Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs

Grieve, E. , MacKenzie, R. M., Munro, J., O'Donnell, J., Stewart, S., Ali, A., Bruce, D., Trevor, M. and Logue, J. (2018) Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs. BMC Obesity, 5, 43. (doi:10.1186/s40608-018-0223-3) (PMID:30607251) (PMCID:PMC6307243)

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Abstract

Background: We undertook a survey of all bariatric centres in Scotland in order to describe current pre- and post-operative care, to estimate their costs and explore differences in financial impact. Methods: A questionnaire was distributed to each health centre. Descriptive statistics were used to present average cost per patient along with 95% confidence intervals, and the range of costs. Results: Results show nearly a five-fold difference in costs per patient for pre-operative services (range £226 - £1071) and more than a three-fold difference for post-operative services (range £259 - £896). Conclusions: There is a lack of evidence base and a clear requirement for the evaluation of bariatric surgical services to identify the care pathways pre- and post-surgery which lead to largest improvements in health outcomes and remain cost-effective.

Item Type:Articles
Additional Information:This project was funded by the NIHR Health Technology Assessment Programme (project number 10/42/02).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Trevor, Ms Miranda and Stewart, Miss Sally and Munro, Mrs Jane and O'Donnell, Mrs Joanne and Grieve, Miss Eleanor and Logue, Dr Jennifer and MacKenzie, Dr Ruth
Authors: Grieve, E., MacKenzie, R. M., Munro, J., O'Donnell, J., Stewart, S., Ali, A., Bruce, D., Trevor, M., and Logue, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Health Economics and Health Technology Assessment
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
Journal Name:BMC Obesity
Publisher:BMJ Publishing Group
ISSN:2052-9538
ISSN (Online):2052-9538
Copyright Holders:Copyright © 2018 The Authors
First Published:First published in BMC Obesity 5:43
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
553561SurgiCal Obesity Treatment Study (SCOTS)Jennifer LogueNational Institute for Health Research (NIHR)10/42/02&006/845RI CARDIOVASCULAR & MEDICAL SCIENCES