Three-year weight outcomes from a bariatric surgery registry in a large integrated healthcare system
Three-year weight outcomes from a bariatric surgery registry in a large integrated healthcare system
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DOI：
10.1016/j.soard.2014.02.044
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发表时间：
2014-05-01
影响因子：
3.1
通讯作者：
Brookey, John
中科院分区：
文献类型：
--
作者：
Coleman, Karen J.;Huang, Yii-Chieh;Brookey, John
背景：从2004年到现在，在一个大型综合医疗保健系统中，为接受减肥手术的患者创建了一个登记表。这项研究的目的是将研究结果与文献和国家质量监测数据库进行比较，并提供3年的减肥结果。方法：患者被动登记以下特征：2004年1月1日后进行减肥手术，并在手术时积极参加健康计划。结果：与国家外科质量数据库相比，登记(n=20,296)的患者接受Roux-en-Y胃分流术(RYGB；58%)的比例相似，垂直袖状胃切除术(SG；SG；40%)，更少的带状手术(2%)，更多的西班牙裔患者(35%)，以及更高的1年随访率(78%)。与SG患者相比，RYGB患者在术后3年内的每个时间点都减轻了更多的体重(P<；.001)。非西班牙裔白人RYGB患者的额外体重减轻百分比高于非西班牙裔黑人(P<；.001)和西班牙裔(P<；.001)RYGB患者。在3年的随访期内，SG种族/民族之间的超重减重百分比没有差异。结论：我们是最早公布RYGB和SG在不同患者群体中的体重结果比较的群体之一，表明对RYGB而不是SG的反应因种族/民族而异。(C)2014年美国新陈代谢和减肥外科学会。版权所有。
Background: A registry was created for patients having procedures for weight loss from 2004 to the present time at a large integrated healthcare system. The objective of this study was to compare findings to the literature and national quality monitoring databases and present 3-year weight loss outcomes.Methods: Patients are passively enrolled in the registry with the following characteristics: a bariatric procedure for weight loss after January 1, 2004 and actively enrolled in the health plan at the time of surgery.Results: Compared to national surgical quality databases, the registry (n = 20,296) has a similar proportion of Roux-en-Y gastric bypass (RYGB; 58%), more vertical sleeve gastrectomy (SG; 40%), fewer banding (2%) procedures, more Hispanic patients (35%), and higher rates of 1 year follow-up (78%). RYGB patients lost more weight at every time point up to 3 years after surgery compared with SG patients (P < .001). Non-Hispanic white RYGB patients had a higher percent excess weight loss than non-Hispanic black (P < .001) and Hispanic (P < .001) RYGB patients. There were no differences between SG racial/ethnic groups in percent excess weight loss throughout the 3-year follow-up period.Conclusion: We are one of the first groups to publish comparison weight outcomes for RYGB and SG in a diverse patient population, showing that the responses to RYGB and not SG vary by race/ethnicity. (C) 2014 American Society for Metabolic and Bariatric Surgery. All rights reserved.