Evidence map›Paper›PMID 42599584›Full record

ArticleObesity surgery2026

Impact of Bariatric Surgery on Medication Costs and Disease Burden in Obesity: A Retrospective Cohort Study.

André Oliveira, Carolina Bulhosa, Pedro Apolónia, Margarida Borges, Eduardo Lima-da-Costa, Hugo Santos-Sousa, Paula Freitas

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Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

André OliveiraFaculty of Medicine, University of Porto, Porto, Portugal. andrefbo02@gmail.com.
Carolina BulhosaIQVIA Portugal, Lisbon, Portugal.
Pedro ApolóniaIQVIA Portugal, Lisbon, Portugal.
Margarida BorgesIQVIA Portugal, Lisbon, Portugal.
Eduardo Lima-da-CostaFaculty of Medicine, University of Porto, Porto, Portugal.
Hugo Santos-SousaFaculty of Medicine, University of Porto, Porto, Portugal.
Paula FreitasIntegrated Responsibility Center for Obesity, São João Local Health Unit, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is a highly prevalent chronic disease associated with substantial morbidity, multiple comorbidities, and a significant burden on healthcare systems. Metabolic bariatric surgery (MBS) is effective in achieving weight loss and improving obesity-related comorbidities, potentially reducing pharmacotherapy requirements and overall disease burden. Nevertheless, evidence from Portuguese real-world clinical practice remains limited. Therefore, this study aimed to provide the first Portuguese evaluation of the impact of MBS on pharmacotherapy-related healthcare costs and on the prevalence and burden of obesity-associated comorbidities.

methodsA retrospective cohort study was conducted. Annual pharmacotherapy costs and changes in the prevalence and burden of obesity-associated comorbidities, measured using Years Lived with Disability (YLD), were compared before and 3 years after surgery.

resultsThree years after MBS, the mean annual pharmacotherapy cost per patient decreased by €56.11 (p < 0.05). Reductions in medication costs were observed for antihypertensive, lipid-lowering, and antidiabetic therapies (all p < 0.05). The prevalence of obesity-related comorbidities also decreased, particularly hypertension, type 2 diabetes mellitus, dyslipidemia and asthma (all p < 0.05). Correspondingly, the estimated burden of disease decreased, with mean YLD declining from 0.022 before surgery to 0.014 3 years after surgery (p < 0.05).

conclusionOver 3 years of follow-up, MBS was associated with reductions in medication costs, the prevalence of obesity-related comorbidities, and overall disease burden. These findings highlight the clinical and economic benefits of MBS in the management of obesity and its associated conditions over the medium term.

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PMID42599584

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