Modeling the Impact of Delaying Bariatric Surgery due to COVID-19: a Decision Analysis
| Autor: | Stephen A. Deppen, Eric L. Grogan, Wayne J. English, Alicia Beeghly-Fadiel, Maren E. Shipe |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Sleeve gastrectomy Coronavirus disease 2019 (COVID-19) Databases Factual medicine.medical_treatment Endocrinology Diabetes and Metabolism Clinical Decision-Making 030209 endocrinology & metabolism Disease Comorbidity Brief Communication Decision analysis Body Mass Index Decision Support Techniques Diabetes Complications 03 medical and health sciences Local infection 0302 clinical medicine Diabetes mellitus medicine Diabetes Mellitus Prevalence Humans Risks and benefits Bariatric surgery Nutrition and Dietetics business.industry SARS-CoV-2 COVID-19 Middle Aged Risk modeling medicine.disease Surgery Obesity Morbid Coronavirus 030211 gastroenterology & hepatology Female business Body mass index |
| Zdroj: | Obesity Surgery |
| ISSN: | 1708-0428 |
| Popis: | We developed a decision analysis model to evaluate risks and benefits of delaying scheduled bariatric surgery during the novel coronavirus disease (COVID-19) pandemic. Our base case was a 45-year-old female with diabetes and a body mass index of 45 kg/m2. We compared immediate with delayed surgery after 6 months to allow for COVID-19 prevalence to decrease. We found that immediate and delayed bariatric surgeries after 6 months resulted in similar 20-year overall survival. When the probability of COVID-19 infection exceeded 4%, then delayed surgery improved survival. If future COVID-19 infection rates were at least half those in the immediate scenario, then immediate surgery was favored and local infection rates had to exceed 9% before surgical delay improved survival. Surgeons should consider local disease prevalence and patient comorbidities associated with increased mortality before resuming bariatric surgery programs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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