Effect of COVID-19 pandemic on global Bariatric surgery PRActiceS – The COBRAS study

Singhal, Rishi; Tahrani, Abd A; Sakran, Nasser; Herrera, Miguel F.; Menon, Vinod; Khaitan, Manish; Foschi, Diego; Super, Jonathan; Sandvik, Jorunn; Angrisani, Luigi; Kawahara, Nilton; Teixeira, Júlio; Campos, Guilherme M.; Kothari, Shanu N.; Graham, Yitka; Ludwig, Christian; Mahawar, Kamal

doi:10.1016/j.orcp.2021.04.005

Cited by 22 publications

(18 citation statements)

References 12 publications

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“…Regardless, both the trend towards SG and less comorbid patient selection appears to have begun prior to the COVID-19 pandemic but were emphasised during the pandemic. It is likely that recent data showing favourable outcomes and long-term benefits in patients with obesity but without comorbidities led to selection of these patients during the pandemic considering the limited operative time, hospital occupancy, and post-operative follow-up 16 , 21 . Similarly, favourable outcomes, shorter hospital stay, and reduced post-operative complications with SG in recently-published SM-BOSS and SLEEVEPASS trials likely explain its increased use during the COVID-19 pandemic ( 25 , 26 , 27 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Despite substantial evidence across various surgical subspecialties, multi-centered international evaluation of the impact COVID-19 has had on bariatric surgery has not been well characterized. This scarcity of evidence has occurred in spite of patients with obesity being disproportionately affected by COVID-19, alongside concerns that obesity treatments may be overlooked as we recover from the COVID-19 pandemic due to obesity stigma ( 16 , 17 , 18 , 19 ) .…”

Section: Introductionmentioning

confidence: 99%

“…Early studies evaluating the effect of COVID-19 on bariatric surgery have reported a substantial reduction in procedures performed ( 16 ) . Unfortunately, delaying bariatric surgery due to COVID-19 has shown deleterious weight gain and psychological patient effects ( 20 ) .…”

Section: Introductionmentioning

confidence: 99%

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Effect of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834,647 patients

Verhoeff

Mocanu

Dang

et al. 2022

Surgery for Obesity and Related Diseases

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834,647 patients

Verhoeff

Mocanu

Dang

et al. 2022

Surgery for Obesity and Related Diseases

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“…Personal protective equipment varies according to the degree of protection needed (from basic surgical masks to N95 masks that filter 95% of airborne particles. Adequate protection in the form of N95 masks was not always available at the beginning of the pandemic, which correlated with an increased risk of infection [60,64]. Appropriate PPE provision should be the highest priority in ensuring staff safety.…”

Section: Theatre Staff Risk Mitigationmentioning

confidence: 99%

Safe Surgery During the COVID-19 Pandemic

et al. 2021

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Purpose of Review Coronavirus Disease-2019 (COVID-19) has had an enormous impact on all aspects of healthcare, but its effect on patients needing surgery and surgeons has been disproportionate. In this review, we aim to understand the impact of the pandemic on surgical patients and teams. We compiled the emerging data on pre-operative screening methods, vaccinations, safe-surgery pathways and surgical techniques and make recommendations for evidence-based safe-surgical pathways. We also present surgical outcomes for emergency, oncological and benign surgery in the context of the pandemic. Finally, we attempt to address the impact of the pandemic on patients, staff and surgical training and provide perspectives for the future. Recent Findings Surgical teams have developed consensus guidelines and established research priorities and safety precautions for surgery during the COVID-19 pandemic. Evidence supports that surgery in patients with a peri-operative SARS-CoV-2 infection carries substantial risks, but risk mitigation strategies are effective at reducing harm to staff and patients. Summary Surgery has increased risk for patients and staff, but this can be mitigated effectively, especially for elective surgery. Elective surgery can be safely performed during the COVID-19 pandemic employing the strategies discussed in this review.

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“…19 Of particular relevance will be the recovery of surgical services following the COVID-19 pandemic during which bariatric surgical programmes were suspended. 20 The repercussions of the pandemic will worsen the deficit in provision of obesity care as a result of bariatric surgery being under-resourced and under-accessed.…”

mentioning

confidence: 99%

How safe bariatric surgery is—An update on perioperative mortality for clinicians and patients

et al. 2022

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Bariatric, metabolic or weight loss surgery produces sustained weight loss and imporovement in obesity related diseases. Bariatric surgery has existed for decades but there is limited reliable data on the risk of perioperative mortality following the procedures. This commentary focuses on a recent meta-analysis which has produced contemporaneous mortality data, and the findings are significant. Utilising data from 3.6 million patients the study has shown an overall pooled perioperative mortality of 0.08%, a significantly reduced risk compared to previous, smaller studies. This finding increases our knowledge of surgical risk for these procedures and should now equip health care groups to challenge barriers to uptake of bariatric surgery. Barriers currently include a worldwide lack of focus on treating obesity, lack of funding and resource from commissioners, and a general public and professional view that bariatric surgery may be high risk. In reality, this figure equates to mortality risk for procedures generally considered 'safe' such as laparoscopic cholecystectomy and knee arthroplasty. Bariatric surgery is a safe option for achieving sustained weight-loss and the treatment of obesity related diseases, and refusing access to surgery on the grounds of perioperative safety should now be an outdated premise.

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Effect of COVID-19 pandemic on global Bariatric surgery PRActiceS – The COBRAS study

Cited by 22 publications

References 12 publications

Effect of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834,647 patients

Effect of the COVID-19 pandemic on bariatric surgery in North America: a retrospective analysis of 834,647 patients

Safe Surgery During the COVID-19 Pandemic

How safe bariatric surgery is—An update on perioperative mortality for clinicians and patients

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