Michael A Edwards, Anyull D Bohorquez Caballero, Adrienne E Edwards, Aaron C Spaulding
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引用次数: 0
Abstract
Background: Obesity is an epidemic that affects individuals of all races. Literature reports reoperation rates from 0.1 to 6.5% and non-operative reintervention rates from 1.1 to 3.6% after metabolic and bariatric surgery (MBS). Despite discordant rates among ethnic groups being described, results are still inconclusive.
Objective: To compare reoperation and reintervention causes among ethnic MBS cohorts (setting-Academic Hospital).
Methods: Roux-en-Y Gastric Bypass (RYGB) and sleeve gastrectomy (SG) cases were identified from the 2015-2018 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Project (MBSAQIP) databases. Regression analyses were performed to determine predictors of reoperation and reintervention. Reoperation and reintervention causes were compared among racial/ethnic cohorts using Pearson chi-square or Kruskal-Wallis tests. A p-value < 0.05 was considered significant.
Results: In total, 550,671 cases were analyzed. Reoperation and reintervention rates for all-cause and bariatric-related causes were 1.3%, 1.05%, 1.3%, and 1.2%, respectively. The NHB population was identified as an independent predictor of reoperation and reintervention. The most common bariatric-related causes of reoperation were bleeding (22.67%) and leaks (18.07%). NHB had an increased proportion of reoperation due to IO and reintervention due to NVP. For Hispanics and NHW, an increased proportion of bleeding and leaks were significantly increased for both reoperation and reintervention, respectively. After propensity matching, NHB patients undergoing SG had higher odds of reoperation and reintervention due to leaks and bleeding compared to other populations.
Conclusion: MBS reoperation and reintervention causes differ by ethnic groups. Studies on optimizing care quality based on these disparities should be conducted.
期刊介绍：
Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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