Association Between Bariatric Surgery and Long-term Survival

Arterburn, David; Olsen, Maren K.; Smith, Valerie A.; Livingston, Edward H.; Scoyoc, Lynn Van; Yancy, William S.; Eid, George M.; Weidenbacher, Hollis J.; Maciejewski, Matthew L.

doi:10.1001/jama.2014.16968

Cited by 410 publications

(269 citation statements)

References 38 publications

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“…Numerous studies have demonstrated that bariatric surgery is safe and effective [3,4,22,23]. There is also strong observational data suggesting that bariatric surgery is beneficial for at least 10 to 20 years [5,24]. Increased dissemination of this evidence to PCPs and medical trainees may lead to prioritization of obesity treatment.…”

Section: Discussionmentioning

confidence: 99%

“…-"So, I actually have a patient, where she is so skinny [ Other PCP concerns, such as the long-term effectiveness of bariatric surgery, cannot be addressed solely with education and improved communication. Although bariatric surgery has been shown to provide a mortality benefit as far as 10 years following surgery [5], there are notable gaps in the literature. Weight loss and co-morbidity resolution outcomes 410 years after bariatric surgery are poorly reported.…”

Section: Discussionmentioning

confidence: 99%

“…It achieves substantial and sustained weight loss, co-morbidity resolution, and improvements in quality of life and is associated with extended lifespan [3][4][5]. A systematic review has indicated that it is cost effective [6,7].…”

mentioning

confidence: 99%

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Primary care physician decision making regarding severe obesity treatment and bariatric surgery: a qualitative study

Funk

Jolles

Greenberg

et al. 2016

Surgery for Obesity and Related Diseases

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Background: Less than 1% of severely obese US adults undergo bariatric surgery annually. It is critical to understand the factors that contribute to its utilization. Objectives: To understand how primary care physicians (PCPs) make decisions regarding severe obesity treatment and bariatric surgery referral. Setting: Focus groups with PCPs practicing in small, medium, and large cities in Wisconsin. Methods: PCPs were asked to discuss prioritization of treatment for a severely obese patient with multiple co-morbidities and considerations regarding bariatric surgery referral. Focus group sessions were analyzed by using a directed approach to content analysis. A taxonomy of consensus codes was developed. Code summaries were created and representative quotes identified.Results: Sixteen PCPs participated in 3 focus groups. Four treatment prioritization approaches were identified: (1) treat the disease that is easiest to address; (2) treat the disease that is perceived as the most dangerous; (3) let the patient set the agenda; and (4) address obesity first because it is the common denominator underlying other co-morbid conditions. Only the latter approach placed emphasis on obesity treatment. Five factors made PCPs hesitate to refer patients for bariatric surgery: (1) wanting to "do no harm"; (2) questioning the long-term effectiveness of bariatric surgery; (3) limited knowledge about bariatric surgery; (4) not wanting to recommend bariatric surgery too early; and (5)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Primary care physician decision making regarding severe obesity treatment and bariatric surgery: a qualitative study

Funk

Jolles

Greenberg

et al. 2016

Surgery for Obesity and Related Diseases

Self Cite

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“…7 Bariatric surgery is associated with improved long-term survival in morbidly obese patients. 8 Not surprising, the number of bariatric procedures performed annually has increased globally to 468,609 procedures in 2013 9 with…”

Section: Introductionmentioning

confidence: 99%

The risk of kidney stones following bariatric surgery: a systematic review and meta-analysis

et al. 2016

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Background With rising prevalence of morbid obesity, the number of bariatric surgeries performed each year has been increasing worldwide. The objective of this meta-analysis was to assess the risk of kidney stones following bariatric surgery. Methods A literature search was performed using MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews from inception through July 2015. Only studies reporting relative risks, odd ratios or hazard ratios (HRs) to compare risk of kidney stones in patients who underwent bariatric surgery versus no surgery were included. Pooled risk ratios (RR) and 95% confidence interval (CI) were calculated using a random-effect, generic inverse variance method. Results Four studies (One randomized controlled trial and three cohort studies) with 11,348 patients were included in analysis to assess the risk of kidney stones following bariatric surgery. The pooled RR of kidney stones in patients undergoing bariatric surgery was 1.22 (95% CI, 0.63-2.35). The type of bariatric surgery subgroup analysis demonstrated an increased risk of kidney stones in patients following Roux-en-Y gastric bypass (RYGB) with the pooled RR of 1.73 (95% CI, 1.30-2.30) and a decreased risk of kidney stones in patients following restrictive procedures including laparoscopic banding or sleeve gastrectomy with the pooled RR of 0.37 (95% CI, 0.16-0.85). Conclusions Our meta-analysis demonstrates an association between RYGB and increased risk of kidney stones. Restrictive bariatric surgery, on the other hand, may decrease kidney stone risk. Future study with long-term follow-up data is needed to confirm this potential benefit of restrictive bariatric surgery.

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“…Bariatric surgery has reduced morbidity and mortality from these disease and others. 2 causing a high rise in the amount of these surgical procedures performed annually. Of the possible bariatric procedures available, Roux en Y gastric bypass (RYGB) is still the most common surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

Intestinal intussusception after Roux-En-Y gastric bypass: case report and review of literature

et al. 2016

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Association Between Bariatric Surgery and Long-term Survival

Cited by 410 publications

References 38 publications

Primary care physician decision making regarding severe obesity treatment and bariatric surgery: a qualitative study

Primary care physician decision making regarding severe obesity treatment and bariatric surgery: a qualitative study

The risk of kidney stones following bariatric surgery: a systematic review and meta-analysis

Intestinal intussusception after Roux-En-Y gastric bypass: case report and review of literature

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