{"id":60129,"date":"2013-10-01T00:00:00","date_gmt":"2018-12-04T07:34:24","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/the-cost-of-obesity-for-nonbariatric-inpatient-operative-procedures\/"},"modified":"2018-12-04T08:34:24","modified_gmt":"2018-12-04T07:34:24","slug":"the-cost-of-obesity-for-nonbariatric-inpatient-operative-procedures","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/the-cost-of-obesity-for-nonbariatric-inpatient-operative-procedures\/","title":{"rendered":"The cost of obesity for nonbariatric inpatient operative procedures in the United States: national cost estimates obese versus nonobese patients."},"content":{"rendered":"

OBJECTIVE<\/strong>
\nTo evaluate the economic impact of obesity on hospital costs associated with the commonest nonbariatric, nonobstetrical surgical procedures.<\/p>\n

BACKGROUND<\/strong>
\nHealth care costs and obesity are both rising. Nonsurgical costs associated with obesity are well documented but surgical costs are not.<\/p>\n

METHODS<\/strong>
\nNational cost estimates were calculated from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) database, 2005-2009, for the highest volume nonbariatric nonobstetric procedures. Obesity was identified from the HCUP-NIS severity data file comorbidity index. Costs for obese patients were compared with those for nonobese patients. To control for medical complexity, each obese patient was matched one-to-one with a nonobese patient using age, sex, race, and 28 comorbid defined elements.<\/p>\n

RESULTS<\/strong>
\nOf 2,309,699 procedures, 439,8129 (19%) were successfully matched into 2 medically equal groups (obese vs nonobese). Adjusted total hospital costs incurred by obese patients were 3.7% higher with a significantly (P < 0.0001) higher per capita cost of $648 (95% confidence interval [CI]: $556-$736) compared with nonobese patients. Of the 2 major components of hospital costs, length of stay was significantly increased in obese patients (mean difference = 0.0253 days, 95% CI: 0.0225-0.0282) and resource utilization determined by costs per day were greater in obese patients due to an increased number of diagnostic and therapeutic procedures needed postoperatively (odds ratio [OR] = 0.94, 95% CI: 0.93-0.96). Postoperative complications were equivalent in both groups (OR = 0.97, 95% CI: 0.93-1.02).<\/p>\n

CONCLUSIONS<\/strong>
\nAnnual national hospital expenditures for the largest volume surgical procedures is an estimated $160 million higher in obese than in a comparative group of nonobese patients.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-60129","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Keck School of Medicine, University of Southern California and University of California, Los Angeles.","annee":"2013","mois":"10","numero":"258:4","page":"541-553","auteurs":[{"ID":60124,"post_author":"0","post_date":"2018-12-04 08:34:22","post_date_gmt":"2018-12-04 07:34:22","post_content":"","post_title":"Rodney J Mason","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"rodney-j-mason","to_ping":"","pinged":"","post_modified":"2018-12-04 08:34:22","post_modified_gmt":"2018-12-04 07:34:22","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/rodney-j-mason\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":60125,"post_author":"0","post_date":"2018-12-04 08:34:23","post_date_gmt":"2018-12-04 07:34:23","post_content":"","post_title":"Jolene R Moroney","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jolene-r-moroney","to_ping":"","pinged":"","post_modified":"2018-12-04 08:34:23","post_modified_gmt":"2018-12-04 07:34:23","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/jolene-r-moroney\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":60126,"post_author":"0","post_date":"2018-12-04 08:34:23","post_date_gmt":"2018-12-04 07:34:23","post_content":"","post_title":"Thomas V Berne","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"thomas-v-berne","to_ping":"","pinged":"","post_modified":"2018-12-04 08:34:23","post_modified_gmt":"2018-12-04 07:34:23","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/thomas-v-berne\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":60127,"post_author":"0","post_date":"2018-12-04 08:34:24","post_date_gmt":"2018-12-04 07:34:24","post_content":"","post_title":"Annals of surgery","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"annals-of-surgery","to_ping":"","pinged":"","post_modified":"2018-12-04 08:34:24","post_modified_gmt":"2018-12-04 07:34:24","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/annals-of-surgery\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":60128,"post_author":"0","post_date":"2018-12-04 08:34:24","post_date_gmt":"2018-12-04 07:34:24","post_content":"","post_title":"Ann Surg.","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"ann-surg","to_ping":"","pinged":"","post_modified":"2018-12-04 08:34:24","post_modified_gmt":"2018-12-04 07:34:24","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/ann-surg\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"\nThe cost of obesity for nonbariatric inpatient operative procedures in the United States: national cost estimates obese versus nonobese patients. - 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