Interventions and Operations 5 Years After Bariatric Surgery in a Cohort From the US National Patient-Centered Clinical Research Network Bariatric Study
| Autor: | Kathleen M. McTigue, Karen J. Coleman, Neely Williams, Elizabeth Cirelli, David Arterburn, Jessica L. Sturtevant, Andrea J. Cook, Jane Anau, Ali Tavakkoli, Robert J. Wellman, Casie Horgan, Jeanne M. Clark, Cheri Janning, Sengwee Toh, Anita P. Courcoulas, Corrigan L. McBride, R. Yates Coley |
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| Rok vydání: | 2020 |
| Předmět: |
Sleeve gastrectomy
Pediatrics medicine.medical_specialty business.industry medicine.medical_treatment Mortality rate Hazard ratio Psychological intervention 030230 surgery 03 medical and health sciences 0302 clinical medicine Interquartile range 030220 oncology & carcinogenesis Cohort Medicine Surgery business Body mass index Cohort study |
| Zdroj: | JAMA Surgery. 155:194 |
| ISSN: | 2168-6254 |
| DOI: | 10.1001/jamasurg.2019.5470 |
| Popis: | Importance Additional data comparing longer-term problems associated with various bariatric surgical procedures are needed for shared decision-making. Objective To compare the risks of intervention, operation, endoscopy, hospitalization, and mortality up to 5 years after 2 bariatric surgical procedures. Design, Setting, and Participants Adults who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) between January 1, 2005, and September 30, 2015, within the National Patient-Centered Clinical Research Network. Data from 33 560 adults at 10 centers within 4 clinical data research networks were included in this cohort study. Information was extracted from electronic health records using a common data model and linked to insurance claims and mortality indices. Analyses were conducted from January 2018 through October 2019. Exposures Bariatric surgical procedures. Main Outcomes and Measures The primary outcome was time until operation or intervention. Secondary outcomes included endoscopy, hospitalization, and mortality rates. Results Of 33 560 adults, 18 056 (54%) underwent RYGB, and 15 504 (46%) underwent SG. The median (interquartile range) follow-up for operation or intervention was 3.4 (1.6-5.0) years for RYGB and 2.2 (0.9-3.6) years for SG. The overall mean (SD) patient age was 45.0 (11.5) years, and the overall mean (SD) patient body mass index was 49.1 (7.9). The cohort was composed predominantly of women (80%) and white individuals (66%), with 26% of Hispanic ethnicity. Operation or intervention was less likely for SG than for RYGB (hazard ratio, 0.72; 95% CI, 0.65-0.79;P Conclusions and Relevance Interventions, operations, and hospitalizations were relatively common after bariatric surgical procedures and were more often associated with RYGB than SG. Trial Registration ClinicalTrials.gov identifier:NCT02741674 |
| Databáze: | OpenAIRE |
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