评估减肥手术的经济影响：一项多年比较分析。

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-10-10 DOI:10.1016/j.amjsurg.2025.116665

Kate V Lauer, Dawda Jawara, Lily N Stalter, Bret M Hanlon, Matthew R Lemahieu, Luke M Funk

{"title":"评估减肥手术的经济影响：一项多年比较分析。","authors":"Kate V Lauer, Dawda Jawara, Lily N Stalter, Bret M Hanlon, Matthew R Lemahieu, Luke M Funk","doi":"10.1016/j.amjsurg.2025.116665","DOIUrl":null,"url":null,"abstract":"Introduction: Bariatric surgery results in significant weight loss and improvement of obesity-related comorbidities, but data regarding its cost impact are mixed. We compared healthcare costs for bariatric surgery patients and non-operative controls through four years after surgery.Methods: Patients who underwent bariatric surgery in 2018-2019 were matched 1:5 with controls who met criteria for bariatric surgery but were medically managed. Post-operative costs were compared by year after surgery and healthcare setting.Results: Bariatric surgery patients (n = 37) had higher mean total costs years 1-4 after surgery compared to non-operative controls (n = 185) [$26,805(SD $47,039) vs. $14,547($30,170); p < 0.001]. The largest differences occurred in the outpatient setting [$16,935($19,807) vs. $8972($14,690); p < 0.0001] and during the first year after surgery [$12,616($36,422) vs. $3355($9367); p < 0.0001].Conclusions: Bariatric surgery patients had higher post-operative costs through four years after surgery compared to non-operative controls, primarily due to higher costs within the first year after surgery and increased outpatient costs.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116665"},"PeriodicalIF":2.7000,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating the economic impact of bariatric surgery: A multi-year comparative analysis.\",\"authors\":\"Kate V Lauer, Dawda Jawara, Lily N Stalter, Bret M Hanlon, Matthew R Lemahieu, Luke M Funk\",\"doi\":\"10.1016/j.amjsurg.2025.116665\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Bariatric surgery results in significant weight loss and improvement of obesity-related comorbidities, but data regarding its cost impact are mixed. We compared healthcare costs for bariatric surgery patients and non-operative controls through four years after surgery.Methods: Patients who underwent bariatric surgery in 2018-2019 were matched 1:5 with controls who met criteria for bariatric surgery but were medically managed. Post-operative costs were compared by year after surgery and healthcare setting.Results: Bariatric surgery patients (n = 37) had higher mean total costs years 1-4 after surgery compared to non-operative controls (n = 185) [$26,805(SD $47,039) vs. $14,547($30,170); p < 0.001]. The largest differences occurred in the outpatient setting [$16,935($19,807) vs. $8972($14,690); p < 0.0001] and during the first year after surgery [$12,616($36,422) vs. $3355($9367); p < 0.0001].Conclusions: Bariatric surgery patients had higher post-operative costs through four years after surgery compared to non-operative controls, primarily due to higher costs within the first year after surgery and increased outpatient costs.\",\"PeriodicalId\":7771,\"journal\":{\"name\":\"American journal of surgery\",\"volume\":\" \",\"pages\":\"116665\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-10-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.amjsurg.2025.116665\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amjsurg.2025.116665","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

摘要

减肥手术可以显著减轻体重并改善肥胖相关的合并症，但有关其成本影响的数据喜忧参半。我们比较了手术减肥患者和非手术对照组术后四年的医疗费用。方法：2018-2019年接受减肥手术的患者与符合减肥手术标准但接受医学管理的对照组进行1:5匹配。术后费用按手术后年份和医疗环境进行比较。结果：减肥手术患者（n = 37）术后1-4年的平均总成本高于非手术对照组（n = 185）[26,805美元（SD $47,039）对14,547美元（30,170美元）；P < 0.001]。最大的差异发生在门诊地区[16,935美元（19,807美元）vs. 8972美元（14,690美元）；P < 0.0001]和术后第一年[12,616美元（36,422美元）对3355美元（9367美元）；P < 0.0001]。结论：与非手术对照组相比，减肥手术患者术后4年的费用较高，主要是由于手术后第一年的费用较高，门诊费用增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Evaluating the economic impact of bariatric surgery: A multi-year comparative analysis.

Introduction: Bariatric surgery results in significant weight loss and improvement of obesity-related comorbidities, but data regarding its cost impact are mixed. We compared healthcare costs for bariatric surgery patients and non-operative controls through four years after surgery.

Methods: Patients who underwent bariatric surgery in 2018-2019 were matched 1:5 with controls who met criteria for bariatric surgery but were medically managed. Post-operative costs were compared by year after surgery and healthcare setting.

Results: Bariatric surgery patients (n = 37) had higher mean total costs years 1-4 after surgery compared to non-operative controls (n = 185) [$26,805(SD $47,039) vs. $14,547($30,170); p < 0.001]. The largest differences occurred in the outpatient setting [$16,935($19,807) vs. $8972($14,690); p < 0.0001] and during the first year after surgery [$12,616($36,422) vs. $3355($9367); p < 0.0001].

Conclusions: Bariatric surgery patients had higher post-operative costs through four years after surgery compared to non-operative controls, primarily due to higher costs within the first year after surgery and increased outpatient costs.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.