{"id":41656,"date":"2009-11-01T00:00:00","date_gmt":"2018-12-04T01:36:17","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/cost-effectiveness-and-budget-impact-of-obesity-surgery-in\/"},"modified":"2018-12-04T02:36:17","modified_gmt":"2018-12-04T01:36:17","slug":"cost-effectiveness-and-budget-impact-of-obesity-surgery-in","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/cost-effectiveness-and-budget-impact-of-obesity-surgery-in\/","title":{"rendered":"Cost-effectiveness and budget impact of obesity surgery in patients with type 2 diabetes in three european countries(ii)."},"content":{"rendered":"

BACKGROUND: This study aimed to establish a payer-perspective cost-effectiveness and budget impact model of adjustable gastric banding (AGB) and gastric bypass (GBP) vs. conventional treatment (CT) in patients with a body mass index (BMI) > or = 35 kg x m(-2) and type 2 diabetes mellitus (T2DM) in Austria, Italy, and Spain. METHODS: A health economics model described in a previous publication was applied to resource utilization and cost data in AGB, GBP, and CT from Austria, Italy, and Spain in 2009. RESULTS: The base case time scope is 5 years; the annual discount rate for utilities and costs is 3.5%. In Austria and Italy, both AGB and GBP are cost-saving and are thus dominant in terms of incremental cost-effectiveness ratio compared to CT. In Spain, AGB and GBP yield a moderate cost increase but are cost-effective, assuming a willingness-to-pay threshold of 30,000 euro per quality adjusted life-year. Under worst-case analysis, AGB and GBP remain cost-saving or around breakeven in Austria and Italy and remain cost-effective in Spain. CONCLUSION: In patients with T2DM and BMI > or = 35 kg x m(-2) at 5-year follow-up vs. CT, AGB and GBP are not only clinically effective and safe but represent satisfactory value for money from a payer perspective in Austria, Italy, and Spain.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-41656","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Bariatric Surgery Unit, Azienda Ospedaliera Pisana, Via Roma 67, 56127 Pisa, Italy.","annee":"2009","mois":"11","numero":"19:11","page":"1542-9","auteurs":[{"ID":41653,"post_author":"0","post_date":"2018-12-04 02:36:16","post_date_gmt":"2018-12-04 01:36:16","post_content":"","post_title":"Anselmino","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"anselmino","to_ping":"","pinged":"","post_modified":"2018-12-04 02:36:16","post_modified_gmt":"2018-12-04 01:36:16","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/anselmino\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":41654,"post_author":"0","post_date":"2018-12-04 02:36:16","post_date_gmt":"2018-12-04 01:36:16","post_content":"","post_title":"Bammer","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"bammer","to_ping":"","pinged":"","post_modified":"2018-12-04 02:36:16","post_modified_gmt":"2018-12-04 01:36:16","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/bammer\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":41655,"post_author":"0","post_date":"2018-12-04 02:36:17","post_date_gmt":"2018-12-04 01:36:17","post_content":"","post_title":"Fernandez Cebrian","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"fernandez-cebrian","to_ping":"","pinged":"","post_modified":"2018-12-04 02:36:17","post_modified_gmt":"2018-12-04 01:36:17","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/fernandez-cebrian\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":37097,"post_author":"0","post_date":"2018-12-04 01:11:22","post_date_gmt":"2018-12-04 00:11:22","post_content":"","post_title":"Obes Surg.","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"obes-surg","to_ping":"","pinged":"","post_modified":"2018-12-04 01:11:22","post_modified_gmt":"2018-12-04 00:11:22","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/obes-surg\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"\nCost-effectiveness and budget impact of obesity surgery in patients with type 2 diabetes in three european countries(ii). - 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