Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs

Eleanor  Grieve; Ruth M.  Mackenzie; Jane Munro; Joanne  O’Donnell; Sally Stewart; Abdulmajid  Ali; Duff  Bruce; Miranda  Trevor; Jennifer  Logue

doi:10.1186/s40608-018-0223-3

Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs

Eleanor Grieve, Ruth M. Mackenzie, Jane Munro, Joanne O’Donnell, Sally Stewart, Abdulmajid Ali, Duff Bruce, Miranda Trevor, Jennifer Logue

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Abstract

Background
We undertook a survey of all bariatric centres in Scotland in order to describe current pre- and post- operative 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 costs per patient along with 95% confidence intervals, and a range of costs.

Results
Results show nearly a five-fold difference for post-operative services (range £226-£1071) and more than a three-fold difference for post-operative services (range £259-£896).

Conclusion
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 remain cost-effective.

Original language	English
Article number	43
Number of pages	6
Journal	BMC Obesity
Volume	5
DOIs	https://doi.org/10.1186/s40608-018-0223-3
Publication status	Published - 26 Dec 2018
Externally published	Yes

Keywords

Bariatric surgery
Care pathways
Costing study

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10.1186/s40608-018-0223-3Licence: CC BY

2018 12 17 Grieve Variations finalFinal published version, 538 KBLicence: CC BY

Cite this

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title = "Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs",

abstract = "BackgroundWe undertook a survey of all bariatric centres in Scotland in order to describe current pre- and post- operative care, to estimate their costs and explore differences in financial impact. MethodsA questionnaire was distributed to each health centre. Descriptive statistics were used to present average costs per patient along with 95% confidence intervals, and a range of costs. ResultsResults show nearly a five-fold difference for post-operative services (range £226-£1071) and more than a three-fold difference for post-operative services (range £259-£896). ConclusionThere 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 remain cost-effective.",

keywords = "Bariatric surgery, Care pathways, Costing study",

author = "Eleanor Grieve and Mackenzie, {Ruth M.} and Jane Munro and Joanne O{\textquoteright}Donnell and Sally Stewart and Abdulmajid Ali and Duff Bruce and Miranda Trevor and Jennifer Logue",

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doi = "10.1186/s40608-018-0223-3",

language = "English",

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journal = "BMC Obesity",

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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 - BackgroundWe undertook a survey of all bariatric centres in Scotland in order to describe current pre- and post- operative care, to estimate their costs and explore differences in financial impact. MethodsA questionnaire was distributed to each health centre. Descriptive statistics were used to present average costs per patient along with 95% confidence intervals, and a range of costs. ResultsResults show nearly a five-fold difference for post-operative services (range £226-£1071) and more than a three-fold difference for post-operative services (range £259-£896). ConclusionThere 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 remain cost-effective.

AB - BackgroundWe undertook a survey of all bariatric centres in Scotland in order to describe current pre- and post- operative care, to estimate their costs and explore differences in financial impact. MethodsA questionnaire was distributed to each health centre. Descriptive statistics were used to present average costs per patient along with 95% confidence intervals, and a range of costs. ResultsResults show nearly a five-fold difference for post-operative services (range £226-£1071) and more than a three-fold difference for post-operative services (range £259-£896). ConclusionThere 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 remain cost-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 - Article

VL - 5

JO - BMC Obesity

JF - BMC Obesity

M1 - 43

ER -

Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs

Abstract

Keywords

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