Fetman i Sverige har under de senaste två decennierna ökat kraftigt. Till följd av detta är hälsokostnaderna relaterat till fetma ansenliga och förväntas öka ytterligare om ingenting görs åt problemet. I denna studie studeras prevention och gastric bypass som alternativa behandlingsmetoder mot fetma sett ur ett samhällsekonomiskt perspektiv. Tre hypotetiska kohorter utvecklas; status quo, effektiv prevention i ungdomsåren samt individer som utvecklar svår fetma opereras med gastric bypass. Dessa kohorter följs under åldern 20-64 år där kostnader och effekter observeras med hjälp av en beslutsträdsmodell. Både gastric bypass och prevention påvisas vara kostnadseffektiva behandlingsmetoder mot fetma. Gastric Bypass visas vara mer effektiv än en studerad befolkningsinriktad preventionsåtgärd. Slutligen påvisas att effektiva högriskpreventioner kan bidra med en högre samhällsnytta än gastric bypass operationer. Nyckelord: Fetma, Gastric Bypass, Prevention / The prevalence of obesity has increased rapidly the past two decades. As a consequence the health expenditures related to obesity are high and are expected to increase if nothing is done. The objective of this thesis was to study whether prevention in early years or gastric bypass is the preference from a societal perspective as an intervention to obesity. I develop three hypothetical cohorts; status quo, effective prevention in early years and people whom develop obesity have gastric bypass surgery. The cohorts are followed from age 20 to age 64 where costs and effects are observed using a decision tree model. The results were that both gastric bypass and prevention in early years are found to be cost-effective treatments to obesity. Gastric bypass is found being more effective than a studied population-based prevention. Effective high-risk preventive methods can contribute to a higher benefit to society than a gastric bypass surgery. Keyword: Obesity, Gastric Bypass, Prevention
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:uu-106344 |
| Date | January 2009 |
| Creators | Karlsson, Linda |
| Publisher | Uppsala universitet, Nationalekonomiska institutionen |
| Source Sets | DiVA Archive at Upsalla University |
| Language | Swedish |
| Detected Language | English |
| Type | Student thesis, info:eu-repo/semantics/bachelorThesis, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
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