Bariatric surgery has not been widely used in the Australian public health system. As obesity is strongly associated with socio-economic status, excluding its use from the public system
will deny many of the most in-need access to a potentially very
effective treatment. Alternatively, with rigorous follow-up and
behavioural change requirements, highly successful outcomes in the private system may not translate to the public system. Patients were older, heavier and suffered more co-morbid disease than
previously reported cohorts. This article by Monash-Alfred researchers concluded however that for the first time, excellent outcomes across a range of key quality domains in a large patient cohort have been reported in the public system. High-volume bariatric surgery in the public system is viable.
Reference: Burton P, Brown W, Chen R, Shaw K, Packiyanathan A, Bringmann I, Smith A, Nottle P. Outcomes of high-volume bariatric surgery in the public system. NZ J Surg. 2015 Oct 16. doi: 10.1111/ans.13320. [Epub ahead of print]
Reference: Burton P, Brown W, Chen R, Shaw K, Packiyanathan A, Bringmann I, Smith A, Nottle P. Outcomes of high-volume bariatric surgery in the public system. NZ J Surg. 2015 Oct 16. doi: 10.1111/ans.13320. [Epub ahead of print]
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