Medication use after bariatric surgery in a managed care cohort.
BACKGROUND
Bariatric surgery has been shown to provide long-term weight loss, in addition to a significant reduction in obesity-related co-morbidities. The primary aim of this study was to describe the medication use and costs within a managed care cohort after bariatric surgery. A secondary aim was to describe the use rates for other health services after bariatric surgery.


METHODS
This retrospective cohort study used an administrative database from a large managed care organization to examine the health outcomes in persons 6 months before and 6 months after bariatric surgery.


RESULTS
The average number of prescription claims per person decreased after surgery, from 6.93 (SD 7.16) before to 4.88 (SD 5.84) after surgery (P <.001). The average number of claims for office visits decreased from 5.52 before to 3.94 after surgery (P = .0028), and the average number of claims for outpatient visits decreased from 0.75 before to 0.40 after surgery (P <.001). However, the average number of inpatient visit claims increased after bariatric surgery, from 0.04 (SD 0.31) to 0.07 (SD 0.52) claims per person (P = .04). In the preoperative period, the paid costs for pharmacy claims were an average of $221.30 (SD $341.25). After surgery, the pharmacy paid costs decreased to an average cost of $158.90 (SD $454.13).


CONCLUSIONS
Within this sample, medication use and costs decreased within 6 months of bariatric surgery. Decreases were also noted in the postoperative period in several obesity-related co-morbidities, office visits, emergency room visits, and outpatient visits; however, an increase occurred in inpatient stays after surgery.
Hodo
Denise M
DM
Center for Health Care Improvement, Department of Medicine, Medical College of Georgia, Georgia, Georgia's Health Sciences University, Augusta, Georgia, USA.
Waller
Jennifer L
JL
Martindale
Robert G
RG
Fick
Donna M
DM
D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D016527:Drug Costs / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008329:Managed Care Programs / Q000191:economics*; D009765:Obesity / Q000601:surgery*; D011182:Postoperative Care / Q000191:economics* / Q000379:methods; D011183:Postoperative Complications / Q000188:drug therapy* / Q000191:economics; D012189:Retrospective Studies; D013997:Time Factors; D014481:United States