title: [Is the morbid obesity surgery profitable in times of crisis? A cost-benefit analysis of bariatric surgery].
abstract: Morbid obesity is a serious health problem whose prevalence is increasing. Expensive co-morbidities are associated to these patients, as well as a reduction in the survival. Bariatric surgery resolves the co-morbidities (type 2 diabetes mellitus, 86.6%; cardiovascular risk, 79.0%; obstructive sleep apnea syndrome, 83.6%; hypertension, 61.7%), reduces the mortality rate (among 31-40%), and increases the morbid obese patients survival over a 10-years period. It provides significant savings for the National Health System. The obese patients consume a 20% plus of health resources and 68% plus of drugs than general population. Bariatric surgery requires an initial investment (diagnosis-related group cost: 7,468 €), but it is recovered in a cost-effectiveness ratio of 2.5 years. Significant savings are obtained from the third year. To the direct economic benefits associated with reduced health expenditures it should be added an increase in tax collection (sick leave and unemployment reduction is estimated in 18%, with a productivity increase of 57% for self-employed people). Bariatric surgery is one of the most cost-effective procedures in the healthcare system.
authors.affiliation: Complejo Hospitalario de Pontevedra, España. Electronic address: raquelsanchezsantos@gmail.com.
authors.forename: Raquel
authors.initials: R
authors.lastname: Sánchez-Santos
authors.forename: Fátima
authors.initials: F
authors.lastname: Sabench Pereferrer
authors.forename: Sergio
authors.initials: S
authors.lastname: Estévez Fernandez
authors.forename: Daniel
authors.initials: D
authors.lastname: del Castillo Dejardin
authors.forename: Nuria
authors.initials: N
authors.lastname: Vilarrasa
authors.forename: Dolores
authors.initials: D
authors.lastname: Frutos Bernal
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Ruiz de Adana
authors.forename: Carlos
authors.initials: C
authors.lastname: Masdevall Noguera
authors.forename: Antonio
authors.initials: A
authors.lastname: Torres García
mesh_terms: D050110:Bariatric Surgery / Q000191:economics*; D003362:Cost-Benefit Analysis; D057172:Economic Recession; D006801:Humans; D009767:Obesity, Morbid / Q000191:economics* / Q000601:surgery*
keywords: Bariatric surgery; Cirugía bariátrica; Cost-effectiveness; Cost-utility; Coste-efectividad; Coste-utilidad; Morbid obesity; Obesidad mórbida