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Arch Surg. 2012 Jul;147(7):633-40. doi: 10.1001/archsurg.2012.818.

Health expenditures among high-risk patients after gastric bypass and matched controls.

Author information

  • 1Center for Health Services Research in Primary Care, Durham Veterans Affairs, Durham, NC 27705, USA. matthew.maciejewski@va.gov

Abstract

OBJECTIVE:

To determine whether bariatric surgery is associated with reduced health care expenditures in a multisite cohort of predominantly older male patients with a substantial disease burden.

DESIGN:

Retrospective cohort study of bariatric surgery. Outpatient, inpatient, and overall health care expenditures within Department of Veterans Affairs (VA) medical centers were examined via generalized estimating equations in the propensity-matched cohorts.

SETTING:

Bariatric surgery programs in VA medical centers.

PARTICIPANTS:

Eight hundred forty-seven veterans who were propensity matched to 847 nonsurgical control subjects from the same 12 VA medical centers.

INTERVENTION:

Bariatric surgical procedures.

MAIN OUTCOME MEASURE:

Health expenditures through December 2006.

RESULTS:

Outpatient, inpatient, and total expenditures trended higher for bariatric surgical cases in the 3 years leading up to the procedure and then converged back to the lower expenditure levels of nonsurgical controls in the 3 years after the procedure.

CONCLUSIONS:

Based on analyses of a cohort of predominantly older men, bariatric surgery does not appear to be associated with reduced health care expenditures 3 years after the procedure.

Comment in

PMID:
22802057
[PubMed - indexed for MEDLINE]
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