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

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

27 Downloads (Pure)

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 = "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.",

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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month = dec,

day = "26",

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

language = "English",

volume = "5",

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 - 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.

AB - 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.

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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