Journal article
Buckle of the bariatric surgery belt: an analysis of regional disparities in bariatric surgery
Surgery for obesity and related diseases, Vol.13(8), pp.1290-1296
08/01/2017
DOI: 10.1016/j.soard.2017.03.027
PMID: 28539231
Abstract
Background: Surgical options have emerged as effective treatments to mitigate obesity-associated co-morbidities leading to reduced mortality risk. Despite the benefits of bariatric surgery, a low portion of the eligible population undergoes weight loss procedures.
Objectives: To determine if regional disparities exist among bariatric patients in the United States and potential effects of any difference
Setting: National Inpatient Sample (NIS).
Methods: We performed a retrospective, cross-sectional analysis of the NIS database from 2003-2010. We identified 4 regions of the United States; Northeast, Midwest, West, and South. Endpoints included race, payor status, co-morbidities, urban/rural areas, institutional academic status, surgeon, and institutional volume. The sample was analyzed using chi(2) tests, linear regression, and multivariate logistical regression analysis.
Results: A total of 132,342 cases and 636,320 controls were studied. A majority of the study population was female (62.5%) and white (70.0%) with private insurance (42.0%). The highest prevalence of obesity was identified in the South (39.7%) and the lowest in the Midwest (17.1%). The greatest numbers of bariatric procedures are performed in the Northeast (24.4%) compared with the South (13.9%) and Midwest (13%). After controlling for demographic characteristics, the proportion of procedures performed in the Northeast compared with the South (odds ratio.52, confidence interval .40.66; P < .001) and Midwest (odds ratio.50, confidence interval .33.75; P <.005) was significant.
Conclusion: Significant disparities in bariatric procedures performed were identified in the South and Midwest regions compared with the Northeast. Although the South has a higher prevalence of obesity, thus it could be suggested by outreach programs. (Surg Obes Relat Dis 2017;13:1290-1296.) (C) 2017 American Society for Metabolic and Bariatric Surgery. All rights reserved.
Details
- Title: Subtitle
- Buckle of the bariatric surgery belt: an analysis of regional disparities in bariatric surgery
- Creators
- Dietric L. Hennings - Tulane UniversityThomas J. O'Malley - Tulane UniversityMaria Baimas-George - Tulane UniversityZaid Al-Qurayshi - Tulane UniversityEmad Kandil - Tulane UniversityChristopher DuCoin - Tulane University
- Resource Type
- Journal article
- Publication Details
- Surgery for obesity and related diseases, Vol.13(8), pp.1290-1296
- Publisher
- Elsevier
- DOI
- 10.1016/j.soard.2017.03.027
- PMID
- 28539231
- ISSN
- 1550-7289
- eISSN
- 1878-7533
- Number of pages
- 7
- Language
- English
- Date published
- 08/01/2017
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702824702771
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