{"doi":"10.1002/oby.23997","title":"Comparison of health care costs following sleeve gastrectomy versus <scp>Roux‐en‐Y</scp> gastric bypass among patients with type 2 diabetes","abstract":"OBJECTIVE: The objective of this study was to compare the impact of sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) on overall and diabetes-specific health care costs among patients with type 2 diabetes. METHODS: This retrospective cohort study examined patients with type 2 diabetes after SG and RYGB using data from Optum's deidentified Clinformatics® Data Mart database. The matched study group included 9608 patients who underwent SG or RYGB and were enrolled between 2007 and 2019. The primary outcomes assessed were overall and diabetes-specific health care costs. RESULTS: Health care costs associated with type 2 diabetes declined substantially in the first few years following both SG and RYGB. RYGB was associated with a larger decrease in pharmacy costs, as well as type 2 diabetes-specific office and laboratory costs. SG was associated with lower total health care costs in the first three follow-up periods and lower acute care costs in the first 2 years after surgery. CONCLUSIONS: In this nationwide study, patients with type 2 diabetes at baseline undergoing RYGB appear to experience a reduced need for ambulatory type 2 diabetes monitoring and reduced requirements for antidiabetes medication but, despite this, did not experience an overall medical cost-benefit in the first few years after RYGB versus SG.","journal":"Obesity","year":2024,"id":495239,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7543,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":736647,"name":"Robert F. LeCates","orcid":null,"position":1,"is_corresponding":false},{"id":673734,"name":"Fang Zhang","orcid":"0000-0002-3707-9272","position":2,"is_corresponding":false},{"id":371714,"name":"Dennis Ross‐Degnan","orcid":"0000-0002-0066-1242","position":3,"is_corresponding":false},{"id":385499,"name":"J. Frank Wharam","orcid":"0000-0003-2053-0757","position":4,"is_corresponding":false},{"id":251523,"name":"David Arterburn","orcid":"0000-0002-5208-8492","position":5,"is_corresponding":false},{"id":388666,"name":"Adolfo Fernandez","orcid":"0000-0002-9550-9023","position":6,"is_corresponding":false},{"id":453175,"name":"Kristina H. Lewis","orcid":"0000-0002-4921-7230","position":7,"is_corresponding":false},{"id":1005105,"name":"Stephanie Argetsinger","orcid":"0009-0009-6249-2358","position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":null,"created_at":"2026-07-19T02:09:15.528853Z","pmid":"38351395","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}