| Direct and Indirect Costs and Potential Cost Savings of Laparoscopic Adjustable Gastric Banding Among Obese Patients With Diabetes. | |
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MedLine Citation:
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PMID: 21866052 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE:: To estimate the time to breakeven and 5-year net costs for laparoscopic adjustable gastric banding among obese patients with diabetes taking direct and indirect costs into account. METHODS:: Indirect cost savings were generated by quantifying the cross-sectional relationship between medical expenditures and absenteeism and between medical expenditures and presenteeism (reduced on-the-job productivity) and simulating indirect cost savings based on these multipliers and reductions in direct medical costs available in the literature. RESULTS:: Time to breakeven was estimated to be nine quarters with and without the inclusion of indirect costs. After 5 years, net savings increase from $26570 (±$9000) to $34160 (±$10380) when indirect costs are included. CONCLUSION:: This study presented a novel approach for incorporating indirect costs into cost-benefit analyses. Application to gastric banding revealed that inclusion of indirect costs improves the financial outlook for the procedure. |
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Authors:
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Eric A Finkelstein; Benjamin T Allaire; Marco Dacosta Dibonaventura; Somali M Burgess |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-23 |
Journal Detail:
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Title: Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine Volume: - ISSN: 1536-5948 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-8-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9504688 Medline TA: J Occup Environ Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the Health Services and Systems Research Program (Dr Finkelstein), Duke-NUS Graduate Medical School, Singapore, Singapore; Public Health Economics Program (Mr Allaire), RTI International, Research Triangle Park, NC; Health Economics and Outcomes Research (Dr. DiBonaventura), Kantar Health, New York, NY; and Patient-Reported Outcomes (Dr Burgess), Mapi Values Boston, MA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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