Cost-effectiveness of Bariatric Surgery

Overview

Featured Article

Horerger TJ, Zhang P, Segel JE, et al. Cost-effectiveness of bariatric surgery for severely obese adults with diabetes. Diabetes Care 2010;33:1933-39

Expert Reviews

Methodological Reviewer
Harry Henteleff MD, MSc, FRCSC, FACS, FCCP, Department of Surgery, Dalhousie University

Clinical Reviewer
Dan Birch MD, MSc, FACS, Department of Surgery, University of Alberta

Clinical Reviewer
Peter Hallowell MD, FACS, Department of Surgery, University of Virginia

Supplementary Article

Thoma A, Sprague S, Tandan V; for the Evidence-Based Surgery Working Group. Users’ guide to the surgical literature: how to use an article on economic analysis. Can J Surg 2001;44(5):347-54

 

Questions

  1. What is the clinical question being addressed?
  2. Did the analysis provide a full economic comparison of health care strategies?
  3. Was a broad enough viewpoint adopted?
  4. Were all the relevant clinical strategies compared?
  5. Was clinical effectiveness established?
  6. Were costs measured accurately?
  7. Were data on costs and outcomes appropriately integrated?
  8. Was appropriate allowance made for uncertainties in the analysis?
  9. What were the incremental costs and outcomes of each strategy?
  10. Do incremental costs and outcomes differ between subgroups?
  11. State the conclusion. Have the authors addressed the clinical question posed?
  12. Does the evidence support the conclusion?