Reason- Obesity is widespread, deadly and expensive
Evidence/Details-
Reason- Obesity disproportionately affects minority and poor populations
Evidence/Details-
Reason-Bariatric surgery is a life-saving procedure as it is proven to increase life expectancy
Evidence/Details-
Reason-Bariatric surgery can resolve potentially fatal co-morbid conditions
Evidence/Details-
Reason-Weight-loss post-surgery is extensive and durable
Evidence/Details-
Reason-The risk-benefit tradeoff for bariatric surgery is favorable
Evidence/Details-
Reason-Coverage for bariatric surgery makes economic sense
Evidence/Details-
References:
References:
1 Center for Disease Control, National Health and Nutrition Examination Survey (NHANES)
2 CDC. Prevalence of overweight, obesity, and extreme obesity among adults: United States, Trends 1976–80 through 2005–2006. Hyattsville, MD: US Department of Health and Human Services, National Center for Health Statistics, CDC; 2008.
3 Must A, Spadano J, Coakley EH, Field E, Colditz G, Dietz WH. The Disease Burned Associated with Overweight and Obesity. JAMA, 1999;282:1523-1529.
4 Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA. 2003 Jan 8;289(2):187-93.
5 Finkelstein EA, Fiebelkorn, IC, Wang G. State-Level Estimates of Annual Medical Expenditures Attributable to Obesity. Obesity Research 2004 Jan;12(1):18-24.
6 Livingston EH, Ko CY. Socioeconomic Characteristics of the Population Eligible for Obesity Surgery. Surgery 2004, Vol. 135, No. 3, pp. 288-296
7 Christou NV, Sampalis JS, Liberman M. Surgery Decreases Long-Term Mortality, Morbidity, and health Care Use in Morbidly Obese Patients. Annals of Surgery 2004, Vol. 240, No. 3, pp. 416-424.
8 Adams TD, et al. Long-Term Mortality after Gastric Bypass Surgery. New England Journal of Medicine 2007:357:753-761
9 Buchwald H, Avidor Y, Braunwald E, et al. Bariatric Surgery – A Systematic Review of the Literature and Meta-analysis. JAMA, 2004:292:1724-1737
10 Pories WJ, Swanson MS, MacDonald KG, et al. Who Would Have Thought It? – An Operation Proves to be the Most Effective Therapy for Adult-Onset Diabetes Mellitus. Annals of Surgery 1995, Vol. 222, No. 3, pp. 339-352
11 Rasheid S, Banasiak M, Gallagher SF, et al. Gastric Bypass is an Effective Treatment for Obstructive Sleep Apnea in Patients with Clinically Significant Obesity. Obesity Surgery 2003, 13, pp.58-61
12 Pories WJ, Swanson MS, MacDonald KG, et al. Who Would Have Thought It? – An Operation Proves to be the Most Effective Therapy for Adult-Onset Diabetes Mellitus. Annals of Surgery 1995, Vol. 222, No. 3, pp. 339-352
13 Buchwald H, Avidor Y, Braunwald E, et al. Bariatric Surgery – A Systematic Review of the Literature and Meta-analysis. JAMA, 2004:292:1724-1737
14 Pratt G, ASMBS Center of Excellence Course, January 2009, Surgical Review Corporation BOLD Database
15 Christou NV, Sampalis JS, Liberman M. Surgery Decreases Long-Term Mortality, Morbidity, and health Care Use in Morbidly Obese Patients. Annals of Surgery 2004, Vol. 240, No. 3, pp. 416-424.
16 Cremieux PY, Buchwald H, et al. A Study on the Economic Impact of Bariatric Surgery. The American Journal of Managed Care 2008, 14, No. 9, pp. 589-596.
17 Potteiger CE, Paragi PR, Inverso NA, et al. Bariatric Surgery: Shedding the Monetary Weight of Prescription Costs in the Managed Care Arena. Obesity Surgery 2004, 14, pp. 725-73
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