Disparities in Bariatric Surgery Outcomes: A Regional Analysis.

Autor: Manueli Laos EG; Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL, 60612, USA., Martinino A; Department of Surgery, Duke University, Durham, NC, 27710, USA., Mangano A; Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL, 60612, USA., Ducas A; Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL, 60612, USA., Schlottmann F; Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL, 60612, USA.; Department of Surgery, Hospital Alemán of Buenos Aires C1118AAT, Buenos Aires, Argentina., Pirzada A; Institute for Minority Health Research, University of Illinois Chicago, Chicago, IL, 60612, USA., Masrur MA; Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL, 60612, USA. mmasrur@uic.edu.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2024 Aug 28. Date of Electronic Publication: 2024 Aug 28.
DOI: 10.1007/s11695-024-07470-4
Abstrakt: Purpose: The success of metabolic and bariatric surgery (MBS) is impacted by significant pre-surgical attrition rates and poor postoperative follow-up. This study focused on geographic variations in attrition rates and surgical outcomes for MBS practice for which the patient population is drawn from nine Chicago neighborhoods, to examine whether suboptimal weight loss or reduced adherence to the program varied across neighborhoods.
Methods: Patients who presented for their initial MBS consultation at the University of Illinois (UI) Health's program between January 2019 and December 2020 were identified from electronic medical records. Demographic and medical information was extracted, along with postoperative weight at 3, 6, and 12 months after surgery. The Chicago area was divided into nine geographic regions. The outcomes of interest were preoperative attrition rate, postoperative compliance to follow-up appointments, and postoperative weight loss for each group and by residential neighborhood.
Results: A total of 1202 patients were included in this analysis, of whom 423 (35%) underwent surgery and 780 did not, representing a pre-surgical attrition rate of 64.9%. Age, sex, and race/ethnic distribution varied markedly across geographic regions. Postoperative weight loss varied significantly in neighborhoods with higher proportions of residents from racial/ethnic minority backgrounds. Preoperative attrition and postoperative compliance did not differ across geographic regions.
Conclusion: Patients' residential neighborhoods may influence weight loss after MBS. Preoperative and postoperative compliance did not vary by residential neighborhood.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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