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US economic burden of fatty liver disease is $32 billion annually

Nonalcoholic fatty liver disease (NAFLD) costs the US healthcare system US$32 billion annually, according to a first-of-its-kind study by Intermountain Healthcare researchers on the economic impact of the disease. The prevalence of NAFLD, which affects roughly 100 million Americans, mirrors the rising trend of obesity in the US. Globally, one in four people are living with the disease, which is the result of a buildup of extra fat in liver cells that is not caused by alcohol and is the most common form of chronic liver disease.

LAGB device-related re-operation common and costly

Among Medicare beneficiaries undergoing laparoscopic adjustable gastric band (LAGB) surgery, re-operation was common, costly, and varied widely across hospital referral regions, according to a study by researchers from University of Michigan, Ann Arbor.

Powered staplers associated with benefits vs manual staplers

Powered surgical staplers result in significant clinical and economic benefits, compared to the most manual staplers, according to a study by researchers from Johnson & Johnson. The study showed that use of powered staplers was associated with significant clinical and economic benefits including 47% lower rate of bleeding complications, 14% shorter operating room time and 13% lower overall hospital costs compared to manual staplers.

Severe obesity costs Medicaid US$8 billion a year

Nearly 11 percent or US$8 billion of the cost to treat severe obesity was paid for by Medicaid in 2013, ranging from a low of US$5 million in Wyoming to US$1.3 billion in California, according to a paper, ‘Severe Obesity In Adults Cost State Medicaid Programs Nearly $8 Billion In 2013’, published in the journal Health Affairs.

Diabetes increases in the UK by 60% in a decade

The number of people living with diabetes in the UK has soared by 59.8 per cent in a decade, according to an analysis by Diabetes UK. The new figures, extracted from official NHS data, show that there are now 3,333,069 people diagnosed with diabetes, which is an increase of more than 1.2 million adults compared with ten years ago when, in 2005, there were 2,086,041 people diagnosed with the condition. This does not take into account the 590,000 adults estimated to have undiagnosed diabetes in 2013-2014. Approximately 90% of cases are type 2 diabetes.

Little difference in RYGB vs. banding costs

A study comparing the impact of laparoscopic adjustable gastric banding (AGB) and laparoscopic Roux-en-Y gastric bypass (RYGB) on health care use and costs, has concluded that both procedures were associated with flattened total health care cost trajectories but RYGB patients experienced lower total and prescription costs by three years post-surgery.

Obesity places strain on Brazilian healthcare system

The cost of morbid obesity accounts for almost a quarter of the costs attributable to obesity in Brazil’s public health system, according to a paper ‘Direct Healthcare Cost of Obesity in Brazil: An Application of the Cost-of-Illness Method from the Perspective of the Public Health System in 2011. published in PlosOne.

Bariatric surgery aids joint replacement outcomes

Two studies at Hospital for Special Surgery (HSS) in New York City have found that bariatric surgery prior to joint replacement is a cost-effective option to improve outcomes after hip or knee replacement. The papers, ‘Cost-Effectiveness of Bariatric Surgery Prior to Total Knee Arthroplasty in the Morbidly Obese’ and ‘Cost-Effectiveness of Bariatric Surgery Prior to Total Hip Arthroplasty in Morbidly Obese Patients’ were presented at the annual meeting of the American Academy of Orthopaedic Surgeons in Las Vegas.

Obesity impact is the same as smoking

The BBC has reported that the chief executive of NHS England, Mr Simon Stevens, has said obesity is the new smoking in terms of the impact on health and the cost to the NHS. He added that if obesity rates kept rising it could even threaten the sustainability of the health service.

Losing weight lowers costs for T2DM patients

Overweight individuals with diabetes who lose weight by dieting and increasing their physical activity can reduce their health care costs by an average of more than US$500 per year, according to a study titled 'Impact of an Intensive Lifestyle Intervention on Use and Cost of Medical Services Among Overweight and Obese Adults With Type 2 Diabetes: The Action for Health in Diabetes,' published in the journal Diabetes Care.

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