Trends in Use of Bariatric Surgery, 2003-2008
Trends in Use of Bariatric Surgery, 2003-2008
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DOI：
10.1016/j.jamcollsurg.2011.04.030
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发表时间：
2011-08-01
影响因子：
5.2
通讯作者：
Lane, John
中科院分区：
文献类型：
--
作者：
Nguyen, Ninh T.;Masoomi, Hossein;Lane, John
背景：在过去的十年中，减肥手术领域发生了巨大的变化。本研究旨在确定美国减肥手术使用的趋势。使用的数据来自2003年至2008年的全国住院患者样本。研究设计：我们使用ICD-9诊断和程序代码来识别2003年至2008年期间为治疗病态肥胖而进行减肥手术的所有住院患者。回顾了患者特征、每年减肥手术的数量和腹腔镜病例的比例。美国人口普查数据用于计算每10万成年人中以人口为基础的每年减肥手术率。进行减肥手术的外科医生的数量是根据美国代谢和减肥外科学会的成员数量估计的。结果：2003年至2008年期间，减肥手术的数量在2004年达到高峰，为135,985例，在2008年达到稳定，为124,838例。减肥手术的年比率在2004年达到峰值，每10万名成年人中有63.9例手术，2008年下降到54.2例。腹腔镜减肥手术的比例从2003年的20.1%上升到2008年的90.2%。在研究的6年中，拥有美国代谢和减肥外科学会会员资格的减肥外科医生的数量从931人增加到1819人。住院死亡率从2003年的0.21%下降到2008年的0.10%。结论：在美国，减肥手术的数量在2004年达到顶峰，此后趋于平稳。腹腔镜方法在减肥手术中的应用已经增加到90%。在6年期间，住院死亡率持续下降。[J]中华医学杂志，2011;21(3):391 - 391。(C) 2011年由美国外科医师学会发布)
BACKGROUND: During the past decade, the field of bariatric surgery has changed dramatically. This study was intended to determine trends in the use of bariatric surgery in the United States. Data used were from the Nationwide Inpatient Sample from 2003 through 2008.STUDY DESIGN: We used ICD-9 diagnosis and procedural codes to identify all hospitalizations during which a bariatric procedure was performed for the treatment of morbid obesity between 2003 and 2008. Data were reviewed for patient characteristics, annual number of bariatric procedures, and proportion of laparoscopic cases. US Census data were used to calculate the population-based annual rate of bariatric surgery per 100,000 adults. The number of surgeons performing bariatric surgery was estimated by the number of members in the American Society for Metabolic and Bariatric Surgery.RESULTS: For the period between 2003 and 2008, the number of bariatric operations peaked in 2004 at 135,985 cases and plateaued at 124,838 cases in 2008. The annual rate of bariatric operations peaked at 63.9 procedures per 100,000 adults in 2004 and decreased to 54.2 procedures in 2008. The proportion of laparoscopic bariatric operations increased from 20.1% in 2003 to 90.2% in 2008. The number of bariatric surgeons with membership in the American Society for Metabolic and Bariatric Surgery increased from 931 to 1,819 during the 6 years studied. The in-hospital mortality rate decreased from 0.21% in 2003 to 0.10% in 2008.CONCLUSIONS: In the United States, the number of bariatric operations peaked in 2004 and plateaued thereafter. Use of the laparoscopic approach to bariatric surgery has increased to >90% of bariatric operations. In-hospital mortality continually decreased throughout the 6-year period. (J Am Coll Surg 2011;213:261-266. (C) 2011 by the American College of Surgeons)