Department of Internal Diseases, Endocrinology and Diabetology, National Medical Institute of the Ministry of the Interior and Administration, 137 Wołoska Str., 02-507 Warsaw, Poland.
Department of Internal Diseases, Diabetology, and Endocrinology, Collegium Medicum, University of Zielona Góra, 28 Zyty Str., 65-046 Zielona Góra, Poland.
Int J Environ Res Public Health. 2023 Jan 8;20(2):1118. doi: 10.3390/ijerph20021118.
Weight loss surgery is linked to health benefits and may reduce the cost to the public healthcare systems. The aim of this study was to assess the cost and cost-structure in the one-year periods before and after a bariatric surgery in the Polish nationwide registry. The study included 2390 obese adults which underwent surgical treatment for obesity in 2017. The cost structure and the total costs per patient for one year before bariatric surgery, preoperatively, and for one year after surgery were analyzed. The total cost of the postoperative period was about PLN 3 million lower than during the preoperative period. After bariatric surgery, a reduction of approximately 59% in costs associated with hospital treatment was observed. The costs of outpatient specialist services, hospital treatment, psychiatric care, and addiction treatment also significantly decreased. There was a negative correlation between the changes in the cost of treatment of patients undergoing obesity surgery and their age. The health care cost during the period of one year after bariatric surgery is lower than in the year preceding the surgery (a greater cost difference is observed in younger people). This is mainly influenced by the reduction in costs associated with hospital treatment.
减重手术与健康益处相关联，并可能降低公共医疗保健系统的成本。本研究的目的是评估波兰全国登记处中减肥手术后一年前后的成本和成本结构。该研究纳入了 2017 年接受肥胖手术治疗的 2390 名肥胖成年人。分析了减肥手术前一年、术前和术后一年每个患者的成本结构和总成本。术后期间的总成本比术前期间低约 300 万波兰兹罗提。减肥手术后，与医院治疗相关的成本降低了约 59%。门诊专科服务、医院治疗、精神科护理和成瘾治疗的费用也显著下降。接受肥胖症手术的患者的治疗费用变化与其年龄之间存在负相关。减肥手术后一年的医疗保健费用低于手术前一年（年轻人的费用差异更大）。这主要是由于与医院治疗相关的成本降低所致。
