The Economic Impact of Weight Regain
Background. Obesity is well known for being associated with significant economic repercussions. Bariatric surgery is the only evidence-based solution to this problem as well as a cost-effective method of addressing the concern. Numerous authors have calculated the cost effectiveness and cost savings...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/379564 |
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| author | Caroline E. Sheppard Erica L. W. Lester Anderson W. Chuck Daniel W. Birch Shahzeer Karmali Christopher J. de Gara |
| author_facet | Caroline E. Sheppard Erica L. W. Lester Anderson W. Chuck Daniel W. Birch Shahzeer Karmali Christopher J. de Gara |
| author_sort | Caroline E. Sheppard |
| collection | DOAJ |
| description | Background. Obesity is well known for being associated with significant economic repercussions. Bariatric surgery is the only evidence-based solution to this problem as well as a cost-effective method of addressing the concern. Numerous authors have calculated the cost effectiveness and cost savings of bariatric surgery; however, to date the economic impact of weight regain as a component of overall cost has not been addressed. Methods. The literature search was conducted to elucidate the direct costs of obesity and primary bariatric surgery, the rate of weight recidivism and surgical revision, and any costs therein. Results. The quoted cost of obesity in Canada was $2.0 billion–$6.7 billion in 2013 CAD. The median percentage of bariatric procedures that fail due to weight gain or insufficient weight loss is 20% (average: 21.1%±10.1%, range: 5.2–39, n=10). Revision of primary surgeries on average ranges from 2.5% to 18.4%, and depending on the procedure accounts for an additional cost between $14,000 and $50,000 USD per patient. Discussion. There was a significant deficit of the literature pertaining to the cost of revision surgery as compared with primary bariatric surgery. As such, the cycle of weight recidivism and bariatric revisions has not as of yet been introduced into any previous cost analysis of bariatric surgery. |
| format | Article |
| id | doaj-art-957eea113bab464fb21f865b0d4a7fb0 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-957eea113bab464fb21f865b0d4a7fb02025-02-03T01:33:01ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/379564379564The Economic Impact of Weight RegainCaroline E. Sheppard0Erica L. W. Lester1Anderson W. Chuck2Daniel W. Birch3Shahzeer Karmali4Christopher J. de Gara5Centre for the Advancement of Minimally Invasive Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, T5H 3V9, CanadaUniversity of Alberta, Edmonton, AB, T6G 2C9, CanadaUniversity of Alberta, Institute of Health Economics, Edmonton, AB, T5J 3N4, CanadaCentre for the Advancement of Minimally Invasive Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, T5H 3V9, CanadaCentre for the Advancement of Minimally Invasive Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, T5H 3V9, CanadaFaculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, 2-590 Edmonton Clinic Health Academy, 11405-87 Avenue NW, Edmonton, AB, T6G 2C9, CanadaBackground. Obesity is well known for being associated with significant economic repercussions. Bariatric surgery is the only evidence-based solution to this problem as well as a cost-effective method of addressing the concern. Numerous authors have calculated the cost effectiveness and cost savings of bariatric surgery; however, to date the economic impact of weight regain as a component of overall cost has not been addressed. Methods. The literature search was conducted to elucidate the direct costs of obesity and primary bariatric surgery, the rate of weight recidivism and surgical revision, and any costs therein. Results. The quoted cost of obesity in Canada was $2.0 billion–$6.7 billion in 2013 CAD. The median percentage of bariatric procedures that fail due to weight gain or insufficient weight loss is 20% (average: 21.1%±10.1%, range: 5.2–39, n=10). Revision of primary surgeries on average ranges from 2.5% to 18.4%, and depending on the procedure accounts for an additional cost between $14,000 and $50,000 USD per patient. Discussion. There was a significant deficit of the literature pertaining to the cost of revision surgery as compared with primary bariatric surgery. As such, the cycle of weight recidivism and bariatric revisions has not as of yet been introduced into any previous cost analysis of bariatric surgery.http://dx.doi.org/10.1155/2013/379564 |
| spellingShingle | Caroline E. Sheppard Erica L. W. Lester Anderson W. Chuck Daniel W. Birch Shahzeer Karmali Christopher J. de Gara The Economic Impact of Weight Regain Gastroenterology Research and Practice |
| title | The Economic Impact of Weight Regain |
| title_full | The Economic Impact of Weight Regain |
| title_fullStr | The Economic Impact of Weight Regain |
| title_full_unstemmed | The Economic Impact of Weight Regain |
| title_short | The Economic Impact of Weight Regain |
| title_sort | economic impact of weight regain |
| url | http://dx.doi.org/10.1155/2013/379564 |
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