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)

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: Grieve, Dr Eleanor and Trevor, Ms Miranda and Munro, Mrs Jane and Logue, Dr Jennifer and Stewart, Miss Sally and MacKenzie, Dr Ruth and O'Donnell, Mrs Joanne
• 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 > School of Cardiovascular & Metabolic Health; College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Health Economics and Health Technology Assessment; College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
• 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

Project Code	Award No	Project Name	Principal Investigator	Funder's Name	Funder Ref	Lead Dept
55356	1	SurgiCal Obesity Treatment Study (SCOTS)	Jennifer Logue	National Institute for Health Research (NIHR)	10/42/02&006/845	RI CARDIOVASCULAR & MEDICAL SCIENCES