A 10-Year Cost-Effectiveness Analysis of Metabolic and Bariatric Surgery in Adolescents

By
John B. Rode
Francesca Lim
Todd M. Jenkins
Justin R. Ryder
Thomas H. Inge
Chin Hur
Teen-LABS Consortium
Michael A. Helmrath
Anita P. Courcoulas
Marc P. Michalsky
Stephanie R. Sisley
Carroll M. Harmon
June 15, 2026
0 min

Jama Network Open

Objective:

To evaluate the 10-year cost-effectiveness of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy compared with no surgery for adolescents with severe obesity.

Key Findings:

The prevalence of severe obesity among children aged 2 to 18 years increased significantly from 2008 to 2023.
Intensive health behavior and lifestyle treatment often yields limited long-term success for severe obesity.
RYGB and sleeve gastrectomy resulted in average BMI reductions of 20.6% and 19.2%, respectively, at 10 years postoperatively.
Remission rates for type 2 diabetes, hypertension, and dyslipidemia ranged from 50% to 60% following surgery.

Interpretation:

Remove this section.

Limitations:

Limited long-term cost-effectiveness data for metabolic and bariatric surgery in adolescents.
Relapse of type 2 diabetes was not incorporated in the model due to insufficient data.

Conclusion:

Rephrase to avoid unsupported implications.

Sources:

Teen-LABS Study

A 10-Year Cost-Effectiveness Analysis of Metabolic and Bariatric Surgery in Adolescents

Objective:

Key Findings:

Interpretation:

Limitations:

Conclusion:

Sources:

Original Source(s)

A 10-Year Cost-Effectiveness Analysis of Metabolic and Bariatric Surgery in Adolescents

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