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|Title:||Direct and indirect costs and potential cost savings of laparoscopic adjustable gastric banding among obese patients with diabetes|
|Authors:||Finkelstein, E.A. |
|Citation:||Finkelstein, E.A., Allaire, B.T., Dibonaventura, M.D., Burgess, S.M. (2011-09). 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. ScholarBank@NUS Repository. https://doi.org/10.1097/JOM.0b013e318229aae4|
|Abstract:||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 $26570 (±$9000) to $34160 (±$ 10380) 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. © 2011 by American College of Occupational and Environmental Medicine.|
|Source Title:||Journal of Occupational and Environmental Medicine|
|Appears in Collections:||Staff Publications|
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