Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Cost-Effectiveness of Laparoscopic Sleeve Gastrectomy and Laparoscopic Roux-En-Y Gastric Bypass in Two Hospitals of Tehran City in 2014 Publisher



Basharic FA1 ; Manesh AO2 ; Raei B3 ; Goudarzi R4 ; Zozani MA5 ; Ezzatabadi MR6
Authors
Show Affiliations
Authors Affiliations
  1. 1. Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  5. 5. Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  6. 6. Health Policy Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Source: Medical Journal of the Islamic Republic of Iran Published:2017


Abstract

Background: Bariatric surgery with the improvement of obesity-related diseases, increases longevity and quality of life and is more cost-effective when compared to non-surgical Procedures. Objective: The aim of this study is to compare the cost-effectiveness of Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y Gastric Bypass (LRYGB). Method: This study was performed in two stages. Initially, a cross-sectional study was carried out for costing LSG and LRYGB in Rasoul Akram and Bahman hospitals in Tehran in the year 2014. Direct costs for each surgical procedure were calculated according to the average time of surgery in both the private and public sectors. In the second stage, using Outcome (δBMI) collected by means of a systematic review study and cost data; cost effectiveness of two surgical procedures was examined by ICER analysis and compared with threshold limit. The Perspective of this analysis was health system. Results: The direct cost of services for LRYGB was $ 2991.5 (98121659 Rials) in the public sector and $4221.9 in the private sector. In LSG, it was $ 1952.9 (64055468 R) in the public sector and $ 3177.2 in the private sector. ICER for LSG was 720.48(23631855 R) and $716.27 (23493924 R) in private and public sector respectively. Conclusion: In this study, LSG procedure when compared to LRYGB was cost effective. The ICER obtained indicated that LSG surgery in comparison to LRYGB was $716.27 (23493924 R) and $720.48(23631855 R) in the public and private sector respectively. Moreover, per unit change in BMI was less than the threshold. © Iran University of Medical Sciences.
Related Docs
1. Evaluation of Laparoscopic Sleeve Gastrectomy Compared With Laparoscopic Roux-En-Y Gastric Bypass for People With Morbid Obesity: A Systematic Review and Meta-Analysis, Medical Journal of the Islamic Republic of Iran (2016)
2. Lipid Profile Change After Bariatric Surgeries: Laparoscopic Gastric Plication Versus Mini Gastric Bypass, Acta Chirurgica Belgica (2019)
3. The Effect of Laparoscopic Gastric Plication Surgery on Body Composition, Resting Energy Expenditure, Thyroid Hormones, and Physical Activity in Morbidly Obese Patients, Bariatric Surgical Practice and Patient Care (2015)
4. Surgery-Induced Weight Loss and Changes in Hormonally Active Fibroblast Growth Factors: A Systematic Review and Meta-Analysis, Obesity Surgery (2020)
Experts (# of related papers)
Mohammad Talebpour (2)
Alireza Olyaeemanesh (1)