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  • Borisenko, Oleg (author)

Clinical Indications, Utilization, and Funding of Bariatric Surgery in Europe

  • Article/chapterEnglish2015

Publisher, publication year, extent ...

  • 2014-12-21
  • Springer Science and Business Media LLC,2015
  • electronicrdacarrier

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  • LIBRIS-ID:oai:lup.lub.lu.se:824bad44-c952-46f8-adc1-f8a362260fb7
  • https://lup.lub.lu.se/record/7773708URI
  • https://doi.org/10.1007/s11695-014-1537-yDOI

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  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • The objective of this study was to evaluate the current utilization, the level of endorsement by professional societies, and health technology assessment bodies, as well as the reimbursement levels for bariatric surgery in European countries. We performed an analysis of the indications for bariatric surgery based on national clinical and commissioning guidelines, current utilization of surgery, characteristics of patients who underwent surgery, and reimbursement tariffs in Belgium, Denmark, England, France, Germany, Italy, and Sweden. Data were obtained from national patient registries, administrative databases, and published literature for the year 2012. Despite clear consensus outlined in clinical guidelines, significant differences were found in the eligibility criteria for surgery. Patients with no significant comorbidities were deemed eligible if they had a body mass index (BMI) of 40 or 50 kg/m(2) in Denmark. Irrespective of the country, patients with comorbidities were eligible if they had a BMI of 35 kg/m(2). The highest utilization of bariatric surgery (number of surgeries per 1 M population) was observed in Belgium (928), Sweden (761), and France (571) while Italy (128), England (117), and Germany (72) had the lowest utilization. There was a strong negative correlation between utilization and average BMI level of the patient population (r = -.909, p = 0.005). The annual per capita spending on surgery differed significantly between countries, ranging from a,not sign0.54 in Germany to a,not sign4.33 in Belgium. There are significant variations in the clinical indications, utilization, and funding of bariatric surgery in European countries.

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  • Colpan, Zeynep (author)
  • Dillemans, Bruno (author)
  • Funch-Jensen, Peter (author)
  • Hedenbro, JanLund University,Lunds universitet,Neuroendokrin cellbiologi,Forskargrupper vid Lunds universitet,Neuroendocrine Cell Biology,Lund University Research Groups,Aleris Obesitas Skåne(Swepub:lu)kir-jhe (author)
  • Ahmed, Ahmed R. (author)
  • Neuroendokrin cellbiologiForskargrupper vid Lunds universitet (creator_code:org_t)

Related titles

  • In:Obesity Surgery: Springer Science and Business Media LLC25:8, s. 1408-14161708-04280960-8923

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By the author/editor
Borisenko, Oleg
Colpan, Zeynep
Dillemans, Bruno
Funch-Jensen, Pe ...
Hedenbro, Jan
Ahmed, Ahmed R.
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Surgery
Articles in the publication
Obesity Surgery
By the university
Lund University

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Wikipedia about the author:
Oleg_Borisenko
Borisenko, Oleg
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