Racial disparities in perioperative outcomes after bariatric surgery.
Adult
Black or African American
/ statistics & numerical data
Bariatric Surgery
Female
Health Services Accessibility
/ statistics & numerical data
Hispanic or Latino
/ statistics & numerical data
Humans
Length of Stay
/ statistics & numerical data
Male
Middle Aged
Mortality
/ ethnology
Obesity, Morbid
/ ethnology
Patient Readmission
/ statistics & numerical data
Postoperative Complications
/ ethnology
Reoperation
/ statistics & numerical data
Bariatric surgery
Mortality
Obesity
Racial disparities
Surgical outcomes
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
18
08
2018
accepted:
14
12
2018
pubmed:
18
2
2019
medline:
25
4
2020
entrez:
18
2
2019
Statut:
ppublish
Résumé
NonHispanic black patients bear a disproportionate burden of the obesity epidemic and its related medical co-morbidities. While bariatric surgery is the most effective treatment for morbid obesity, black patients access bariatric surgery at lower rates than nonHispanic white patients. To examine racial differences before bariatric surgery and in short-term perioperative outcomes and complications, and the extent to which race is independently associated with perioperative morbidity and mortality. Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program national database. Data were extracted from the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Participant Use File. Multivariate analysis was used to identify differences in mortality, length of stay, readmission, and reintervention by race in patients undergoing laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy (SG). A total of 108,198 patients were included in the analysis. There were significant differences in perioperative disease burden. Black patients had a higher body mass index at the time they underwent surgery (laparoscopic Roux-en-Y gastric bypass: 48.0 versus 45.7 kg/m We found significant racial disparities in bariatric surgery outcomes, including higher mortality in black patients undergoing SG. The specific causes of these disparities remain unclear and must be the subject of future research.
Sections du résumé
BACKGROUND
BACKGROUND
NonHispanic black patients bear a disproportionate burden of the obesity epidemic and its related medical co-morbidities. While bariatric surgery is the most effective treatment for morbid obesity, black patients access bariatric surgery at lower rates than nonHispanic white patients.
OBJECTIVES
OBJECTIVE
To examine racial differences before bariatric surgery and in short-term perioperative outcomes and complications, and the extent to which race is independently associated with perioperative morbidity and mortality.
SETTING
METHODS
Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program national database.
METHODS
METHODS
Data were extracted from the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Participant Use File. Multivariate analysis was used to identify differences in mortality, length of stay, readmission, and reintervention by race in patients undergoing laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy (SG).
RESULTS
RESULTS
A total of 108,198 patients were included in the analysis. There were significant differences in perioperative disease burden. Black patients had a higher body mass index at the time they underwent surgery (laparoscopic Roux-en-Y gastric bypass: 48.0 versus 45.7 kg/m
CONCLUSIONS
CONCLUSIONS
We found significant racial disparities in bariatric surgery outcomes, including higher mortality in black patients undergoing SG. The specific causes of these disparities remain unclear and must be the subject of future research.
Identifiants
pubmed: 30772252
pii: S1550-7289(18)30512-4
doi: 10.1016/j.soard.2018.12.021
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
786-793Subventions
Organisme : NIDDK NIH HHS
ID : T32 DK108733
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.