COVID-19 大流行对接受代谢减肥手术的青少年的影响

IF 3.5 3区 医学 Q1 SURGERY Surgery for Obesity and Related Diseases Pub Date : 2024-07-23 DOI:10.1016/j.soard.2024.07.012
Nicholas Schmoke MD, Christopher Nemeh MD, Robert W. Crum MD, Emily C. McManus BS, Alexey Abramov MD, Chunhui Wang MD MPH, Paul Kurlansky MD, Jeffrey Zitsman MD
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引用次数: 0

摘要

尽管 COVID-19 大流行的持久影响仍在继续,但其对接受减肥手术的青少年的影响仍未显现。我们研究了大流行对接受代谢减肥手术的青少年的影响。纽约州纽约市,学术医院。我们对前瞻性收集的数据进行了单机构回顾,评估了 2010 年至 2023 年间接受腹腔镜袖带胃切除术的青少年,形成了两个队列:COVID 前队列(2019 年 3 月 1 日之前)和 COVID 后队列(2020 年 3 月 1 日之后)。比较不同组群在手术后 6 个月和 12 个月的绝对体重减轻率和百分比以及体重指数 (BMI) 变化。建立了多变量线性回归模型来估计体重减轻与年龄、性别、种族和体重指数之间的关系。共纳入 358 名患者:其中 245 人属于 COVID 前队列,113 人属于 COVID 队列。基线特征无明显差异。在 6 个月时,两组患者在体重减轻(21.6 千克对 22.5 千克,P=0.43)、体重减轻百分比(18% 对 18%,P=0.63)和体重指数变化(8.0 对 8.4,P=0.39)方面无明显差异,12 个月时仍保持不变。在多变量模型中,对年龄、性别、种族和基线体重指数进行调整后,在大流行期间接受手术与术后6个月和12个月体重减轻或体重指数变化的差异无关。尽管COVID-19大流行对社会造成了严重影响,但腹腔镜袖带胃切除术仍是治疗青少年肥胖症的一种持久性干预措施,在大流行期间接受手术的患者与大流行前相比,体重减轻情况无明显差异。
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Impact of COVID-19 Pandemic on Adolescents Undergoing Metabolic Bariatric Surgery
While the lasting effect of the COVID-19 pandemic continues to unfold, the impact on adolescents undergoing bariatric surgery remains unseen. We examined the impact of the pandemic on adolescents undergoing metabolic bariatric surgery. Academic hospital, New York, NY. A single-institution review of prospectively collected data evaluated adolescents who underwent laparoscopic sleeve gastrectomy between 2010 and 2023, forming two cohorts: pre-COVID (before March 1, 2019) and COVID (after March 1, 2020). Absolute and percent weight loss and body mass index (BMI) change at 6 and 12 months post-surgery were compared between cohorts. Multivariable linear regression models were constructed to estimate the association between weight loss, adjusting for age, gender, ethnicity, and BMI. 358 patients were included: 245 in the pre-COVID cohort and 113 in the COVID cohort. There were no significant differences in baseline characteristics. There were no significant differences between cohorts at 6 months in weight loss (21.6 kg vs. 22.5 kg, p=0.43), percent weight loss (18% vs. 18%, p=0.63), and BMI change (8.0 vs. 8.4, p=0.39) which was maintained at 12 months. In multivariate models, after adjusting for age, gender, ethnicity, and baseline BMI, undergoing surgery during the pandemic was not associated with a difference in weight loss or BMI change at 6 and 12 months postoperatively. Despite the severe societal impact of the COVID-19 pandemic, laparoscopic sleeve gastrectomy remained a durable intervention for adolescent obesity, with no observed differences in weight loss in patients undergoing surgery during the pandemic compared to pre-pandemic.
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来源期刊
CiteScore
6.70
自引率
12.90%
发文量
570
审稿时长
56 days
期刊介绍: Surgery for Obesity and Related Diseases (SOARD), The Official Journal of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Brazilian Society for Bariatric Surgery, is an international journal devoted to the publication of peer-reviewed manuscripts of the highest quality with objective data regarding techniques for the treatment of severe obesity. Articles document the effects of surgically induced weight loss on obesity physiological, psychiatric and social co-morbidities.
期刊最新文献
Editorial Board Table of Contents SOARD Category 1 CME Credit Featured Articles, Volume 20, November 2024 Cartoon Editorial Board
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