Gender Disparities in Bariatric Surgery Among African Americans

Schlottmann, Francisco; Baz, Carolina; Dreifuss, Nicolás H; Vanetta, Carolina; Masrur, Mario

doi:10.1007/s11695-022-06154-1

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…Thirty-one studies examined sex in relation to the outcome, with somewhat consistent results. Ten studies showed that males were significantly less likely to receive surgery than females and that a greater percentage of males do not complete, rather than complete, surgery, 31,32,38,42,47,64,68,70,76,79 which aligns with the previous review. 21 Pitzul et al 62 also showed that a higher proportion of males self-withdrew from a bariatric program than were considered ineligible or completed surgery.…”

Section: Sexsupporting

confidence: 80%

Factors associated with progression or non‐progression to bariatric surgery in adults: A systematic review

Majstorovic,

Chur‐Hansen,

Andrews

et al. 2024

Obesity Reviews

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SummaryAccess to bariatric surgery is limited, and the factors related to undergoing or not undergoing the procedure are poorly understood.To this end, a systematic review of PubMed, Embase, PsycINFO, and CINAHL was conducted to deduce the factors associated with progression or non‐progression to bariatric surgery. Quantitative and qualitative English‐language articles ranging in date from database conception to September 2023 were included. Eligible studies employed adult participants (18 years of age or above) who had been referred for bariatric surgery.A total of 57 studies were identified. Fifteen key factors were found, alongside six less frequently studied factors: age, sex, BMI, race and ethnicity, distance to clinic, socio‐economic status, insurance coverage, physical health, psychological health, eating history and habits, substance use and smoking, social influence and relationships, pre‐surgery process and requirements, surgery‐related concerns, choice of surgery, and others (emergency room visitation, COVID‐19 virus, health literacy, appearance perceptions, time‐off work, and stigma related to surgery).No factors were found to be reliably associated with progression or non‐progression to bariatric surgery; however, the nature of these findings is tentative considering methodological flaws and limited research. Further studies are required to elucidate potential inequities in bariatric surgery access and educate policymakers and health professionals.

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Section: Sexsupporting

confidence: 80%

Factors associated with progression or non‐progression to bariatric surgery in adults: A systematic review

Majstorovic,

Chur‐Hansen,

Andrews

et al. 2024

Obesity Reviews

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“…A single center retrospective study in the United States reported a 1-year follow-up rate of 29.6%, similar to the previously reported rate of 32.5% from the 2018 IFSO Global Registry Report. 63,64 White patients and telehealth use are predictors of compliance for followup. 64 Due to the increased prevalence of reflux that may lead to esophagitis and potentially Barrett's esophagus, the ASMBS conditionally recommends screening EGD for patients with gastrointestinal symptoms after bariatric surgery and in patients 3 or more years after SG, irrespective of symptoms.…”

Section: Postoperative Carementioning

confidence: 99%

“…63,64 White patients and telehealth use are predictors of compliance for followup. 64 Due to the increased prevalence of reflux that may lead to esophagitis and potentially Barrett's esophagus, the ASMBS conditionally recommends screening EGD for patients with gastrointestinal symptoms after bariatric surgery and in patients 3 or more years after SG, irrespective of symptoms. 65 Protein, vitamin, and mineral deficiencies can take time to manifest, and annual screening is recommended to prevent complications and permanent side effects.…”

Section: Postoperative Carementioning

confidence: 99%

Updates in Bariatric Surgery

Hsu,

Farrell

2023

The American Surgeon™

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Bariatric surgery is currently the most effective long-term treatment for morbid obesity as well as type-2 diabetes mellitus. The field of metabolic and bariatric surgery has seen tremendous growth over the past decade with dramatically reduced risks. This article aims to provide an update on bariatric surgery, highlighting the latest outcomes, improvements, and challenges in the field. Recently, the American Society of Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) released a major update to the indications for bariatric surgery at BMI ≥35 kg/m2 regardless of co-morbidities and 30-34.9 kg/m2 with obesity-related comorbidities. Sleeve gastrectomy has emerged as the most popular bariatric procedure in the last 10 years with its remarkable efficacy and safety profile. The implementation of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) and Enhanced Recovery After Surgery (ERAS) protocols have significantly improved the quality of care for all bariatric patients. The recent introduction and FDA approval of Glucagon-Like Peptide-1 (GLP-1) agonists for chronic obesity has garnered significant media coverage and popularity, but no guidelines exist regarding its use in relation to bariatric surgery. This update underscores the need for tailored approaches, ongoing research, and the integration of evidence-based medicine and innovations to enhance patient care.

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