Regional Variations in Pediatric Metabolic and Bariatric Surgeon Availability: A Call for Action.

Autor: Liang NE; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: nliang@mgh.harvard.edu., Perez NP; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts., Singhal V; Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts., Pratt JSA; Division of Pediatric Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, California., Zitsman J; Department of Surgery, Columbia University Medical Center, New York, New York., Griggs CL; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2024 Mar; Vol. 295, pp. 522-529. Date of Electronic Publication: 2023 Dec 11.
DOI: 10.1016/j.jss.2023.11.056
Abstrakt: Introduction: Obesity is a significant public health concern in children. The American Academy of Pediatrics recommends the use of metabolic and bariatric surgery (MBS) in children with severe obesity, however; MBS remains underutilized in part due to lack of access. This study aims to characterize the prevalence of pediatric obesity and compare this to regional pediatric MBS provider availability.
Methods: State-specific prevalence rates of childhood obesity in children aged 10-17 were obtained from the National Survey of Children's Health. The member directory provided by the American Society for Metabolic and Bariatric Surgeons was used to identify all pediatric MBS providers and used to calculate the prevalence of MBS providers by state.
Results: The five states with the highest prevalence rates of childhood obesity were Kentucky, Mississippi, Louisiana, West Virginia, and Alabama. The five states with the highest prevalence (per 100,000 children with obesity) of MBS providers doing pediatric cases were North Dakota, New Jersey, Kansas, New York, and Utah. Notably, there was a negative correlation between the states with the lowest prevalence of pediatric MBS providers and states with the highest prevalence of childhood obesity (r -0.40, ∗P = 0.002).
Conclusions: Our study demonstrates significant state-to-state variation in the prevalence of pediatric obesity and MBS provider availability by state as a proxy for access to surgical care for pediatric obesity. Further work to establish accessible multidisciplinary pediatric weight loss centers is needed to ensure that children and adolescents with obesity receive thorough evaluation and have access to MBS.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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