Obesity Surgery

, 17:434 | Cite as

Paid Work Increases and State Benefit Claims Decrease after Bariatric Surgery

  • Simon C. Hawkins
  • Alan Osborne
  • Ian G. Finlay
  • Swethan Alagaratnam
  • Janet R. Edmond
  • Richard Welbourn


Bariatric surgery is a clinically effective treatment for obesity and has been shown to be costeffective. The impact of bariatric surgery on the subsequent ability to work and the uptake of state-funded benefits is not well documented.


A consecutive series of 79 patients who had undergone laparoscopic Roux-en-Y gastric bypass (LRYGBP) or laparoscopic adjustable gastric banding (LAGB) were surveyed to assess changes in their ability to work and the number and type of state benefits claimed after surgery.


59 patients (75%) responded, median age 45, median follow-up 14 months. There was a 32% increase in the number of respondents in paid work after surgery (P–lt;–.05).The mean weekly hours worked increased from 30.1 to 35.8 hours (P–lt;–.01). Respondents also reported a decrease in obesityrelated physical and emotional constraints on their ability to do work (P–lt;–.01). Fewer patients claimed state benefits postoperatively (P–lt;–.01).


More patients perform paid work after LRYGBP and LAGB than beforehand, and the number of weekly hours they work increases. After surgery, patients claim fewer state benefits.

Key words

Bariatric surgery cost benefit analysis quality of life morbid obesity 


  1. 1.
    Maggard MA, Shugarman LR, Suttorp M et al. Meta analysis: surgical treatment of obesity. Ann Intern Med 2005; 142: 547–9.PubMedGoogle Scholar
  2. 2.
    Colquitt J, Clegg A, Sidhu M. Surgery for morbid obesity. Cochrane Database Syst Rev 2003; (2): CD003641.Google Scholar
  3. 3.
    Ma Y, Pagoto SL, Olendzki BC et al. Predictors of weight status following gastric bypass. Obes Surg 2006; 16: 1227–1.CrossRefPubMedGoogle Scholar
  4. 4.
    Zinzindohoue F, Chevallier JM, Douard R et al. Laparoscopic gastric banding: a minimally invasive surgical treatment for morbid obesity: prospective study of 500 consecutive patients. Ann Surg 2003; 237: 17–.CrossRefGoogle Scholar
  5. 5.
    Arcila D, Velazquez D, Gamino R et al. Quality of life in bariatric surgery. Obes Surg 2002; 12: 661–.CrossRefPubMedGoogle Scholar
  6. 6.
    Ahroni JH, Montgomery KF, Watkins BM. Laparoscopic adjustable gastric banding: weight loss, co-morbidities, medication usage and quality of life at one year. Obes Surg 2005; 15: 641–.CrossRefPubMedGoogle Scholar
  7. 7.
    Rubino F, Gagner M, Gentileschi P et al. The early effect of the Roux en Y gastric bypass on hormones involved in body weight regulation and glucose metabolism. Ann Surg 2004; 240: 236–2.CrossRefPubMedGoogle Scholar
  8. 8.
    Schauer PR, Burguera B, Ikramuddin S et al. Effect of laparoscopic Roux en Y gastric bypass on type 2 diabetes mellitus. Ann Surg 2003; 238: 467–4.PubMedGoogle Scholar
  9. 9.
    Buchwald H, Avidor Y, Braunwald E et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292: 1724–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Gallagher SF, Banasiak M, Gonzalvo JP et al. The impact of bariatric surgery on the veterans administration healthcare system: A cost analysis. Obes Surg 2003; 13: 245–.CrossRefPubMedGoogle Scholar
  11. 11.
    Clegg A, Colquitt J, Sidhu M et al. Clinical and cost effectiveness of surgery for morbid obesity: a systematic review and economic evaluation. Int J Obes 2003; 27: 1167–7.CrossRefGoogle Scholar
  12. 12.
    Sampalis JS, Liberman M, Auger S et al. The impact of weight reduction surgery on healthcare costs in morbidly obese patients. Obes Surg 2004; 14: 939–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Nguyen NT, Varela JE, Sabio A et al. Reduction in prescription medication costs after laparoscopic gastric bypass. Am Surg 2006; 72: 853–.PubMedGoogle Scholar
  14. 14.
    Snow LL, Weinstein LS, Hannon JK et al. The effect of Roux-en-Y gastric bypass on prescription drug costs. Obes Surg 2004; 14: 1031–.CrossRefPubMedGoogle Scholar
  15. 15.
    Gould JC, Garren MJ, Starling JR. Laparoscopic gastric bypass results in decreased prescription medication costs within 6 months. J Gastrointest Surg 2004; 8: 983–.CrossRefPubMedGoogle Scholar
  16. 16.
    Wolf A. Economic outcomes of the obese patient. Obes Res 2002; 10: 58–2.CrossRefGoogle Scholar
  17. 17.
    Frezza E, Wachtel M, Ewing B. The impact of morbid obesity on the state economy: an initial evaluation. Surg Obes Relat Dis 2006; 2: 504–.CrossRefPubMedGoogle Scholar
  18. 18.
    Suhrcke M, McKee M, Arce R et al. Investment in health could be good for Europe’s economies. Br Med J 2006; 333: 1017–.CrossRefGoogle Scholar
  19. 19.
    Hawke A, O’Brien P, Watts JM et al. Psychosocial and physical activity changes after gastric restrictive procedures for morbid obesity. Aust N Z J Surg 1990; 60: 755–.CrossRefPubMedGoogle Scholar
  20. 20.
    Van Gemert WG, Adang EM, Kop M et al. A prospective cost-effectiveness analysis of vertical banded gastroplasty for the treatment of morbid obesity. Obes Surg 1999; 9:484–1.CrossRefPubMedGoogle Scholar
  21. 21.
    Deitel M, Shahi B, Deitel FH. Effect of weight loss in the morbidly obese patient with severe disability. Obes Surg 1991; 1: 419–1.CrossRefPubMedGoogle Scholar
  22. 22.
    Narbro K, Agren G, Jonsson E et al. Sick leave and disability pension before and after treatment for obesity: a report from the Swedish Obese Subjects (SOS) study. Int J Obes 1999, 23: 619–4.CrossRefGoogle Scholar
  23. 23.
    Hauri P, Horber FF, Sendi P. Is bariatric surgery worth its costs? Obes Surg 1999; 9: 480–3.CrossRefPubMedGoogle Scholar
  24. 24.
    Gastrointestinal surgery for severe obesity. National Institutes of Health Consensus Development Conference Draft Statement, 25–7 March 1991. Obes Surg 1991; 1: 257–5.Google Scholar
  25. 25.
    UK Government. Disabled people (Directgov website). 2006. Available at www.direct.gov.uk/disability-money (Accessed Aug 26, 2006).
  26. 26.
    Office for National Statistics. Social and Vital Statistics Division and Northern Ireland Statistics and Research agency. Central Survey Unit, Quarterly Labour Force Survey, March-May, 2005: Special License Access. Colchester, Essex: UK Data Archive, February 2006. SN: 5259.Google Scholar
  27. 27.
    Department for work and pensions. Client group analysis: Quarterly bulletin on the population of working age on key benefits - February 2005. Available at: www.dwp.gov.uk/asd/cqa.asp. (Accessed Nov 15, 2006).
  28. 28.
    National Institute for Clinical Excellence (NICE). Guidance on the use of surgery to aid weight reduction for people with morbid obesity. Technology appraisal guidance No.46 2002. London, UK.Google Scholar
  29. 29.
    Salem L, Jensen CC, Flum DR. Are bariatric surgical outcomes worth their cost? A systematic review. J Am Coll Surg 2005; 200: 270–.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Simon C. Hawkins
    • 1
  • Alan Osborne
    • 1
  • Ian G. Finlay
    • 1
  • Swethan Alagaratnam
    • 1
  • Janet R. Edmond
    • 1
  • Richard Welbourn
    • 1
    • 2
  1. 1.Department of Upper Gastrointestinal SurgeryMusgrove Park HospitalTauntonUK
  2. 2.Department of Upper Gastrointestinal SurgeryMusgrove Park HospitalTauntonUK

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