Title |
The Alberta population-based prospective evaluation of the quality of life outcomes and economic impact of bariatric surgery (APPLES) study: background, design and rationale
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Published in |
BMC Health Services Research, October 2010
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DOI | 10.1186/1472-6963-10-284 |
Pubmed ID | |
Authors |
Raj S Padwal, Sumit R Majumdar, Scott Klarenbach, Dan W Birch, Shahzeer Karmali, Linda McCargar, Konrad Fassbender, Arya M Sharma |
Abstract |
Extreme obesity affects nearly 8% of Canadians, and is debilitating, costly and ultimately lethal. Bariatric surgery is currently the most effective treatment available; is associated with reductions in morbidity/mortality, improvements in quality of life; and appears cost-effective. However, current demand for surgery in Canada outstrips capacity by at least 1000-fold, causing exponential increases in already protracted, multi-year wait-times. The objectives and hypotheses of this study were as follows: 1. To serially assess the clinical, economic and humanistic outcomes in patients wait-listed for bariatric care over a 2-year period. We hypothesize deterioration in these outcomes over time; 2. To determine the clinical effectiveness and changes in quality of life associated with modern bariatric procedures compared with medically treated and wait-listed controls over 2 years. We hypothesize that surgery will markedly reduce weight, decrease the need for unplanned medical care, and increase quality of life; 3. To conduct a 3-year (1 year retrospective and 2 year prospective) economic assessment of bariatric surgery compared to medical and wait-listed controls from the societal, public payor, and health-care payor perspectives. We hypothesize that lower indirect, out of pocket and productivity costs will offset increased direct health-care costs resulting in lower total costs for bariatric surgery. |
Mendeley readers
Geographical breakdown
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Colombia | 1 | <1% |
Germany | 1 | <1% |
Chile | 1 | <1% |
Brazil | 1 | <1% |
Canada | 1 | <1% |
Unknown | 113 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 15 | 13% |
Other | 14 | 12% |
Researcher | 13 | 11% |
Student > Bachelor | 12 | 10% |
Student > Postgraduate | 10 | 8% |
Other | 31 | 26% |
Unknown | 23 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 40 | 34% |
Nursing and Health Professions | 11 | 9% |
Psychology | 10 | 8% |
Agricultural and Biological Sciences | 4 | 3% |
Social Sciences | 4 | 3% |
Other | 15 | 13% |
Unknown | 34 | 29% |