An Economic Evaluation of Bariatric Surgeries in Japan

针对肥胖是高血压和糖尿病的危险因素，减肥手术是有效的治疗方法之一。关于减肥手术经济效果的案例研究较少，目前还没有基于日本案例的研究.该手术在日本没有保险上市，但是，根据在医疗机构进行的减肥手术的总数为55例，在本研究中进行了两次先进医疗和免费医疗治疗，并在随访手术期间进行了回顾性调查的调查反应，我定量地显示了手术前后一般生活费用和其他医疗费用的变化。费用总额，包括医疗费用，如食品，即41，625日元/月，每个平均为63，552日元/月，在两个医疗机构的下降已经显示在手术前后。此外，如果这种减少被假定为保持不变假设为个人支付的手术月，或2年8或16分别手术后恢复的费用已显示。分项来看，食品类降幅最大，约占整体降幅的50%.这些结果表明，由于减肥手术而导致的成本变化存在个体差异，但平均而言，可以在短期至中期内节省成本。

Against obesity is a risk factor for high blood pressure anddiabetes, there is a weight loss surgery in one of the effective treatments. Study of caseon the economic effect of weight loss surgery is small, there is no research based on thecase of Japan. The surgery is not insurance listed in Japan but, on the basis of the total 55 cases of weight loss surgery conducted in medical institutions two doing treated with advanced medical and free medical and during follow-up surgery in this study thesurvey responses of retrospective survey conducted in, I showed quantitatively thechanges in the cost of life in general and other health care costs before and after thesurgery . The total amount of the costs, including medical expenses, such as food, that41,625 yen / month per each average was 63,552 yen / month decline in two medical institutions has been shown in the before and after surgery . Further, if this decrease is assumed to have remained unchanged Suppose that the costs for individuals paid forsurgery month, or 2 years 8 or 16 respectively, after surgery is recovered has been shown. The itemized, decline of food accounted for about 50% of the decrease overalllargest. These results, individual differences exist in the change in costs due to weight loss surgery , but can lead to cost savings in the short to medium term on average was suggested.