Trends in bariatric surgical procedures
Trends in bariatric surgical procedures
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DOI：
10.1001/jama.294.15.1909
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发表时间：
2005-10-19
影响因子：
120.7
通讯作者：
Lauderdale, DS
中科院分区：
文献类型：
--
作者：
Santry, HP;Gillen, DL;Lauderdale, DS
发病率的增加和相关的社会人口统计学差异是严重的公共卫生问题。减肥外科手术比行为和药物干预对病态肥胖提供更大、更持久的减肥效果。目的探讨1998年至2003年美国选择性减肥手术的趋势、患者特征和院内并发症。设计、设置和患者全国住院患者样本用于确定1998-2002年（2003年12个州的初步数据）的减肥手术入院，使用国际疾病分类第九版，确诊为肥胖的前肠手术代码或诊断相关的肥胖手术组代码。确定了手术、患者特征和调整后并发症发生率的年度估计和趋势。主要结局指标：减肥手术的趋势、患者特征和并发症。结果1998年至2002年，全国减肥外科手术数量从13365例增加到72177例(P
Context The increasing prevalence and associated sociodemographic disparities of morbid obesity are serious public health concerns. Bariatric surgical procedures provide greater and more durable weight reduction than behavioral and pharmacological interventions for morbid obesity.Objective To examine trends for elective bariatric surgical procedures, patient characteristics, and in-hospital complications from 1998 to 2003 in the United States.Design, Setting, and Patients The Nationwide Inpatient Sample was used to identify bariatric surgery admissions from 1998-2002 (with preliminary data for 12 states from 2003) using International Classification of Diseases, Ninth Revision, codes for foregut surgery with a confirmatory diagnosis of obesity or by diagnosis related group code for obesity surgery. Annual-estimates and trends were determined for procedures, patient characteristics, and adjusted complication rates.Main Outcome Measures Trends in bariatric surgical procedures, patient characteristics, and complications.Results The estimated number of bariatric surgical procedures increased from 13 365 in 1998 to 72 177 in 2002 (P