Obesity

UK cost-effectiveness analysis of endoscopic sleeve gastroplasty versus lifestyle modification alone for adults with class II obesity

Int J Obes (Lond)Published Cost-effectiveness analysis

Main finding · ICERResult — go to the resultICER £2453/QALY gained

Authors' conclusion

Our study indicates that ESG is highly cost effective versus LM alone for the treatment of adults with class II obesity in England.

Study context

Population
Adults with class II obesity (BMI 35.0–39.9 kg/m²), England; inputs from the class II obesity subset of MERIT
Comparison
Endoscopic sleeve gastroplasty (ESG) vs lifestyle modification (LM) alone
Outcome
ICER for ESG vs LM alone (cost per QALY gained)
Methodological details6-state Markov model, national healthcare system perspective (England), based on patient-level data from MERIT RCT, probabilistic sensitivity analysis
  • 6-state Markov model
  • National healthcare system perspective (England)
  • Based on patient-level data from MERIT RCT
  • Probabilistic sensitivity analysis

Main finding

ICER

Incremental cost-effectiveness ratio (ICER)

£2453/QALY gained

As reported in the abstract

Further findings

Deterministic sensitivity analyses

ESG consistently cost effective; no ICER estimate exceeding
£10,000/QALY gained

Probabilistic sensitivity analysis

Mean ICER
£2502/QALY gained
ESG cost effective at willingness-to-pay threshold of £20,000/QALY, % of iterations
98.25%

Original publication

UK cost-effectiveness analysis of endoscopic sleeve gastroplasty versus lifestyle modification alone for adults with class II obesity. Int J Obes (Lond). Published 6 September 2023. doi:10.1038/s41366-023-01374-6

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