Bariyatrik Cerrahi Tedavi Yöntemlerinin Maliyet Etkililiği: Sistematik Bir İnceleme

Öz

Obezite günümüzde salgın haline gelerek önemli halk sağlığı sorunlarından biri olmuştur. Obezite tedavisinde farmakolojik tedavi, egzersiz, bilişsel davranışçı terapi, tıbbi beslenme ve bariyatrik cerrahi gibi yöntemler uygulanmaktadır. Bu çalışmanın amacı bariyatrik cerrahi yöntemlerinin maliyet etkililiği hakkındaki ulusal ve uluslararası literatürü sistematik olarak tanımlamak ve değerlendirmektir. Bu kapsamda elektronik veri tabanlarında sistematik bir araştırma yapılmıştır. Tarama, veri çıkarma, metodolojik kalitenin kritik değerlendirmesi Konsolide Sağlık Ekonomisi Değerlendirme Raporlama Standartları [Consolidated Health Economic Evaluation Reporting Standards (CHEERS)] göre değerlendirilmiştir. İlave maliyet-etkililik oranı (İMEO) ve kaliteye ayarlı yaşam yılı (QALY) başına maliyet sonuç ölçütü kullanılarak yorumlanmıştır. Araştırmada toplam 448 makaleye ulaşılmış ve 164 makalenin tam metni incelenmiştir. Dahil etme ve çıkarma kriterleri çerçevesinde 20 makale araştırma kapsamına alınmıştır. Literatürdeki çalışmalara göre bariyatrik cerrahi uzun zaman diliminde düşük maliyetli veya maliyet tasarrufu sağlayan bir tedavi seçeneği olduğunu göstermektedir. Bariyatrik cerrahinin uzun vadeli klinik etkileri ve güvenliği hakkında sınırlı kanıt bulunmaktadır. Bu nedenle bu kapsamda daha fazla çalışmanın yapılması maliyet-etkililik çalışmalarının sonuçlarına önemli derece katkıda bulunacaktır.

Anahtar Kelimeler

• Bariyatrik Cerrahi
• Maliyet Etkililik Analizi
• Sistematik Tarama.

Cost Effectiveness of Bariatric Surgical Treatment Methods: A Systematic Review

Öz

Obesity has become an epidemic today and has become one of the important public health problems. Pharmacological treatment, exercise, cognitive behavioural therapy, medical nutrition and bariatric surgery are used in the treatment of obesity. The aim of this study was to systematically identify and evaluate the national and international literature on the cost-effectiveness of bariatric surgery methods. In this context, a systematic search of electronic databases was conducted. Screening, data extraction, and critical assessment of methodological quality were evaluated according to the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). Incremental cost-effectiveness ratio (ICER) and cost per quality-adjusted life year (QALY) were interpreted using the outcome measure. A total of 448 articles were accessed and the full text of 164 articles was analysed. Within the framework of inclusion and exclusion criteria, 20 articles were included in the study. According to the studies in the literature, bariatric surgery is a low-cost or cost-saving treatment option in the long term. There is limited evidence about the long-term clinical effects and safety of bariatric surgery. Therefore, further studies in this context will significantly contribute to the results of cost-effectiveness studies.

Anahtar Kelimeler

• Bariatric Surgery
• Cost Effectiveness Analysis
• Systematic Review

Kaynakça

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