TY - JOUR
T1 - Bariatric surgery costs and implications for hospital margins
T2 - Comparing laparoscopic gastric bypass and laparoscopic gastric banding
AU - Frezza, Eldo Ermenegildo
AU - Wachtel, Mitchell S.
AU - Ewing, Bradley T.
PY - 2007/8
Y1 - 2007/8
N2 - BACKGROUND: Effective cost reduction strategies require effective analyses of charges. METHODS: Costs and charges for laparoscopic gastric bypass and laparoscopic gastric banding were compared. Equipment costs, both disposable and reusable, were obtained. Data on the total charges, anesthesiology charges, and hospital charges were obtained; univariate and multivariate analyses were performed. RESULTS: Disposable equipment costs for laparoscopic gastric bypass totaled $3516.23, for laparoscopic gastric banding they were $4363; the difference stemmed from the $3195 laparoscopic band. Median total charges for the procedures differed by less than $100 (P=0.81). Hospital charges for gastric bypass were about $275 (P=0.087) more for bypass than for banding. CONCLUSIONS: Effective cost reduction strategies require cost analyses of each individual procedure; results for one procedure cannot necessarily be generalized to another procedure even if overall costs do not differ.
AB - BACKGROUND: Effective cost reduction strategies require effective analyses of charges. METHODS: Costs and charges for laparoscopic gastric bypass and laparoscopic gastric banding were compared. Equipment costs, both disposable and reusable, were obtained. Data on the total charges, anesthesiology charges, and hospital charges were obtained; univariate and multivariate analyses were performed. RESULTS: Disposable equipment costs for laparoscopic gastric bypass totaled $3516.23, for laparoscopic gastric banding they were $4363; the difference stemmed from the $3195 laparoscopic band. Median total charges for the procedures differed by less than $100 (P=0.81). Hospital charges for gastric bypass were about $275 (P=0.087) more for bypass than for banding. CONCLUSIONS: Effective cost reduction strategies require cost analyses of each individual procedure; results for one procedure cannot necessarily be generalized to another procedure even if overall costs do not differ.
KW - Cost
KW - Gastric banding
KW - Gastric bypass
KW - Hospital margin
KW - Morbid obesity
KW - Surgical cost
UR - http://www.scopus.com/inward/record.url?scp=34548063953&partnerID=8YFLogxK
U2 - 10.1097/SLE.0b013e31811ffe9d
DO - 10.1097/SLE.0b013e31811ffe9d
M3 - Review article
C2 - 17710042
AN - SCOPUS:34548063953
SN - 1530-4515
VL - 17
SP - 239
EP - 244
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 4
ER -