Health Expenditures Among High-Risk Patients After Gastric Bypass and Matched Controls

作者：Maciejewski Matthew L^*; Livingston Edward H; Smith Valerie A; Kahwati Leila C; Henderson William G; Arterburn David E

来源：Archives of Surgery, 2012, 147(7): 633-640.

DOI：10.1001/archsurg.2012.818

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. %26lt;br%26gt;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. %26lt;br%26gt;Setting: Bariatric surgery programs in VA medical centers. %26lt;br%26gt;Participants: Eight hundred forty-seven veterans who were propensity matched to 847 nonsurgical control subjects from the same 12 VA medical centers. %26lt;br%26gt;Intervention: Bariatric surgical procedures. %26lt;br%26gt;Main Outcome Measure: Health expenditures through December 2006. %26lt;br%26gt;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. %26lt;br%26gt;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.

• 出版日期2012-7