Health Expenditures Decline After Bariatric Surgery for Patients With Type 2 Diabetes.

ABSTRACT:

Objective

Bariatric surgery lowers the risk of developing microvascular and macrovascular complications of type 2 diabetes, but it is unclear whether it also lowers long-term health expenditures in this population.

Research design and methods

In a retrospective cohort study of 6,690 patients with obesity and type 2 diabetes who underwent bariatric surgery in 2012-2019 and 19,122 matched nonsurgical patients, we compared total, outpatient, inpatient, and medication expenditures 3 years presurgery and 5.5 years postsurgery, using generalized estimating equations. Expenditures were estimated in 6-month intervals.

Results

Surgical and nonsurgical cohorts were well-matched, with 73% female, average BMI 44 kg/m2, mean age 50 years, and 32% on insulin. Estimated total expend

SUBMITTER: Sloan CE 

PROVIDER: S-EPMC12368378 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature