Laparoscopic Adjustable Gastric Banding for Weight Loss in Obese Adults. Should it be Publicly Funded? Clinical and Cost-effectiveness.

Should LAGB be publicly funded?

LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING FOR free weight LOSS IN OBESE ADULTS

Laparoscopic adjustable Gastric ring:

University of Birmingham

Principles & Practices of health Technology Assessment

Oct. 28, 2008

Evidence Based healthc ar and Health Technology Assessment

Objective: This physical composition discusses whether Laparoscopic Adjustable Gastric Banding for weight loss in obese adults should be publicly funded or not by looking at clinical and cost effectiveness, quality of an HTA by CADTH and applicability to the United States of America. Briefly, LAGB is a surgical procedure in which a band is placed on the upper crack of the stomach to reduce its size.

Clinical Effectiveness:

Laparoscopic Adjustable Gastric Banding (LAGB) idle wordss to excess weight loss (CADTH, 2007). However, it does not relatively lead to as much weight loss as Roux-en-Y stomachal bypass (RYGB) and Vertical Banded Gastroplasty (VBG). LAGBs advantage over RYGB and VBG is that it is reversible.

Since LAGB is a less encroaching(a) type of functioning, it has lesser instant complications and thus shorter hospital collar (CADTH, 2007). LAGB has shown to help reduce comorbidities that are related to obesity (i.e. diabetes, cardiovascular diseases, etc).

To determine effectiveness, portion excess weight loss (%EWL excess weight divide by ideal weight) is looked at. If %EWL>75%, wherefore the result of the surgery is said to be excellent, if %EWL is between 50% and 75%, then the result is said to be good. If %EWL is between 25% and 50%, then the result is fair.

There are two randomized control trials and five non-randomized proportional studies in the clinical effectiveness section. The following three studies are discussed because they contained elaborate results that can be applicable to the US population.

In the outcomes from toothsome Cross and Blue Shield Association Technology Evaluation Centre, a case-by-case arm series (57 studies) showed...

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