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dc.contributor.author | Van Vollenstee, Fiona A.![]() |
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dc.contributor.author | Van der Merwe, Maria-Teresa![]() |
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dc.date.accessioned | 2022-02-10T05:18:20Z | |
dc.date.available | 2022-02-10T05:18:20Z | |
dc.date.issued | 2021-06 | |
dc.description.abstract | BACKGROUND : Without the needed medical support, bariatric surgery can be associated with post-operative malnutrition and associated nutrient deficiencies. We aimed to evaluate the cost difference of perioperative infusion requirements and TPN between GBP and BPD-DS. METHODS : All patients undergoing GBP or BPD-DS procedures between August 2015 and June 2018 were included. Information was collected to standardize the nutritional information into two categories: (1) oral supplementation and standard intravenous infusions, as predicted costs forming part of preoperative quote and (2) infusions prescribed for malnutrition, based on blood biochemistry, caterized as unexpected costs. RESULTS : A total of 573 patients over 3 years (GBP 60%, BPD-DS 40%) were included in the analysis. The average predicted costs from oral supplementation for both surgery groups and prophylactic infusions for BPD-DS were GBP (46.90USD) vs. BPD-DS (154.13 USD) (p-value = NS). Unexpected costs for infusions to correct nutritional deficiencies were GBP (199.14 USD) vs. BPD-DS (127.29 USD) (p-value = NS). TPN incidence rate was GBP (2.1%) and BPD-DS (12.7%) (p-value < 0.001) and admission rate per patient was GBP (0.9) and BPD-DS (0.63) (p-value < 0.05). Costs for acquiring TPN were GBP (153.58 USD) vs. BPD-DS (268.76 USD). Total unexpected costs were GBP (352.72 USD) vs. BPD-DS (396.05 USD) (p-value = NS). CONCLUSION : Nutrient deficiencies are known to occur within both GBP and BPD-DS surgeries, even up to 3 years. The admission rate/patient, requiring TPN, was higher in the GBP group, indicating that BPD-DS surgery can be efficient and cost-effective with holistic and multitherapeutic post-surgery care. BPD-DS procedures should be reserved for centers with a comprehensive and experienced multidisciplinary team enforcing stringent follow-up regimes. | en_ZA |
dc.description.department | Internal Medicine | en_ZA |
dc.description.librarian | hj2022 | en_ZA |
dc.description.uri | https://www.springer.com/journal/11695 | en_ZA |
dc.identifier.citation | Van Vollenstee, F.A., Van der Merwe, M.T. Evaluating the Pharmacoeconomic Impact of Nutrient Supplementation Post-operatively on Patients Receiving Roux-Y Gastric Bypass vs. Biliopancreatic Diversion with Duodenal Switch. Obesity Surgery 31, 2434–2443 (2021). https://doi.org/10.1007/s11695-021-05268-2. | en_ZA |
dc.identifier.issn | 0960-8923 (print) | |
dc.identifier.issn | 1708-0428 (online) | |
dc.identifier.other | 10.1007/s11695-021-05268-2 | |
dc.identifier.uri | http://hdl.handle.net/2263/83744 | |
dc.language.iso | en | en_ZA |
dc.publisher | Springer | en_ZA |
dc.rights | © The Author(s) 2021. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License. | en_ZA |
dc.subject | Bariatric surgery | en_ZA |
dc.subject | Pharmacoeconomics | en_ZA |
dc.subject | Costs | en_ZA |
dc.subject | Supplementation | en_ZA |
dc.subject | Nutrient deficiencies | en_ZA |
dc.subject | Total parenteral nutrition (TPN) | en_ZA |
dc.title | Evaluating the pharmacoeconomic impact of nutrient supplementation post-operatively on patients receiving Roux-Y gastric bypass vs. biliopancreatic diversion with duodenal switch | en_ZA |
dc.type | Article | en_ZA |