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Impact of the COVID-19 Pandemic on Metabolic and Bariatric Surgery Utilization and Safety in the United States.
Messiah, Sarah E; Xie, Luyu; Mathew, Matthew Sunil; Marroquin Marroquín, Elisa; Almandoz, Jaime P; Qureshi, Faisal G; Schneider, Benjamin E; de la Cruz-Muñoz, Nestor.
  • Messiah SE; School of Public Health, University of Texas Health Science Center, Dallas Campus, Dallas, TX, USA. Sarah.E.Messiah@uth.tmc.edu.
  • Xie L; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA. Sarah.E.Messiah@uth.tmc.edu.
  • Mathew MS; Children's Health System of Texas, Dallas, TX, USA. Sarah.E.Messiah@uth.tmc.edu.
  • Marroquin Marroquín E; Children's Health System of Texas, Dallas, TX, USA.
  • Almandoz JP; School of Public Health, University of Texas Health Science Center, Dallas Campus, Dallas, TX, USA.
  • Qureshi FG; Center for Pediatric Population Health, UTHealth School of Public Health, Dallas, TX, USA.
  • Schneider BE; Children's Health System of Texas, Dallas, TX, USA.
  • de la Cruz-Muñoz N; School of Public Health, University of Texas Health Science Center, Dallas Campus, Dallas, TX, USA.
Obes Surg ; 32(7): 2289-2298, 2022 07.
Article in English | MEDLINE | ID: covidwho-1930538
ABSTRACT

BACKGROUND:

Metabolic and bariatric surgery (MBS) is a safe and effective treatment option for severe obesity. The utilization and health and safety outcomes of MBS in the United States (US) during the COVID-19 pandemic versus 2015-2019 among adolescent and adult populations and by ethnic group is largely unknown.

METHODS:

The 2015-2020 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) longitudinal (30-day) cohort data was used to compare adolescent and adult (N = 1,134,522) post-operative outcomes and to calculate MBS utilization pre-pandemic (2015-2019) versus pandemic (2020). Cochran-Armitage trend tests compared MBS utilization and safety outcomes over time from 2015 to 2020. Logistic regression analysis compared the odds of hospital readmission and MBS completion pre-pandemic versus pandemic by key characteristics.

RESULTS:

MBS utilization increased by 8.1% among youth (from 970 to 1140 procedures) and decreased by 10.2% among adults (from 205,232 to 167,384) from 2019 to 2020, respectively. MBS increased by 18.5% during the pandemic for youth who identified as other/multiracial (P trend < 0.001). Among US youth, the number of reoperations and reinterventions significantly decreased over the 6-year time frame (P trend < .001). Among US adults, 30-day post MBS mortality, reoperations, readmissions, and reinterventions all showed a significant decrease over time (P trend < .001) while septic shock and sepsis increased from pre-pandemic to the first year of the pandemic (P trend < 0.001).

CONCLUSION:

In comparison to 2019 (or to previous years), US MBS utilization increased for youth but decreased for adults during the first year of the COVID-19 pandemic. Safety outcomes were comparable to those of the pre-pandemic years.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Obesity, Morbid / Bariatric Surgery / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Adolescent / Adult / Humans Country/Region as subject: North America Language: English Journal: Obes Surg Journal subject: Metabolism Year: 2022 Document Type: Article Affiliation country: S11695-022-06077-x

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Obesity, Morbid / Bariatric Surgery / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Adolescent / Adult / Humans Country/Region as subject: North America Language: English Journal: Obes Surg Journal subject: Metabolism Year: 2022 Document Type: Article Affiliation country: S11695-022-06077-x