title: Gap Between Evidence and Patient Access: Policy Implications for Bariatric and Metabolic Surgery in the Treatment of Obesity and its Complications.
abstract: Despite consistently supportive evidence of clinical effectiveness and economic advantages compared with currently available non-surgical obesity treatments, patient access to bariatric and metabolic surgery (BMS) is impeded. To address this gap and better understand the relationship between value and access, the objectives of this study were twofold: (i) identify the multidimensional barriers to adoption of BMS created by clinical guidelines, public policies, and health technology assessments; and, most importantly, (ii) develop recommendations for stakeholders to improve patient access to BMS. Updated public policies focused on treatment and clinical guidelines that reflect the demonstrated advantages of BMS, patient education on safety and effectiveness, updated reimbursement policies, and additional data on long-term BMS effectiveness are needed to improve patient access.
authors.affiliation: Quintiles Advisory Services, 4820, Emperor Blvd, Durham, NC, 27703, USA, Amarpreet.Chawla@quintiles.com.
authors.forename: Amarpreet S
authors.initials: AS
authors.lastname: Chawla
authors.forename: Chia-Wen
authors.initials: CW
authors.lastname: Hsiao
authors.forename: Martha C
authors.initials: MC
authors.lastname: Romney
authors.forename: Ricardo
authors.initials: R
authors.lastname: Cohen
authors.forename: Francesco
authors.initials: F
authors.lastname: Rubino
authors.forename: Philip
authors.initials: P
authors.lastname: Schauer
authors.forename: Pierre
authors.initials: P
authors.lastname: Cremieux
mesh_terms: D050110:Bariatric Surgery / Q000191:economics* / Q000379:methods; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000191:economics / Q000453:epidemiology / Q000601:surgery*; D006291:Health Policy / Q000191:economics*; D006297:Health Services Accessibility / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D009765:Obesity / Q000150:complications / Q000191:economics / Q000453:epidemiology / Q000601:surgery*