Direct and indirect costs and potential cost savings of laparoscopic adjustable gastric banding among obese patients with diabetes.

Published

Journal Article

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.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.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 (±$10 380) when indirect costs are included.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.

Full Text

Duke Authors

Cited Authors

  • Finkelstein, EA; Allaire, BT; DiBonaventura, MD; Burgess, SM

Published Date

  • September 2011

Published In

Volume / Issue

  • 53 / 9

Start / End Page

  • 1025 - 1029

PubMed ID

  • 21866052

Pubmed Central ID

  • 21866052

Electronic International Standard Serial Number (EISSN)

  • 1536-5948

International Standard Serial Number (ISSN)

  • 1076-2752

Digital Object Identifier (DOI)

  • 10.1097/jom.0b013e318229aae4

Language

  • eng