The real-world cost-effectiveness of bariatric surgery for the treatment of severe obesity: a cost-utility analysis.

ABSTRACT:

Background

Severe obesity is associated with adverse health outcomes and increased risk of death. This study evaluates the real-world cost-utility of therapy for severe obesity, from the publicly funded health care system and societal perspectives.

Methods

We conducted a cost-utility analysis using primary data from a prospective observational cohort of adults living with severe obesity (BMI ≥ 35 kg/m² and a major medical comorbidity or BMI ≥ 40 kg/m²) who were enrolled in a regional obesity program over 2 years. We extrapolated 10-year and lifetime Markov models, validated and supplemented with literature sources, to compare medical, surgical and standard care therapies. We performed deterministic and probabilistic sensitivity analyses.

Results

SUBMITTER: Lester ELW 

PROVIDER: S-EPMC8248561 | biostudies-literature | 2021 Apr-Jun

REPOSITORIES: biostudies-literature