Research Article

Cost-Effectiveness of Bariatric Surgery versus Medication Therapy for Obese Patients with Type 2 Diabetes in China: A Markov Analysis

Table 1

All cost and health inputs for the Markov model.

Intervention group
All value (range)Bariatric surgery therapy group value (range)Conventional medication therapy group value (range)Source

Cost (¥)
 Initial cost46,404.41 (37,123.28-55,684.92)12,581.46 (10,065.17-15,097.75)The costs of the bariatric surgery therapy group were taken from the follow-up data; the costs of the conventional medication therapy group were derived from the basic medical insurance database of Nanjing employees
 Incremental cost2,766.41 (2,213.13-3,319.69)7,674.24 (6,139.39-9,209.09)
Utility weight reflecting
 With type 2 diabetes0.77 (0.62-0.92)Refer to [24]
 Type 2 diabetes remission0.95 (0.76-1.00)Refer to [25]
Transition probabilities
 Annual probability for relapse to type 2 diabetes0.0025 (0.0020-0.0031)Refer to [11], National Bureau of Statistics of China
 Annual mortality probability: type 2 diabetes (age 42–82 years)0.0204 (0.0163-0.0245)Refer to [11, 19, 21, and 22]
 Annual mortality probability: type 2 diabetes remission (age 42–82 years)0.0062 (0.0050-0.0074)Refer to [11, 19, 21, and 22]
Rate (%)
Rate5 (4-6)