Surgical management can be more costly than non-surgical management
Surgical management was more costly than non-surgical management in each of the three patient populations analysed (BMI 40; BMI 30 and<40 with type 2 diabetes at baseline; and BMI 30 and <35) but gave improved outcomes. For morbid obesity, ICERs ranged between £2,000 and £4,000 per QALY gained. For BMI 30 and <40, ICERs were £18,930 at 2 years and £1,397 at 20 years, and for BMI 30 and <35, ICERs were £60,754 at 2 years and£12,763 at 20 years.