Pub Date : 2024-12-01DOI: 10.1016/j.soard.2024.06.007
Suzanne C. Kleipool M.D. , Nini H. Jonkman Ph.D. , Pim W.J. van Rutte M.D., Ph.D. , Steve M.M. de Castro M.D., Ph.D. , Ruben N. van Veen M.D., Ph.D. , Dutch Audit for Treatment of Obesity (DATO) Research Group
Background
Bariatric surgery with same-day discharge (SDD) is becoming increasingly common. Nevertheless, there is limited data available comparing gastric bypass patients with SDD to those with overnight hospitalization.
Objective
The aim of this study was to investigate the short-term outcomes of gastric bypass with SDD compared to overnight hospitalization in The Netherlands.
Setting
Retrospective database study with the use of the Dutch national registry.
Methods
Patients who underwent gastric bypass surgery in 2022 were included and propensity score matching was performed to compare SDD with patients discharged on postoperative days (POD) 1-4. The primary outcome was the occurrence of severe complications within 30 days postoperative.
Results
A total of 775 SDD patients were matched with 1550 patients discharged on POD 1-4. The occurrence of severe complications was .9% in both groups (P = 1.000), and there were no significant differences in reoperations or mortality. A significant difference was observed in the readmission rate, with 3.9% in the SDD group compared to 1.6% in the other group (P = .001). A proportionally small, yet statistically significant difference favored the control group regarding anastomotic leakages (.6% versus 0%, P = .004) and unspecified surgical complications (1.4% versus .5%, P = .028).
Conclusion
Gastric bypass with SDD is safe, with no increased risk of short-term severe complications, reoperations, or mortality. However, SDD is associated with a higher 30-day readmission rate compared to patients who stay overnight in the hospital after surgery.
{"title":"Safety of gastric bypass with same-day discharge: a propensity score-matched analysis of the Dutch Audit for treatment of Obesity","authors":"Suzanne C. Kleipool M.D. , Nini H. Jonkman Ph.D. , Pim W.J. van Rutte M.D., Ph.D. , Steve M.M. de Castro M.D., Ph.D. , Ruben N. van Veen M.D., Ph.D. , Dutch Audit for Treatment of Obesity (DATO) Research Group","doi":"10.1016/j.soard.2024.06.007","DOIUrl":"10.1016/j.soard.2024.06.007","url":null,"abstract":"<div><h3>Background</h3><div>Bariatric surgery with same-day discharge (SDD) is becoming increasingly common. Nevertheless, there is limited data available comparing gastric bypass patients with SDD to those with overnight hospitalization.</div></div><div><h3>Objective</h3><div>The aim of this study was to investigate the short-term outcomes of gastric bypass with SDD compared to overnight hospitalization in The Netherlands.</div></div><div><h3>Setting</h3><div>Retrospective database study with the use of the Dutch national registry.</div></div><div><h3>Methods</h3><div>Patients who underwent gastric bypass surgery in 2022 were included and propensity score matching was performed to compare SDD with patients discharged on postoperative days (POD) 1-4. The primary outcome was the occurrence of severe complications within 30 days postoperative.</div></div><div><h3>Results</h3><div>A total of 775 SDD patients were matched with 1550 patients discharged on POD 1-4. The occurrence of severe complications was .9% in both groups (<em>P</em> = 1.000), and there were no significant differences in reoperations or mortality. A significant difference was observed in the readmission rate, with 3.9% in the SDD group compared to 1.6% in the other group (<em>P</em> = .001). A proportionally small, yet statistically significant difference favored the control group regarding anastomotic leakages (.6% versus 0%, <em>P</em> = .004) and unspecified surgical complications (1.4% versus .5%, <em>P</em> = .028).</div></div><div><h3>Conclusion</h3><div>Gastric bypass with SDD is safe, with no increased risk of short-term severe complications, reoperations, or mortality. However, SDD is associated with a higher 30-day readmission rate compared to patients who stay overnight in the hospital after surgery.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1226-1232"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141692742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.soard.2024.07.006
Gail A. Kerver Ph.D. , Leslie J. Heinberg Ph.D. , Dale S. Bond Ph.D. , Leslie A. Laam Ph.D. , Ross D. Crosby Ph.D. , Scott G. Engel Ph.D. , Kristine J. Steffen Pharm.D., Ph.D.
Background
Disordered eating is a concern for patients seeking metabolic and bariatric surgery (MBS), but little is known about how these behaviors are reflected in typical dietary intake prior to surgery.
Objectives
This study examined the relationships between disordered eating behavior and the content and context of typical dietary intake among patients seeking MBS using an innovative combination of rigorous self-report and interview assessments.
Setting
Participants were recruited from two academic medical centers in the United States.
Methods
Adults were enrolled prior to MBS. Participants completed the Eating Disorder Examination-Bariatric Surgery Version (EDE-BSV) and then reported details of their dietary intake for three consecutive days using a validated 24-hour dietary recall system.
Results
Among the sample (n = 140), objective overeating (OOE) was prevalent and related to greater daily energy and macronutrient intake. Individuals engaging in recurrent OOE were also more likely to consume meals past 8 pm Findings failed to identify significant associations between other disordered eating behaviors, such as objective binge eating (OBE), and contextual factors related to dietary intake.
Conclusions
The timing of eating may play a greater role in recurrent overeating than social and physical aspects of the environment. Individuals reporting frequent OOE before MBS may benefit from targeted education and intervention aimed at reducing OOE and subsequently promoting better adherence to dietary recommendations.
{"title":"Disordered eating behavior and dietary intake prior to metabolic and bariatric surgery","authors":"Gail A. Kerver Ph.D. , Leslie J. Heinberg Ph.D. , Dale S. Bond Ph.D. , Leslie A. Laam Ph.D. , Ross D. Crosby Ph.D. , Scott G. Engel Ph.D. , Kristine J. Steffen Pharm.D., Ph.D.","doi":"10.1016/j.soard.2024.07.006","DOIUrl":"10.1016/j.soard.2024.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Disordered eating is a concern for patients seeking metabolic and bariatric surgery (MBS), but little is known about how these behaviors are reflected in typical dietary intake prior to surgery.</div></div><div><h3>Objectives</h3><div>This study examined the relationships between disordered eating behavior and the content and context of typical dietary intake among patients seeking MBS using an innovative combination of rigorous self-report and interview assessments.</div></div><div><h3>Setting</h3><div>Participants were recruited from two academic medical centers in the United States.</div></div><div><h3>Methods</h3><div>Adults were enrolled prior to MBS. Participants completed the Eating Disorder Examination-Bariatric Surgery Version (EDE-BSV) and then reported details of their dietary intake for three consecutive days using a validated 24-hour dietary recall system.</div></div><div><h3>Results</h3><div>Among the sample (<em>n</em> = 140), objective overeating (OOE) was prevalent and related to greater daily energy and macronutrient intake. Individuals engaging in recurrent OOE were also more likely to consume meals past 8 <span>pm</span> Findings failed to identify significant associations between other disordered eating behaviors, such as objective binge eating (OBE), and contextual factors related to dietary intake.</div></div><div><h3>Conclusions</h3><div>The timing of eating may play a greater role in recurrent overeating than social and physical aspects of the environment. Individuals reporting frequent OOE before MBS may benefit from targeted education and intervention aimed at reducing OOE and subsequently promoting better adherence to dietary recommendations.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1381-1387"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.soard.2024.08.029
Reyhaneh Yousefi M.Sc. , Tair Ben-Porat Ph.D. , Ariany Marques Vieira M.Sc. , Kim L. Lavoie Ph.D. , Simon L. Bacon Ph.D.
Background
Prioritizing patients for metabolic and bariatric surgery (MBS) based on their potential postoperative benefits is essential.
Objectives
To examine changes in quality of life (QoL) during the initial postoperative year among patients with diverse eligibility statuses and determine which group experiences greater benefits.
Setting
Center intégré universitaire de santé et de services sociaux du Nord-de-l'Île-de- Montréal (CIUSSS-NIM), Canada.
Methods
We categorized patients into 3 groups based on obesity class and the presence of comorbidities: Group 1 (obesity class II without comorbidities, n = 28); Group 2 (obesity class II with comorbidities, n = 36); and Group 3 (obesity class III, n = 460). QoL (Short-Form QoL questionnaire [SF-12]) and anthropometrics were measured at 6 months before, and 6 and 12 months after surgery.
Results
Repeated measures mixed models revealed a significant main effect of time (P < .001) and an interaction between time and group for the physical component of QoL (P = .007). These indicated consistent improvements across time in all groups, with the greatest benefits seen in Group 3 relative to Group 1. There were no interactions between time and group for the mental components of QoL (P = .402). There were significant interaction effects for weight and BMI (P’s < .001), with Group 3 losing more weight than Groups 1 or 2.
Conclusions
All groups that underwent MBS had improvements in the physical aspects of QoL and weight over time, even those who have traditionally not be considered eligible for MBS (i.e., Group 1). This provides a starting point to explore the importance of not excluding patients due to their weight and comorbidity status and setting comprehensive eligibility criteria encompassing all patients who might benefit from MBS, beyond just weight loss.
根据代谢和减肥手术（MBS）患者术后可能获得的益处确定其优先顺序至关重要。目的：研究不同资格的患者在术后最初一年中生活质量（QoL）的变化，并确定哪一组患者能获得更大的益处。加拿大蒙特利尔北岛健康与社会服务综合大学中心（CIUSSS-NIM）。我们根据肥胖程度和是否存在合并症将患者分为三组：第 1 组（无合并症的 II 类肥胖，n = 28）；第 2 组（有合并症的 II 类肥胖，n = 36）；第 3 组（III 类肥胖，n = 460）。在手术前 6 个月、手术后 6 个月和 12 个月测量了 QoL（短式 QoL 问卷 [SF-12]）和人体测量学指标。重复测量混合模型显示，对于 QoL 的身体部分，时间具有显著的主效应（< .001），时间与组别之间存在交互作用（= .007）。在 QoL 的心理因素方面，时间与组别之间没有交互作用 ( = .402)。体重和体重指数之间存在明显的交互作用（P<0.001），第三组比第一组或第二组减重更多。随着时间的推移，接受心理健康教育的所有组别在身体方面的 QoL 和体重都有所改善，即使是那些传统上被认为不符合心理健康教育条件的组别（即第 1 组）也是如此。这为我们提供了一个起点，以探讨不因体重和并发症状况而将患者排除在外的重要性，以及制定全面的资格标准的重要性，这些标准包括所有可能受益于 MBS 的患者，而不仅仅是体重减轻的患者。
{"title":"Who gains the most quality-of-life benefits from metabolic and bariatric surgery: findings from the prospective REBORN cohort study","authors":"Reyhaneh Yousefi M.Sc. , Tair Ben-Porat Ph.D. , Ariany Marques Vieira M.Sc. , Kim L. Lavoie Ph.D. , Simon L. Bacon Ph.D.","doi":"10.1016/j.soard.2024.08.029","DOIUrl":"10.1016/j.soard.2024.08.029","url":null,"abstract":"<div><h3>Background</h3><div>Prioritizing patients for metabolic and bariatric surgery (MBS) based on their potential postoperative benefits is essential.</div></div><div><h3>Objectives</h3><div>To examine changes in quality of life (QoL) during the initial postoperative year among patients with diverse eligibility statuses and determine which group experiences greater benefits.</div></div><div><h3>Setting</h3><div>Center intégré universitaire de santé et de services sociaux du Nord-de-l'Île-de- Montréal (CIUSSS-NIM), Canada.</div></div><div><h3>Methods</h3><div>We categorized patients into 3 groups based on obesity class and the presence of comorbidities: Group 1 (obesity class II without comorbidities, n = 28); Group 2 (obesity class II with comorbidities, n = 36); and Group 3 (obesity class III, n = 460). QoL (Short-Form QoL questionnaire [SF-12]) and anthropometrics were measured at 6 months before, and 6 and 12 months after surgery.</div></div><div><h3>Results</h3><div>Repeated measures mixed models revealed a significant main effect of time (<em>P</em> < .001) and an interaction between time and group for the physical component of QoL (<em>P</em> = .007). These indicated consistent improvements across time in all groups, with the greatest benefits seen in Group 3 relative to Group 1. There were no interactions between time and group for the mental components of QoL (<em>P</em> = .402). There were significant interaction effects for weight and BMI (<em>P</em>’s < .001), with Group 3 losing more weight than Groups 1 or 2.</div></div><div><h3>Conclusions</h3><div>All groups that underwent MBS had improvements in the physical aspects of QoL and weight over time, even those who have traditionally not be considered eligible for MBS (i.e., Group 1). This provides a starting point to explore the importance of not excluding patients due to their weight and comorbidity status and setting comprehensive eligibility criteria encompassing all patients who might benefit from MBS, beyond just weight loss.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1297-1305"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.soard.2024.08.031
Ali Kagan Coskun M.D.
{"title":"Comment on: Evaluating the incidence, risk factors and postoperative complications associated with leaks following duodenal switch procedures: an analysis of the MBSAQIP","authors":"Ali Kagan Coskun M.D.","doi":"10.1016/j.soard.2024.08.031","DOIUrl":"10.1016/j.soard.2024.08.031","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1397-1398"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psoriasis is a common immune-mediated inflammatory skin disease associated with various comorbidities, including obesity.
Objective
This study aimed to investigate changes to psoriasis symptoms, severity, and treatment agents in patients undergoing Metabolic and Bariatric Surgery (MBS).
Setting
Rasool-E Akram University Hospital.
Methods
This prospective observational study consisted of 32 adult patients with obesity and psoriasis who underwent MBS (e.g., Roux-en-Y gastric bypass, One anastomosis gastric bypass, sleeve gastrectomy) between January 2010 and December 2020. Patients with a history of prior MBS were excluded. All patients were examined by a board-certified dermatologist. Psoriasis severity was assessed with the Psoriasis Area and Severity Index (PASI).
Results
The majority of patients were females (n = 29). The mean age of the study population was 46.6 ± 10.8 years, and participants were followed-up for 70.6 ± 29.1 months. A significant decrease in BMI was observed postoperatively from 41.5 ± 4.7 to 30 ± 5.5 kg/m2 (P < .001). PASI score significantly decreased from a median (interquartile range [IQR]) of 3.6 (5.90) to 1.20 (3.45) after MBS (P = .006). The number of patients who reported nail involvement significantly decreased following surgery (P = .039), although no significant difference in joint involvement was noted (P = 1.000).
Conclusion
This study shows that MBS can reduce psoriasis severity and lower the number of needed treatments. Given psoriasis's complexity and varied individual responses, personalized treatment is essential. Further research is necessary to validate these findings in a larger population.
{"title":"The long-term impact of bariatric surgery on psoriasis symptoms and severity: a prospective observational study","authors":"Ali Hosseininasab M.D. , Hesam Mosavari M.D. , Aghil Rostami M.Sc. , Mansour Bahardoust Ph.D. , Amirreza Izadi M.D. , Ali Jaliliyan M.D. , Seyed Ali Nabipoorashrafi M.D. , Fatemeh Jahanshahi M.D. , Mohadeseh Pishgahroudsari B.A. , Aisa Talebi M.D. , Somayyeh Mokhber M.D. , Mohammadreza Ghasemi M.D. , Foolad Eghbali M.D. , Abdolreza Pazouki M.D.","doi":"10.1016/j.soard.2024.07.011","DOIUrl":"10.1016/j.soard.2024.07.011","url":null,"abstract":"<div><h3>Background</h3><div>Psoriasis is a common immune-mediated inflammatory skin disease associated with various comorbidities, including obesity.</div></div><div><h3>Objective</h3><div>This study aimed to investigate changes to psoriasis symptoms, severity, and treatment agents in patients undergoing Metabolic and Bariatric Surgery (MBS).</div></div><div><h3>Setting</h3><div>Rasool-E Akram University Hospital.</div></div><div><h3>Methods</h3><div>This prospective observational study consisted of 32 adult patients with obesity and psoriasis who underwent MBS (e.g., Roux-en-Y gastric bypass, One anastomosis gastric bypass, sleeve gastrectomy) between January 2010 and December 2020. Patients with a history of prior MBS were excluded. All patients were examined by a board-certified dermatologist. Psoriasis severity was assessed with the Psoriasis Area and Severity Index (PASI).</div></div><div><h3>Results</h3><div>The majority of patients were females (n = 29). The mean age of the study population was 46.6 ± 10.8 years, and participants were followed-up for 70.6 ± 29.1 months. A significant decrease in BMI was observed postoperatively from 41.5 ± 4.7 to 30 ± 5.5 kg/m<sup>2</sup> (<em>P</em> < .001). PASI score significantly decreased from a median (interquartile range [IQR]) of 3.6 (5.90) to 1.20 (3.45) after MBS (<em>P</em> = .006). The number of patients who reported nail involvement significantly decreased following surgery (<em>P</em> = .039), although no significant difference in joint involvement was noted (<em>P</em> = 1.000).</div></div><div><h3>Conclusion</h3><div>This study shows that MBS can reduce psoriasis severity and lower the number of needed treatments. Given psoriasis's complexity and varied individual responses, personalized treatment is essential. Further research is necessary to validate these findings in a larger population.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1208-1213"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141771663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.soard.2024.08.019
Jérémie Thereaux M.D., Ph.D. , Mohammed Bennani Ph.D. , Jean Khemis M.D. , Elisabeth Ohayon M.D. , Isabelle Visnovec Buissez M.D. , Alexandre Lafourcade M.Sc. , Laëtitia Quiriconi Ph.D. , Caroline Philippe Ph.D. , Jean-Michel Oppert M.D., Ph.D.
Background
The need for conversional metabolic and bariatric surgery (CMBS) is still growing. No large-scale prospective cohort studies have assessed changes in lipid-lowering treatment (LLT) after CMBS.
Objectives
This study assesses and compares the effectiveness of the 4 main CMBS sequences after sleeve gastrectomy (SG) and adjustable gastric banding (AGB) on reimbursement and cost of LLT.
Setting
France.
Methods
This nationwide observational population-based cohort study analyzed data from the French National Health Insurance database. It included all patients who had undergone primary SG and AGB in France between January 1, 2012, and December 31, 2014, and followed until December 31, 2020. The study assessed LLT reimbursement evolution and costs across 4 different CMBS sequences.
Results
During follow-up, 6396 patients underwent the 4 CMBS sequences: SG-RYGB (Roux-en-Y gastric bypass) (n = 2400), AGB-SG (n = 2277), AGB-RYGB (n = 1173), and SG-SG (n = 546), with a rate of LLT reimbursement of 9.8%, 3.6%, 6.6%, and 7.9%, respectively, in the year before CMBS. The rates of discontinuation of treatment at 2 and 4 years were 41.9%, 35.4%, 45.6%, 20.5% and 45.6%, 31.3%, 64.3%, 31.6%, respectively. At 4 years, the median [interquartile range] annual costs (euros) per patient were significantly lower (P < .01) than the costs in the year before CMBS for each sequence: 86.8 [57.3; 136.1] versus 38.0 [.0; 64.6], 79.1 [50.5; 120.1] versus 50.4 [15.6; 64.1], 89.0 [66.5; 139.6] versus .0 [.0; 58.8], and 89.8 [66.1; 121.4] versus 63.1 [.0; 93.4].
Conclusions
Our study underlines the effectiveness of CMBS in significantly reducing the need and associated costs of LLT for patients with dyslipidemia over a 4-year period.
{"title":"Effectiveness of conversional metabolic and bariatric surgery on dyslipidemia and the cost of lipid-lowering medications over 4 years: a French nationwide study","authors":"Jérémie Thereaux M.D., Ph.D. , Mohammed Bennani Ph.D. , Jean Khemis M.D. , Elisabeth Ohayon M.D. , Isabelle Visnovec Buissez M.D. , Alexandre Lafourcade M.Sc. , Laëtitia Quiriconi Ph.D. , Caroline Philippe Ph.D. , Jean-Michel Oppert M.D., Ph.D.","doi":"10.1016/j.soard.2024.08.019","DOIUrl":"10.1016/j.soard.2024.08.019","url":null,"abstract":"<div><h3>Background</h3><div>The need for conversional metabolic and bariatric surgery (CMBS) is still growing. No large-scale prospective cohort studies have assessed changes in lipid-lowering treatment (LLT) after CMBS.</div></div><div><h3>Objectives</h3><div>This study assesses and compares the effectiveness of the 4 main CMBS sequences after sleeve gastrectomy (SG) and adjustable gastric banding (AGB) on reimbursement and cost of LLT.</div></div><div><h3>Setting</h3><div>France.</div></div><div><h3>Methods</h3><div>This nationwide observational population-based cohort study analyzed data from the French National Health Insurance database. It included all patients who had undergone primary SG and AGB in France between January 1, 2012, and December 31, 2014, and followed until December 31, 2020. The study assessed LLT reimbursement evolution and costs across 4 different CMBS sequences.</div></div><div><h3>Results</h3><div>During follow-up, 6396 patients underwent the 4 CMBS sequences: SG-RYGB (Roux-en-Y gastric bypass) (n = 2400), AGB-SG (n = 2277), AGB-RYGB (n = 1173), and SG-SG (n = 546), with a rate of LLT reimbursement of 9.8%, 3.6%, 6.6%, and 7.9%, respectively, in the year before CMBS. The rates of discontinuation of treatment at 2 and 4 years were 41.9%, 35.4%, 45.6%, 20.5% and 45.6%, 31.3%, 64.3%, 31.6%, respectively. At 4 years, the median [interquartile range] annual costs (euros) per patient were significantly lower (<em>P</em> < .01) than the costs in the year before CMBS for each sequence: 86.8 [57.3; 136.1] versus 38.0 [.0; 64.6], 79.1 [50.5; 120.1] versus 50.4 [15.6; 64.1], 89.0 [66.5; 139.6] versus .0 [.0; 58.8], and 89.8 [66.1; 121.4] versus 63.1 [.0; 93.4].</div></div><div><h3>Conclusions</h3><div>Our study underlines the effectiveness of CMBS in significantly reducing the need and associated costs of LLT for patients with dyslipidemia over a 4-year period.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1270-1278"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.soard.2024.08.013
Leah J. Schoel M.D., Anne P. Ehlers M.D., M.P.H.
{"title":"Comment on: Ambulatory discharge of patients undergoing sleeve gastrectomy results in significantly more adverse outcomes","authors":"Leah J. Schoel M.D., Anne P. Ehlers M.D., M.P.H.","doi":"10.1016/j.soard.2024.08.013","DOIUrl":"10.1016/j.soard.2024.08.013","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages e25-e26"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The standard of care for pediatric patients with severe obesity considering metabolic and bariatric surgery is a preoperative multidisciplinary evaluation. A multidisciplinary team allows for the efficient use of variable personnel expertise to evaluate, manage, and support a pediatric patient and family through metabolic and bariatric surgery. This review discusses the purpose, recommended team members, patient selection, content, and benefits of the multidisciplinary preoperative evaluation. This evaluation should reduce barriers to care and optimize patient safety and outcomes while taking into consideration the unique developmental needs of this age group.
{"title":"Pediatric metabolic and bariatric surgery: indications and preoperative multidisciplinary evaluation","authors":"Caren Mangarelli M.D., M.S. , Gillian Fell M.D. , Emily Hobbs M.S., R.D.N., L.D.N. , Kelly Walker Lowry Ph.D. , Elissa Williams M.S., A.P.R.N.-F.P.A., C.P.N.P.-P.C. , Janey S.A. Pratt M.D., F.A.C.S., F.A.S.M.B.S.","doi":"10.1016/j.soard.2024.08.025","DOIUrl":"10.1016/j.soard.2024.08.025","url":null,"abstract":"<div><div>The standard of care for pediatric patients with severe obesity considering metabolic and bariatric surgery is a preoperative multidisciplinary evaluation. A multidisciplinary team allows for the efficient use of variable personnel expertise to evaluate, manage, and support a pediatric patient and family through metabolic and bariatric surgery. This review discusses the purpose, recommended team members, patient selection, content, and benefits of the multidisciplinary preoperative evaluation. This evaluation should reduce barriers to care and optimize patient safety and outcomes while taking into consideration the unique developmental needs of this age group.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1334-1342"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-30DOI: 10.1016/j.soard.2024.11.008
John Magaña Morton M.D., M.P.H.
{"title":"2015 American Society for Metabolic and Bariatric Surgery Presidential address","authors":"John Magaña Morton M.D., M.P.H.","doi":"10.1016/j.soard.2024.11.008","DOIUrl":"10.1016/j.soard.2024.11.008","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 4","pages":"Pages 504-508"},"PeriodicalIF":3.5,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Metabolic and bariatric surgery (MBS) is considered the most effective treatment for people with severe obesity, and certain interventions could enhance its long-term results. The complete reporting of interventions’ details is necessary for their replication in clinical settings.
Objectives
To investigate the completeness of reporting of lifestyle and nutritional interventions applied in immediate perioperative period (30-days preoperatively and postoperatively) in patients undergoing MBS using the 12-item Template for Intervention Description and Replication (TIDieR) checklist, and to explore factors associated with compliant reporting.
Setting
A cross-sectional study.
Methods
We searched MEDLINE, Embase, and CENTRAL up to April 14 2024. The screening, extraction, and assessments were performed independently by 2 authors.
Results
Information from the manuscript, protocol, and supplementary materials in 72 trials comprising 76 interventions satisfied a mean of the 70.4% (standard deviation 16.5) of TIDieR items. Altogether, 6.6% of the interventions fulfilled all items. The lowest scoring items were adherence to intervention (item 12, reported in 51.3% of the interventions), modes of delivery (item 6, 42.1%), intervention provider (item 5, 38.3%), and fidelity assessment and maintenance planning (item 11, 23.7%). A total of 6.9% of the trials contained relevant information in the protocol or supplementary materials and 93.1% required contacting authors for clarifications. We identified the number of authors, availability of a study protocol, availability of supplementary materials, reporting of the compliance with the Consolidated Standards of Reporting Trials (CONSORT) guidelines, and reporting of a plan for dealing with missing outcome data as predictors of better reporting, while the Asian country of the corresponding author implied less compliant reporting.
Conclusions
The completeness of reporting of lifestyle and nutritional interventions applied in immediate perioperative period in patients undergoing MBS is suboptimal and, consequently, impedes their replication in clinical practice. A wider adoption of the TIDieR checklist by authors, reviewers, and journal editors should enhance the transparency, clarity, and transferability of research.
{"title":"Perioperative lifestyle and nutritional interventions’ details reporting in bariatric surgery trials according to the Template for Intervention Description and Replication (TIDieR) checklist: a cross-sectional study","authors":"Mateusz J. Swierz M.D. , Dawid Storman M.D. , Oliwia Madej , Joanna Krolikowska , Edyta Dyngosz , Aneta Kotlarek , Karolina Zawadzka M.D. , Zuzanna Sawiec M.D. , Pawel Jemiolo M.Sc. , Joanna Zajac M.Sc., Ph.D. , Sylwia Warzecha M.Sc. , Malgorzata Maraj M.Sc., Ph.D. , Karolina Majdak M.Sc. , Malgorzata M. Bala M.D., Ph.D.","doi":"10.1016/j.soard.2024.11.003","DOIUrl":"10.1016/j.soard.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic and bariatric surgery (MBS) is considered the most effective treatment for people with severe obesity, and certain interventions could enhance its long-term results. The complete reporting of interventions’ details is necessary for their replication in clinical settings.</div></div><div><h3>Objectives</h3><div>To investigate the completeness of reporting of lifestyle and nutritional interventions applied in immediate perioperative period (30-days preoperatively and postoperatively) in patients undergoing MBS using the 12-item Template for Intervention Description and Replication (TIDieR) checklist, and to explore factors associated with compliant reporting.</div></div><div><h3>Setting</h3><div>A cross-sectional study.</div></div><div><h3>Methods</h3><div>We searched MEDLINE, Embase, and CENTRAL up to April 14 2024. The screening, extraction, and assessments were performed independently by 2 authors.</div></div><div><h3>Results</h3><div>Information from the manuscript, protocol, and supplementary materials in 72 trials comprising 76 interventions satisfied a mean of the 70.4% (standard deviation 16.5) of TIDieR items. Altogether, 6.6% of the interventions fulfilled all items. The lowest scoring items were adherence to intervention (item 12, reported in 51.3% of the interventions), modes of delivery (item 6, 42.1%), intervention provider (item 5, 38.3%), and fidelity assessment and maintenance planning (item 11, 23.7%). A total of 6.9% of the trials contained relevant information in the protocol or supplementary materials and 93.1% required contacting authors for clarifications. We identified the number of authors, availability of a study protocol, availability of supplementary materials, reporting of the compliance with the Consolidated Standards of Reporting Trials (CONSORT) guidelines, and reporting of a plan for dealing with missing outcome data as predictors of better reporting, while the Asian country of the corresponding author implied less compliant reporting.</div></div><div><h3>Conclusions</h3><div>The completeness of reporting of lifestyle and nutritional interventions applied in immediate perioperative period in patients undergoing MBS is suboptimal and, consequently, impedes their replication in clinical practice. A wider adoption of the TIDieR checklist by authors, reviewers, and journal editors should enhance the transparency, clarity, and transferability of research.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 4","pages":"Pages 390-400"},"PeriodicalIF":3.5,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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