Racial disparities in bariatric surgery postoperative weight loss and patient satisfaction.

Bariatric Surgery Body Mass Index Humans Obesity, Morbid / surgery Patient Satisfaction Retrospective Studies Treatment Outcome Weight Loss
Bariatric surgery Ethnicity Race Satisfaction Weight loss

Journal

American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473

Informations de publication

Date de publication:
05 2022
Historique:
received: 12 05 2021
revised: 11 08 2021
accepted: 08 09 2021
pubmed: 30 9 2021
medline: 25 5 2022
entrez: 29 9 2021
Statut: ppublish

Résumé

A growing body of evidence has demonstrated racial disparities in bariatric surgery (BS) outcomes. We aimed to investigate the impact of race on postoperative percent excess weight loss (%EWL) and patient satisfaction. Single center retrospective study of patients who underwent BS January 2012 to November 2017. Statistical analysis utilized Chi-squared, ANOVA and multivariable regression. A total of 378 patients were included. African American patients lost significantly less weight compared to Caucasian and Hispanic patients (39.0 %EWL, 53.4 %EWL and 52.3 %EWL, respectively). A significant difference remained after adjustment for possible confounders. No difference in postoperative satisfaction was found. Our study adds to the existing literature demonstrating racial disparities in BS postoperative EWL, despite adjusting for possible confounders, while contributing to the limited literature examining Hispanic patients. Furthermore, we examined an understudied outcome in postoperative patient satisfaction and found no racial disparity despite disparity in EWL.

Sections du résumé

BACKGROUND
A growing body of evidence has demonstrated racial disparities in bariatric surgery (BS) outcomes. We aimed to investigate the impact of race on postoperative percent excess weight loss (%EWL) and patient satisfaction.
METHODS
Single center retrospective study of patients who underwent BS January 2012 to November 2017. Statistical analysis utilized Chi-squared, ANOVA and multivariable regression.
RESULTS
A total of 378 patients were included. African American patients lost significantly less weight compared to Caucasian and Hispanic patients (39.0 %EWL, 53.4 %EWL and 52.3 %EWL, respectively). A significant difference remained after adjustment for possible confounders. No difference in postoperative satisfaction was found.
CONCLUSIONS
Our study adds to the existing literature demonstrating racial disparities in BS postoperative EWL, despite adjusting for possible confounders, while contributing to the limited literature examining Hispanic patients. Furthermore, we examined an understudied outcome in postoperative patient satisfaction and found no racial disparity despite disparity in EWL.

Identifiants

DOI: 10.1016/j.amjsurg.2021.09.011 PMID: 34583849
pubmed: 34583849
pii: S0002-9610(21)00534-1
doi: 10.1016/j.amjsurg.2021.09.011
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

969-974

Informations de copyright

Copyright © 2021. Published by Elsevier Inc.

Auteurs

Jamil S Samaan (JS)

Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA, USA. Electronic address: jamil.samaan@gmail.com.

Yazan Abboud (Y)

Karsh Division of Gastroenterology and Hepatology, Cedars Sinai Medical Center, Los Angeles, CA, USA. Electronic address: Yazan.Abboud@cshs.org.

Liyun Yuan (L)

Keck School of Medicine of USC, Department of Medicine, Division of Gastroenterology and Hepatology, Los Angeles, CA, USA. Electronic address: lyuan@med.usc.edu.

Omar Toubat (O)

Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA. Electronic address: toubat@usc.edu.

James Mirocha (J)

Cedars Sinai Medical Center, Los Angeles, CA, USA. Electronic address: James.Mirocha@cshs.org.

Elaine Qian (E)

Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA. Electronic address: emqian24@gmail.com.

Nayun Lee (N)

Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA. Electronic address: nayunmlee@gmail.com.

Chaitra Subramanyam (C)

Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA. Electronic address: Chaitra.subramanyam@gmail.com.

Kamran Samakar (K)

Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA. Electronic address: kamran.samakar@med.usc.edu.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Chirurgie bariatrique › Racial disparities in bariatric surgery...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Biométrie › Anthropométrie › Indice de masse corporelle › Racial disparities in bariatric surgery...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Racial disparities in bariatric surgery...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Obésité morbide › Racial disparities in bariatric surgery...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Satisfaction des patients › Racial disparities in bariatric surgery...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Racial disparities in bariatric surgery...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Racial disparities in bariatric surgery...
questionsmedicales.fr › Phénomènes physiologiques › Croissance et développement › Croissance › Mensurations corporelles › Poids › Modifications du poids corporel › Perte de poids › Racial disparities in bariatric surgery...