Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018
Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018
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DOI：
10.1007/s11695-018-3593-1
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发表时间：
2019-03-01
期刊：
影响因子：
2.9
通讯作者：
Himpens, Jacques
中科院分区：
文献类型：
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作者：
Welbourn, Richard;Hollyman, Marianne;Himpens, Jacques
自2014年以来，国际肥胖和代谢疾病外科联合会（IFSO）每年都会向全球登记处提交所有减肥手术的年度报告。我们描述了基线人口统计学的国际惯例从第4次report.Methods的IFSO全球注册表合并了来自51个不同国家的数据，其中14个国家提供的数据从他们的国家注册表。数据来自394，431份个人记录，其中190，177份是自2014年以来进行的初次手术。结果提交了72，645例Roux en Y胃旁路手术的数据（38.2%），87，467例袖状胃切除术（46.0%），自2014年以来，14，516例单吻合胃旁路手术（7.6%）和9534例胃束带手术（5.0%）作为主要手术。术前患者体重指数（BMI）中位数为41.7 kg m2（四分位数间距：38.3-46.1 kg m2）。胃旁路术后，84.1%的患者在手术后2天内出院; 84.5%的袖状胃切除术患者在3天内出院。评估2012年至2016年期间进行的手术，在手术后一年，平均记录的体重减轻百分比为28.9%，66.1%的服用2型糖尿病药物的人记录为未使用它们。不再接受糖尿病治疗的患者比例高度依赖于体重减轻。有显着的变化，在访问和practice.Conclusions接受减肥手术的患者的全球性描述正在出现。登记研究的未来迭代有可能全面描述手术患者。
Background Since 2014, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has produced an annual report of all bariatric surgery submitted to the Global Registry. We describe baseline demographics of international practice from the 4th report.Methods The IFSO Global Registry amalgamated data from 51 different countries, 14 of which provided data from their national registries. Data were available from 394,431 individual records, of which 190,177 were primary operations performed since 2014.Results Data were submitted on 72,645 Roux en Y gastric bypass operations (38.2%), 87,467 sleeve gastrectomy operations (46.0%), 14,516 one anastomosis gastric bypass procedures (7.6%) and 9534 gastric banding operations (5.0%) as the primary operation since 2014. The median patient body mass index (BMI) pre-surgery was 41.7 kg m(2) (inter-quartile range: 38.3-46.1 kg m(2)). Following gastric bypass, 84.1% of patients were discharged within 2 days of surgery; and 84.5% of sleeve gastrectomy patients were discharged within 3 days. Assessing operations performed between 2012 and 2016, at one year after surgery, the mean recorded percentage weight loss was 28.9% and 66.1% of those taking medication for type 2 diabetes were recorded as not using them. The proportion of patients no longer receiving treatment for diabetes was highly dependent on weight loss achieved. There was marked variation in access and practice.Conclusions A global description of patients undergoing bariatric surgery is emerging. Future iterations of the registry have the potential to describe the operated patients comprehensively.