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10.1136/bmjopen-2024-084356 http://scihub22266oqcxt.onion/10.1136/bmjopen-2024-084356 C11293411!11293411 !39089720     free     free     free Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\39089720 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       BMJ+Open 2024 ; 14 (7 ): e084356 Nephropedia Template TP {{tp|p=39089720 |t=2024. Assessing economic investment required to scale up bariatric surgery capacity in England: a health economic modelling analysis |pdf=|usr=}}{{39089720 }} gab.com Text Assessing economic investment required to scale up bariatric surgery capacity in England: a health economic modelling analysis JO: BMJ Open http://www.kidney.de/pget.php?&tw=1&pmid=39089720 #FOAvip OBJECTIVES: To quantify the economic investment required to increase bariatric surgery (BaS) capacity in National Health Service (NHS) England considering the growing obesity prevalence and low provision of BaS in England despite its high clinical effectiveness. DESIGN: Data were included for the patients with obesity who were eligible for BaS. We used a decision-tree approach including four distinct steps of the patient pathway to capture all associated resource use. We estimated total costs according to the current capacity (current scenario) and three BaS scaling up strategies over a time horizon of 20 years (projected scenario): maximising NHS capacity (strategy 1), maximising NHS and private sector capacity (strategy 2) and adding infrastructure to NHS capacity to cover the entire prevalent and incident obesity populations (strategy 3). SETTING: BaS centres based in NHS and private sector hospitals in England. MAIN OUTCOME MEASURES: Number of BaS procedures (including revision surgery), cost (GBP) and resource utilisation over 20 years. RESULTS: At current capacity, the number of BaS procedures and the total cost over 20 years were estimated to be 140?220 and £1.4?billion, respectively. For strategy 1, these values were projected to increase to 157?760 and £1.7?billion, respectively. For strategy 2, the values were projected to increase to 232?760 and £2.5?billion, respectively. Strategy 3 showed the highest increase to 564?784 and £6.4?billion, respectively, with an additional 4081 personnel and 49 facilities required over 20 years. CONCLUSIONS: The expansion of BaS capacity in England beyond a small proportion of the eligible population will likely be challenging given the significant upfront economic investment and additional requirement of personnel and infrastructure. Twit Text FOAVip Assessing economic investment required to scale up bariatric surgery capacity in England: a health economic modelling analysis ????BMJ Open http://www.kidney.de/pget.php?&tw=1&pmid=39089720 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=39089720 #FOAvip English Wikipedia <ref>{{Cite pmid|39089720 }}</ref> Assessing economic investment required to scale up bariatric surgery capacity in England: a health economic modelling analysis #MMPMID39089720 Baker-Knight J ; Pournaras DJ ; Mahawar K ; Welbourn R ; Li Y ; Sharma Y ; Guerra I ; Tahrani A BMJ Open 2024[Jul]; 14 (7 ): e084356 PMID39089720 show ga OBJECTIVES: To quantify the economic investment required to increase bariatric surgery (BaS) capacity in National Health Service (NHS) England considering the growing obesity prevalence and low provision of BaS in England despite its high clinical effectiveness. DESIGN: Data were included for the patients with obesity who were eligible for BaS. We used a decision-tree approach including four distinct steps of the patient pathway to capture all associated resource use. We estimated total costs according to the current capacity (current scenario) and three BaS scaling up strategies over a time horizon of 20 years (projected scenario): maximising NHS capacity (strategy 1), maximising NHS and private sector capacity (strategy 2) and adding infrastructure to NHS capacity to cover the entire prevalent and incident obesity populations (strategy 3). SETTING: BaS centres based in NHS and private sector hospitals in England. MAIN OUTCOME MEASURES: Number of BaS procedures (including revision surgery), cost (GBP) and resource utilisation over 20 years. RESULTS: At current capacity, the number of BaS procedures and the total cost over 20 years were estimated to be 140?220 and £1.4?billion, respectively. For strategy 1, these values were projected to increase to 157?760 and £1.7?billion, respectively. For strategy 2, the values were projected to increase to 232?760 and £2.5?billion, respectively. Strategy 3 showed the highest increase to 564?784 and £6.4?billion, respectively, with an additional 4081 personnel and 49 facilities required over 20 years. CONCLUSIONS: The expansion of BaS capacity in England beyond a small proportion of the eligible population will likely be challenging given the significant upfront economic investment and additional requirement of personnel and infrastructure. |*Bariatric Surgery/economics [MESH] |*Models, Economic [MESH] |*State Medicine/economics [MESH] |England [MESH] |Health Care Costs/statistics & numerical data [MESH] |Humans [MESH] |Male [MESH]Assessing economic investment required to scale up bariatric surgery c(epmc).pdf DeepDyve Pubget Overpricing