Article
One-year cost-effectiveness of surgical treatment of morbid obesity: vertical banded gastroplasty versus Lap-Band.
Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University, and Department of General Surgery, University Hospital Maastricht, The Netherlands.
Obesity Surgery (impact factor:
3.29).
02/2006;
16(1):75-84.
DOI:10.1381/096089206775222113
pp.75-84
Source: PubMed
-
Citations (0)
- Cited In (7)
-
Article: Health-related quality of life following vertical banded gastroplasty.
[show abstract] [hide abstract]
ABSTRACT: Morbid obesity is associated with increased risks of morbidity and mortality as well as poor quality of life (QoL). Therefore, the goal of bariatric surgery should not only be reducing weight and treatment of comorbid conditions, but also improving QoL. Moreover, enhanced QoL may motivate patients to adhere to adequate health behavior in order to maintain the surgically established weight loss. We evaluated early postoperative health-related quality of life (HRQoL) over time. Preoperatively as well as 6, 12, and 24 months after vertical banded gastroplasty (VBG), 107 patients were psychologically assessed using a semistructured interview and the RAND 36-item Health Survey (RAND-36). Over time, we found significant changes in weight: 2 years after surgery, excess weight loss (EWL) was 58.4%. HRQoL showed significant improvements over time, especially in the physical domains. Two years after surgery, 74% of patients were satisfied with the results of the operation and 94.1% would opt for surgery again. VBG not only leads to considerable weight loss, but also to significant improvements in HRQoL. However, some of the initially reported improvements lessened over time and not all patients appeared to profit in the same way.Surgical Endoscopy 04/2008; 23(3):550-6. · 4.01 Impact Factor -
Article: Bariatric surgery and bariatric psychology: evolution of the Dutch approach.
[show abstract] [hide abstract]
ABSTRACT: Success of bariatric surgery is largely dependent on patients' abilities to change their lifestyle and underlying psychosocial and behavioral factors; these factors should be carefully scrutinized. However, no consensus or guidelines exist for these evaluations. To get a better understanding of the practice of bariatric surgery and bariatric psychology in The Netherlands and its evolution, a survey of bariatric surgery programs was conducted. Between 2000 and 2005, performance of bariatric surgery in The Netherlands has increased from 564 to more than 2,000 annually, mostly adjustable gastric banding. Most hospitals have a multidisciplinary selection process, and in 89% of the cases, a mental health specialist was involved. Bariatric surgery in The Netherlands has increased tremendously; however, it is mostly limited to restrictive procedures, and there is no consensus regarding the psychological evaluation of patients.Obesity Surgery 04/2008; 18(3):321-5. · 3.29 Impact Factor -
Article: Psychosocial functioning following bariatric surgery.
[show abstract] [hide abstract]
ABSTRACT: Morbid obesity is associated with an increased risk of morbidity and mortality as well as psychosocial problems and poor quality of life. The ultimate goal of bariatric surgery is not only reduced weight and reduction of co-morbidities, but also improved psychosocial functioning and quality of life. However, not all patients are successful. A systematic literature search of recent articles identified relevant variables reflecting postoperative psychosocial functioning. Most studies showed that bariatric surgery does not only lead to substantial weight reduction, but also to improvement or cure of physical as well as psychological co-morbidities. Although most studies are optimistic and report broad psychosocial improvement, a significant minority of patients do not benefit psychologically from surgery. Although there are mixed results, the overall improvements in psychosocial functioning provide additional justification for surgical treatment of morbid obesity.Obesity Surgery 07/2006; 16(6):787-94. · 3.29 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed.
The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual
current impact factor.
Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence
agreement may be applicable.
Keywords
1 year
1-year cost-effectiveness
2 patients
clinical aspects
costs
Costs data
economic evaluation
estimated incremental cost
estimated ratio
long-term cost-effectiveness analysis
non-medical costs
percentage Excess Weight Loss
QALY ratios
Quality Adjusted Life Years
randomized clinical trial
randomly
surgical treatment
total costs
two treatment modalities
vertical banded gastroplasty
