Marcoandrea Giorgi1 *, Gopal Goriparthi2 , Cullen Roberts2 , Yuqi Zhang2 , Seungjun Kim2 , Jung H Gong1,2, Andrew Luhrs1 and Sivamainthan Vithiananthan1
1Department of Surgery, Brown University, The Miriam Hospital, Providence, Rhode Island, USA 2Department of Surgery Brown University, Rhode Island Hospital, Providence, Rhode Island, USAFulltext PDF
Introduction: Bariatric patients are a heterogeneous group of people. In this study we analyze social characteristics of patients undergoing primary bariatric operations to identify factors that could help predict outcomes after surgery. Methods: A single center retrospective analysis was performed on all primary bariatric operations from January 2015 to January 2017. Patients undergoing Laparoscopic Roux-En-Y Gastric Bypass (LRNYGB), Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Gastric Banding (LGB) were included. The social factors analyzed were: insurance status (government based vs. private insurance), marital status (married vs. not married patients), employment status (employed vs. not employed), ethnicity (Hispanic vs. white vs. non-white population). Outcomes were: Length of Stay (LOS), 30 day hospital readmissions, any complications, re-operations, follow-up rates, ∆BMI (change in body mass index), %EBMIL (Percentage of Excess Body Mass Index Loss). Results: 303 patients were included. 139 patients underwent LRNYGB (45.9%), 159 underwent LSG (52.8%), 4 underwent LGB (1.3%). As compared to those with government insurance, patients with private insurance had increased %EBWL (54.87 vs. 47.79, p=0.008) and ∆BMI (11.21 vs. 9.9, p=0.022) at the 6 month follow up visit. As compared to non-employed patients, employed patients had significantly lower rates of readmission (7% vs. 15.1% p=0.034) and complication rates (13% vs. 24.7% p=0.018). Married patients had higher rates of follow-up after 1 year compared to nonmarried patients (55.1% vs. 41.3%, p=0.017). Conclusion: Social factors can be are important outcome predictors in primary bariatric surgery that can help stratify risk and individualize perioperative management
Bariatric Surgery; Obesity; Social Factors; Gastric Bypass; Sleeve Gastrectomy
Giorgi M, Goriparthi G, Roberts C, Zhang Y, Kim S, Gong JH, et al. Social Factors as Predictors of Outcomes for Primary Bariatric Surgery. World J Surg Surgical Res. 2021; 4: 1340..