Racial Differences in Bariatric Surgical Approach: a Cross-Sectional National Inpatient Sample Analysis

Wong, William G.; Holguin, Rolfy A. Perez; Butt, Melissa; Rigby, Andrea; Rogers, Ann M.; Shen, Chan

doi:10.1007/s11695-022-06227-1

Cited by 3 publications

(3 citation statements)

References 41 publications

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“…Despite these limitations, the sample itself is considerably large and consistent with the national averages for those seeking bariatric surgery in terms of age and sex, with only slightly higher rates of white participants [57]. Additionally, the data had arguably low rates of missing data allowing for a more complete analysis.…”

Section: Strengths and Limitationsmentioning

confidence: 77%

Associations of Food Addiction Symptomatology and Disordered Eating Behaviors in a Pre-Surgical Bariatric Population

et al. 2023

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The construct of food addiction (FA) has been highly debated in recent years particularly in the fields of disordered eating, medical weight management, and bariatric surgery. Some researchers have argued that FA symptoms are distinct, highly prevalent, and present a barrier for patients seeking medical treatment for obesity. The purpose of this study is to evaluate the cross-sectional associations between FA symptomatology, binge eating disorder (BED) and other appetitive traits, as well as dietary quality in a sample of adults with obesity seeking bariatric surgery. This post hoc analysis was conducted on a prospectively collected dataset from August 2020 to August 2022 at a single academic medical center. Descriptive statistics were used to characterize the sample. Additional analyses included: correlation coefficients, multivariable linear regression, and analysis of variance. A total of 587 patients were included in this analysis with low average scores for FA symptoms (mean: 1.48; standard deviation (SD): 2.15). Those with no BED symptoms had the lowest average FA symptoms scores (mean: 0.87; SD: 1.52) and those with both bingeing and LOCE had the highest average scores (mean: 3.35; SD: 2.81). This finding supports the hypothesis that, while related, FA and BED may represent different cognitions and behaviors.

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Section: Strengths and Limitationsmentioning

confidence: 77%

Associations of Food Addiction Symptomatology and Disordered Eating Behaviors in a Pre-Surgical Bariatric Population

et al. 2023

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“…The results of this study also showed that the odds for African-Americans and Hispanics were significantly more likely to have an initial higher weight. Wong et al [ 15 ] found that racial differences existed in the decision to select laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. The investigators showed that African-American and Hispanic patients were more likely to undergo laparoscopic sleeve gastrectomy than White, non-Hispanic patients.…”

Section: Discussionmentioning

confidence: 99%

“…There is also an association between the type of weight reduction surgery, insurance status, cost of procedures, and socioeconomic status. The effect may be avoidance or postponement of needed health care that results in more advanced and difficult-to-treat conditions [ 15 ]. Comparable hospitals that serve as the safety net for the urban core and whose patients suffer significantly from social disadvantage may experience similar health disparities.…”

Section: Discussionmentioning

confidence: 99%

Trending Weight Loss Between Usual Care and Bariatric Surgery Among Higher Weight Persons With Obstructive Sleep Apnea

Louis¹,

Patel²,

Prange³

et al. 2022

Cureus

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BackgroundThis study aimed to investigate the actual weight change documented as a goal of treatment after patients were newly diagnosed with obstructive sleep apnea (OSA). We hypothesized that patients with OSA and classified as overweight and obese based on BMI would fail to achieve significant weight loss over a two-to five-year period. MethodologyThis retrospective review included adults aged 18 years or older who were newly diagnosed with OSA in 2015, as indicated by a full nocturnal polysomnogram and using the 4% rule for the definition of hypopnea. Data collected were between January 01, 2015, and December 31, 2020. Patients received either usual care for weight reduction or bariatric surgery to assess the overall weight loss and identify barriers. Statistical analysis included independent t-tests, Mann-Whitney U tests and related samples McNemar change statistics, Cox proportional hazards regression, and Kaplan-Meier curves to analyze age, gender, ethnicity, and weight differences between usual care and bariatric surgery groups. ResultsThe number of participants included for usual care and bariatric surgery was 100 and 24, respectively. Over five years, 87% of the usual care patients remained in the same BMI classification, 7% lowered their classification, and 6% raised theirs. For usual care patients, the average net weight per individual of 2.19 kg gained represented a 1.96% weight change. Bariatric patients lost an average net weight of 30.40 kg (22.39%). Cox proportional hazards regression showed that the overall model fit was statistically significant (χ 2 = 55.40, degrees of freedom [df] = 9, and P-value < 0.001). The significant variables were time-dependent weight change and ethnicity. The Kaplan-Meier curve revealed that weight loss reduced over time in treatment. ConclusionsThis study confirmed that despite the direction to lose weight, only 7% of OSA patients lowered their BMI classification. Patient instruction and provider-driven weight loss strategies seem equally ineffective to achieve sustained weight reduction among high-risk groups. More research is needed to investigate optimal strategies that include interprofessional collaborative practices for sustained weight loss.

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Effects of Racial Differences on Bariatric Surgery Selection

Song

Guo

2022

OBES SURG

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Racial Differences in Bariatric Surgical Approach: a Cross-Sectional National Inpatient Sample Analysis

Cited by 3 publications

References 41 publications

Associations of Food Addiction Symptomatology and Disordered Eating Behaviors in a Pre-Surgical Bariatric Population

Associations of Food Addiction Symptomatology and Disordered Eating Behaviors in a Pre-Surgical Bariatric Population

Trending Weight Loss Between Usual Care and Bariatric Surgery Among Higher Weight Persons With Obstructive Sleep Apnea

Effects of Racial Differences on Bariatric Surgery Selection

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