Modeling the Impact of Delaying Bariatric Surgery due to COVID-19: a Decision Analysis.
Obes Surg
; 31(3): 1387-1391, 2021 03.
Article
in English
| MEDLINE | ID: covidwho-891921
ABSTRACT
We developed a decision analysis model to evaluate risks and benefits of delaying scheduled bariatric surgery during the novel coronavirus disease (COVID-19) pandemic. Our base case was a 45-year-old female with diabetes and a body mass index of 45 kg/m2. We compared immediate with delayed surgery after 6 months to allow for COVID-19 prevalence to decrease. We found that immediate and delayed bariatric surgeries after 6 months resulted in similar 20-year overall survival. When the probability of COVID-19 infection exceeded 4%, then delayed surgery improved survival. If future COVID-19 infection rates were at least half those in the immediate scenario, then immediate surgery was favored and local infection rates had to exceed 9% before surgical delay improved survival. Surgeons should consider local disease prevalence and patient comorbidities associated with increased mortality before resuming bariatric surgery programs.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Obesity, Morbid
/
Bariatric Surgery
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Middle aged
Language:
English
Journal:
Obes Surg
Journal subject:
Metabolism
Year:
2021
Document Type:
Article
Affiliation country:
S11695-020-05054-6
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