Final published version
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Variations in bariatric surgical care pathways
T2 - a national costing study on the variability of services and impact on costs
AU - Grieve, Eleanor
AU - Mackenzie, Ruth M.
AU - Munro, Jane
AU - O’Donnell, Joanne
AU - Stewart, Sally
AU - Ali, Abdulmajid
AU - Bruce, Duff
AU - Trevor, Miranda
AU - Logue, Jennifer
PY - 2018/12/26
Y1 - 2018/12/26
N2 - Background: We undertook a survey of all bariatric centres in Scotland in order to describe current pre- and postoperative care, to estimate their costs and explore differences in financial impact.Methods: A questionnaire was distributed to each health centre. Descriptive statistics were used to present average cost per patient along with 95% confidence intervals, and the range of costs.Results: Results show nearly a five-fold difference in costs per patient for pre-operative services (range £226 - £1071) and more than a three-fold difference for post-operative services (range £259 - £896).Conclusions: There is a lack of evidence base and a clear requirement for the evaluation of bariatric surgical services to identify the care pathways pre- and post-surgery which lead to largest improvements in health outcomes and remaincost-effective.
AB - Background: We undertook a survey of all bariatric centres in Scotland in order to describe current pre- and postoperative care, to estimate their costs and explore differences in financial impact.Methods: A questionnaire was distributed to each health centre. Descriptive statistics were used to present average cost per patient along with 95% confidence intervals, and the range of costs.Results: Results show nearly a five-fold difference in costs per patient for pre-operative services (range £226 - £1071) and more than a three-fold difference for post-operative services (range £259 - £896).Conclusions: There is a lack of evidence base and a clear requirement for the evaluation of bariatric surgical services to identify the care pathways pre- and post-surgery which lead to largest improvements in health outcomes and remaincost-effective.
KW - Bariatric surgery
KW - Care pathways
KW - Costing study
U2 - 10.1186/s40608-018-0223-3
DO - 10.1186/s40608-018-0223-3
M3 - Journal article
VL - 5
JO - Obesity
JF - Obesity
SN - 1930-739X
M1 - 43
ER -