RTI uses cookies to offer you the best experience online. By clicking “accept” on this website, you opt in and you agree to the use of cookies. If you would like to know more about how RTI uses cookies and how to manage them please view our Privacy Policy here. You can “opt out” or change your mind by visiting: http://optout.aboutads.info/. Click “accept” to agree.
Direct and indirect costs and potential cost savings of laparoscopic adjustable gastric banding among obese patients with diabetes
Finkelstein, EA., Allaire, B., DiBonaventura, MD., & Burgess, S. M. (2011). Direct and indirect costs and potential cost savings of laparoscopic adjustable gastric banding among obese patients with diabetes. Journal of Occupational and Environmental Medicine, 53(9), 1025-1029. https://doi.org/10.1097/JOM.0b013e318229aae4
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 $26 570 ( +/- $ 9000) to $34 160 ( +/- $ 10 380) 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
