BACKGROUND: Ethnic disparities in patterns of utilization and outcomes after Roux-en-Y gastric bypass surgery (RYGB) were examined from Bariatric Outcomes Longitudinal Database. METHODS: Descriptive statistics were used for demographics of Whites, Blacks, or Hispanics undergoing RYGB with 1 year of follow-up, between June 2007 and October 2011. Multivariate logistic and normal regression models, controlling for baseline characteristics, examined relationships between race and outcomes. T tests were used for continuous variables and Pearson chi-square test for categorical variables. RESULTS: Study patients (108,333) were79 % White, 12 % Black, and 9 % Hispanic. Fewer Black males underwent surgery (15 %) compared to Whites or Hispanics (∼22 %). Blacks compared to Whites were younger (42.7 ± 10.6 vs. 46.4 ± 11.6 years), heavier BMI (50 ± 9.1 vs. 47.4 ± 8.0 kg/m(2)), and more often hypertensive (57 vs. 52 %). Other comorbidities were higher in Whites. Thirty-day mortality rate was equivalent (0.23-0.26 %), but serious adverse events were higher for Blacks (3.65 %) versus Whites (3.19 %) and Hispanics (2.01 %). At 1 year, weight and comorbidity burden declined significantly but less in Blacks despite adjustment for baseline characteristics. CONCLUSIONS: Fewer Black males underwent RYGB. Despite a smaller percent decline in BMI and comorbidities in Blacks, all races benefitted significantly from RYGB. Influence of other factors such as diet, culture, and genetics needs to be investigated further.
BACKGROUND: Ethnic disparities in patterns of utilization and outcomes after Roux-en-Y gastric bypass surgery (RYGB) were examined from Bariatric Outcomes Longitudinal Database. METHODS: Descriptive statistics were used for demographics of Whites, Blacks, or Hispanics undergoing RYGB with 1 year of follow-up, between June 2007 and October 2011. Multivariate logistic and normal regression models, controlling for baseline characteristics, examined relationships between race and outcomes. T tests were used for continuous variables and Pearson chi-square test for categorical variables. RESULTS: Study patients (108,333) were79 % White, 12 % Black, and 9 % Hispanic. Fewer Black males underwent surgery (15 %) compared to Whites or Hispanics (∼22 %). Blacks compared to Whites were younger (42.7 ± 10.6 vs. 46.4 ± 11.6 years), heavier BMI (50 ± 9.1 vs. 47.4 ± 8.0 kg/m(2)), and more often hypertensive (57 vs. 52 %). Other comorbidities were higher in Whites. Thirty-day mortality rate was equivalent (0.23-0.26 %), but serious adverse events were higher for Blacks (3.65 %) versus Whites (3.19 %) and Hispanics (2.01 %). At 1 year, weight and comorbidity burden declined significantly but less in Blacks despite adjustment for baseline characteristics. CONCLUSIONS: Fewer Black males underwent RYGB. Despite a smaller percent decline in BMI and comorbidities in Blacks, all races benefitted significantly from RYGB. Influence of other factors such as diet, culture, and genetics needs to be investigated further.
Authors: Atul K Madan; John D Whitfield; John N Fain; Bettina M Beech; Craig A Ternovits; Suraj Menachery; David S Tichansky Journal: Obes Surg Date: 2007-04 Impact factor: 4.129
Authors: Heena P Santry; Diane S Lauderdale; Kathleen A Cagney; Paul J Rathouz; John C Alverdy; Marshall H Chin Journal: Ann Surg Date: 2007-01 Impact factor: 12.969
Authors: Matthew L Maciejewski; Deborah A Winegar; Joel F Farley; Bruce M Wolfe; Eric J DeMaria Journal: Surg Obes Relat Dis Date: 2012-09-11 Impact factor: 4.734
Authors: Matthew M Hutter; Bruce D Schirmer; Daniel B Jones; Clifford Y Ko; Mark E Cohen; Ryan P Merkow; Ninh T Nguyen Journal: Ann Surg Date: 2011-09 Impact factor: 12.969
Authors: Manish M Tiwari; Matthew R Goede; Jason F Reynoso; Albert W Tsang; Dmitry Oleynikov; Corrigan L McBride Journal: Surg Obes Relat Dis Date: 2011-02-24 Impact factor: 4.734
Authors: Peter Benotti; G Craig Wood; Deborah A Winegar; Anthony T Petrick; Christopher D Still; George Argyropoulos; Glenn S Gerhard Journal: Ann Surg Date: 2014-01 Impact factor: 12.969
Authors: Paul T Kröner Florit; Juan E Corral Hurtado; Karn Wijarnpreecha; Enrique F Elli; Frank J Lukens Journal: Obes Surg Date: 2019-11 Impact factor: 4.129
Authors: Ranjan Sudan; Ninh T Nguyen; Matthew M Hutter; Stacy A Brethauer; Jaime Ponce; John M Morton Journal: J Gastrointest Surg Date: 2014-09-04 Impact factor: 3.452
Authors: Michael H Wood; Arthur M Carlin; Amir A Ghaferi; Oliver A Varban; Abdelkader Hawasli; Aaron J Bonham; Nancy J Birkmeyer; Jonathan F Finks Journal: JAMA Surg Date: 2019-05-15 Impact factor: 14.766
Authors: Zhamak Khorgami; Kristopher L Arheart; Chi Zhang; Sarah E Messiah; Nestor de la Cruz-Muñoz Journal: Obes Surg Date: 2015-05 Impact factor: 4.129
Authors: Abigail S Baldridge; Jennifer A Pacheco; Sharon A Aufox; Kwang-Youn A Kim; J C Silverstein; W Denham; E Hungness; Maureen E Smith; Norrina B Allen; Philip Greenland; Laura J Rasmussen-Torvik Journal: Am J Epidemiol Date: 2015-06-18 Impact factor: 4.897