RWD58 Cost of Severe Obesity and Healthcare Utilization during and up to 3 Years after Surgical Intervention in the Supplementary Health System (SHS) in Brazil

نویسندگان

چکیده

Obesity has high prevalence rates among the Brazilian population. The aim of present study was to evaluate health resources utilization during and after surgery its economic impact on Brazil's SHS sample. Retrospective cohort using 11 carriers from Healthtech Orizon billing system, which represents 21% SHS. Patients selected were aged above 18 years with severe obesity inferred through bariatric (criteria BMI>35 kg/m2 comorbidities or BMI>40 kg/m2) conducted in between Jan-1st-14 Dec-31th-17 followed up over 3 procedure, totaling 32,796 patients. During period, all expenditure patients analyzed. Over 43 months study, number surgeries increased 31% a median 758 per month, being 37% female age 25-49 old. Surgery complications rate 11%, where revisional most prevalent. There 34,000 medical appointments an average 4 exams patient follow-up period. cost $22,700 BRL $29,800 including resources. Total $1,2 billion BRL, 53% amount additional expenses other than surgery. Results show that procedures Brazil perspective. Although it is single event, requires wide use post-intervention. Costs are represent surgery-related costs related recovery management within following years. These findings strengthen idea not one-ofi event treatment obesity, but one-step continuous process for this chronic disease.

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ژورنال

عنوان ژورنال: Value in Health

سال: 2022

ISSN: ['1098-3015', '1524-4733']

DOI: https://doi.org/10.1016/j.jval.2022.04.1582