Cost–Benefit Analysis in Health Care: the Case of Bariatric Surgery Compared With Diet

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21460%2F20%3A00337416" target="_blank" >RIV/68407700:21460/20:00337416 - isvavai.cz</a>

Result on the web

<a href="https://doi.org/10.1016/j.clinthera.2019.12.001" target="_blank" >https://doi.org/10.1016/j.clinthera.2019.12.001</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.clinthera.2019.12.001" target="_blank" >10.1016/j.clinthera.2019.12.001</a>

Result language

angličtina

Original language name

Cost–Benefit Analysis in Health Care: the Case of Bariatric Surgery Compared With Diet

Original language description

The aim of the present study was to assess, by using a cost–benefit analysis, the net monetary benefit (NMB) of bariatric surgery compared with diet (including physical exercise) for obese patients, from both an Italian payer perspective and the broader societal perspective. The study considered the following groups of patients: (1) patients with a body mass index (BMI) >=40 kg/m2 without complications + patients with BMI >=35 kg/m2 with complications; (2) patients with BMI >=35 kg/m2 and diabetes; and (3) patients with BMI ranging from 30 to 35 kg/m2 and diabetes. A Markov model was developed to project the lifetime health outcomes (life years and quality-adjusted life years [QALYs]) and costs associated with bariatric surgery and diet for the considered groups of patients. The clinical effectiveness of each strategy was based on the likelihood of experiencing cardiovascular events or events related to the presence of diabetes. Data on clinical effectiveness, quality of life, productivity losses, and out-of-pocket costs were mainly derived from the literature; direct costs were obtained from official tariffs or the literature. Different scenarios were considered for the analyses in addition to the base case. According to both perspectives considered, the NMB was calculated by first assuming a willingness-to-pay threshold (30,000 per QALY), then converting health benefits (QALYs) into the common monetary metric (ie, the euro). NMB was calculated as follows: (incremental benefit x willingness-to-pay – incremental cost).

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30304 - Public and environmental health

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Clinical Therapeutics

ISSN

0149-2918

e-ISSN

1879-114X

Volume of the periodical

42

Issue of the periodical within the volume

1

Country of publishing house

US - UNITED STATES

Number of pages

23

Pages from-to

"60"-"75.e7"

UT code for WoS article

000516654800008

EID of the result in the Scopus database

2-s2.0-85078022563