Journal article
Bariatric surgery trends: an 18-year report from the International Bariatric Surgery Registry
The American journal of surgery, Vol.192(5), pp.657-662
2006
DOI: 10.1016/j.amjsurg.2006.07.006
PMID: 17071202
Abstract
The epidemic of morbid obesity has increased bariatric procedures performed. Trend analyses provide important information that may impact individual practices.
Patient data from 137 surgeons were examined from 1987 to 2004 (41,860 patients) using Cochran-Armitage Trend test and Generalized Linear Model.
Over an 18-year period, surgeon preference for combined restrictive-malabsorptive procedures increased from 33% to 94%, while simple gastric restriction decreased correspondingly (
P < .0001). Surgeons per worksite doubled and cases per surgeon increased 71%. Laparoscopic procedures increased to 24%. The percentage of males, mean operative age, and initial body mass index (BMI) increased significantly (
P < .0001). Postoperative hospital stay decreased from 5.0 to 3.9 days (
P < .0001). The most common procedure in 2004 was Roux-en-Y gastric bypass (RYGB) (59%).
Bariatric surgery patients are now older and heavier, length of stay is shorter, and the laparoscopic approach is more frequent. From 1987 to 2004, the general trend shows a clear preference for combined restrictive-malabsorptive operations.
Details
- Title: Subtitle
- Bariatric surgery trends: an 18-year report from the International Bariatric Surgery Registry
- Creators
- Isaac Samuel - Department of Surgery, The Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USAEdward E Mason - Department of Surgery, The Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USAKathleen E Renquist - Department of Surgery, The Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USAYu-Hui Huang - University of Iowa College of Public Health, Iowa City, IA, USAM. Bridget Zimmerman - University of Iowa College of Public Health, Iowa City, IA, USAMohammad Jamal - Department of Surgery, The Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.192(5), pp.657-662
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.amjsurg.2006.07.006
- PMID
- 17071202
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Language
- English
- Date published
- 2006
- Academic Unit
- Biostatistics; Surgery
- Record Identifier
- 9983997361502771
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