort study analyzed data from the French National Health Insurance Database. All patients who underwent primary SG and AGB in France between January 2012 and December 2014 were included and followed up until December 31, 2020. The changes in categories and costs of reimbursed antidiabetic treatments across different RBS sequences were assessed (presented as follows: bariatric surgery (BS)-RBS).
Results:. Among the 107,088 patients who underwent BS, 6396 underwent RBS, 2400 SG-GBP (SG converted to gastric bypass [GBP] during follow-up), 2277 AGB-SG, 1173 AGB-GBP, and 546 SG-SG. Pre-RBS insulin was used in 10 (2.9%), 4 (0.9%), 8 (2.4%), and 10 (2.6%) patients, respectively. Two years after RBS, the treatment discontinuation or decrease (the change of treatment to a lighter one category rates [eg, insulin to bi/tritherapy]) was 47%, 47%, 49%, and 34%, respectively. Four years after RBS, the median annual cost per patient compared with baseline was lower (P < 0.01) for all sequences, except SG-SG (P = 0.24). The most notable effect concerned AGB-GBP (median of more than 220 euros to 0).
Conclusions:. This study demonstrated the positive impact of RBS over a 4-year follow-up period on antidiabetic treatments reimbursement, through the reduction or discontinuation of treatments and a significant decrease in costs per patient. |
| format | Article |
| id | doaj-art-0334199434f44bff8d7a268e1ad18ac7 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-0334199434f44bff8d7a268e1ad18ac72025-01-24T09:18:39ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-06-0152e42010.1097/AS9.0000000000000420202406000-00015Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort StudyJérémie Thereaux, MD, PhD0Mohammed Bennani, PhD1Jean Khemis, MD2Elisabeth Ohayon, MD3Isabelle Visnovec Buissez, MD4Alexandre Lafourcade, MSc5Laëtitia Quiriconi, MSc6Caroline Philippe, MSc7Jean-Michel Oppert, MD, PhD8* From the Department of General, Digestive and Metabolic Surgery (J.T.), La Cavale Blanche University Hospital, Boulevard Tanguy Prigent, Brest, France‡ Qualees, Paris, France§ FNAMN, Cenon, France§ FNAMN, Cenon, France§ FNAMN, Cenon, France‡ Qualees, Paris, France‡ Qualees, Paris, France‡ Qualees, Paris, France‖ Department of Nutrition, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, France.Objective:. This study compared the effectiveness of 4 main revisional bariatric surgery (RBS) sequences after sleeve gastrectomy (SG) and adjustable gastric banding (AGB), on the reimbursement of antidiabetic treatments in France. Background:. Few large-scale prospective cohort studies have assessed the changes in antidiabetic treatments after RBS. Method:. This nationwide observational population-based cohort study analyzed data from the French National Health Insurance Database. All patients who underwent primary SG and AGB in France between January 2012 and December 2014 were included and followed up until December 31, 2020. The changes in categories and costs of reimbursed antidiabetic treatments across different RBS sequences were assessed (presented as follows: bariatric surgery (BS)-RBS). Results:. Among the 107,088 patients who underwent BS, 6396 underwent RBS, 2400 SG-GBP (SG converted to gastric bypass [GBP] during follow-up), 2277 AGB-SG, 1173 AGB-GBP, and 546 SG-SG. Pre-RBS insulin was used in 10 (2.9%), 4 (0.9%), 8 (2.4%), and 10 (2.6%) patients, respectively. Two years after RBS, the treatment discontinuation or decrease (the change of treatment to a lighter one category rates [eg, insulin to bi/tritherapy]) was 47%, 47%, 49%, and 34%, respectively. Four years after RBS, the median annual cost per patient compared with baseline was lower (P < 0.01) for all sequences, except SG-SG (P = 0.24). The most notable effect concerned AGB-GBP (median of more than 220 euros to 0). Conclusions:. This study demonstrated the positive impact of RBS over a 4-year follow-up period on antidiabetic treatments reimbursement, through the reduction or discontinuation of treatments and a significant decrease in costs per patient.http://journals.lww.com/10.1097/AS9.0000000000000420 |
| spellingShingle | Jérémie Thereaux, MD, PhD Mohammed Bennani, PhD Jean Khemis, MD Elisabeth Ohayon, MD Isabelle Visnovec Buissez, MD Alexandre Lafourcade, MSc Laëtitia Quiriconi, MSc Caroline Philippe, MSc Jean-Michel Oppert, MD, PhD Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort Study Annals of Surgery Open |
| title | Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort Study |
| title_full | Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort Study |
| title_fullStr | Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort Study |
| title_full_unstemmed | Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort Study |
| title_short | Cost-Effectiveness of Sleeve Gastrectomy and Gastric Bypass as Revisional Surgery on Antidiabetic Reimbursement: A Nationwide Cohort Study |
| title_sort | cost effectiveness of sleeve gastrectomy and gastric bypass as revisional surgery on antidiabetic reimbursement a nationwide cohort study |
| url | http://journals.lww.com/10.1097/AS9.0000000000000420 |
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