Albert Lecube1,2, Ana de Hollanda3, Alfonso Calañas4, Núria Vilarrasa5, Miguel Angel Rubio6, Irene Breton7, Albert Goday8, Josep Vidal9, Paloma Iglesias10, María Luisa Fernández-Soto11, Silvia Pellitero12, Ana Isabel de Cos13, María José Morales14, Cristina Campos15, Lluís Masmiquel16, Francisco Tinahones17, Pedro Pujante18, Pedro P García-Luna19, Marta Bueno3, Rosa Cámara20, Orosia Bandrés21, Assumpta Caixàs22. 1. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari Arnau de Vilanova, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas), ISCIII, Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Universitat de Lleida, Av Rovira Roure 80, 25198, Lleida, Spain. alecube@gmail.com. 2. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari Vall d'Hebrón, Barcelona, Spain. alecube@gmail.com. 3. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari Arnau de Vilanova, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas), ISCIII, Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Universitat de Lleida, Av Rovira Roure 80, 25198, Lleida, Spain. 4. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Reina Sofia, Córdoba, Spain. 5. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari de Bellvitge, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas, ISCIII), L'Hospitalet de Llobregat, Spain. 6. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Clínico San Carlos IDISSC, Madrid, Spain. 7. Obesity Unit and Endocrinology and Nutrition Departments, Hospital General Universitario Gregorio Marañón, Madrid, Spain. 8. Obesity Unit and Endocrinology and Nutrition Departments, Hospital del Mar, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), CIBEROBN (CIBER de obesidad y nutrición, ISCIII), Departament de Medicina Universitat Autònoma de Barcelona, Barcelona, Spain. 9. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Clínic de Barcelona, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas, ISCIII), Institut Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain. 10. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Rey Juan Carlos, Madrid, Spain. 11. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario San Cecilio, Granada, Spain. 12. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Germans Trias i Pujol, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas), ISCIII, Badalona, Spain. 13. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario La Paz, Madrid, Spain. 14. Obesity Unit and Endocrinology and Nutrition Departments, Complexo Hospitalario Universitario de Vigo, Vigo, Spain. 15. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Virgen Macarena, Seville, Spain. 16. Obesity Unit and Endocrinology and Nutrition Departments, Hospital de Son Llàtzer, Palma de Mallorca, Spain. 17. Obesity Unit and Endocrinology and Nutrition Departments, Complejo Hospitalario de Málaga (Virgen de la Victoria), Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga, CIBEROBN (CIBER de obesidad y nutrición, ISCIII), Málaga, Spain. 18. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain. 19. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Virgen del Rocío, Seville, Spain. 20. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari i Politècnic La Fe, Valencia, Spain. 21. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Royo Villanova, Zaragoza, Spain. 22. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari Parc Taulí, Sabadell, Spain.
Abstract
BACKGROUND: Specific data is needed to safely expand bariatric surgery and to preserve good surgical outcomes in response to the non-stop increase in obesity prevalence worldwide. OBJECTIVE: The aims of this study are to provide an overview of the baseline characteristics, type of surgery, and 30-day postoperative morbidity and mortality in patients undergoing bariatric surgery in Spanish public hospitals, and evaluate changes throughout the 2000-2014 period. MATERIAL AND METHODS: This is a descriptive study using data from the RICIBA, a computerized multicenter and multidisciplinary registry created by the Obesity Group of the Endocrinology and Nutrition Spanish Society. Three periods according to the date of surgery were created: January 2000 to December 2004 (G1), January 2005 to December 2009 (G2), and January 2010 to December 2014 (G3). RESULTS: Data from 3843 patients were available (44.8 ± 10.5 years, a 3:1 female-to-male ratio, 46.9 ± 8.2 kg/m(2)). Throughout the 15-year period assessed, candidate patients for bariatric surgery were progressively older and less obese, with an increase in associated comorbidities and in the prevalence of men. The global trend also showed a progressive decrease in Roux-en-Y gastric bypass, the most performed bariatric procedure (75.1 % in G1, 69.3 % in G2, and 42.6 % in G3; p < 0.001), associated with a parallel increase in sleeve gastrectomy (0.8 % in G1, 18.1 % in G2, and 39.6 % in G3; p < 0.001). An overall mortality rate of 0.3 % was reported. CONCLUSIONS: Data from Spain is similar to data observed worldwide. Information recorded in the National Registries like RICIBA is necessary in order to safely expand bariatric surgery in response to increasing demand.
BACKGROUND: Specific data is needed to safely expand bariatric surgery and to preserve good surgical outcomes in response to the non-stop increase in obesity prevalence worldwide. OBJECTIVE: The aims of this study are to provide an overview of the baseline characteristics, type of surgery, and 30-day postoperative morbidity and mortality in patients undergoing bariatric surgery in Spanish public hospitals, and evaluate changes throughout the 2000-2014 period. MATERIAL AND METHODS: This is a descriptive study using data from the RICIBA, a computerized multicenter and multidisciplinary registry created by the Obesity Group of the Endocrinology and Nutrition Spanish Society. Three periods according to the date of surgery were created: January 2000 to December 2004 (G1), January 2005 to December 2009 (G2), and January 2010 to December 2014 (G3). RESULTS: Data from 3843 patients were available (44.8 ± 10.5 years, a 3:1 female-to-male ratio, 46.9 ± 8.2 kg/m(2)). Throughout the 15-year period assessed, candidate patients for bariatric surgery were progressively older and less obese, with an increase in associated comorbidities and in the prevalence of men. The global trend also showed a progressive decrease in Roux-en-Y gastric bypass, the most performed bariatric procedure (75.1 % in G1, 69.3 % in G2, and 42.6 % in G3; p < 0.001), associated with a parallel increase in sleeve gastrectomy (0.8 % in G1, 18.1 % in G2, and 39.6 % in G3; p < 0.001). An overall mortality rate of 0.3 % was reported. CONCLUSIONS: Data from Spain is similar to data observed worldwide. Information recorded in the National Registries like RICIBA is necessary in order to safely expand bariatric surgery in response to increasing demand.
Authors: Jennifer Reoch; Salvatore Mottillo; Avi Shimony; Kristian B Filion; Nicolas V Christou; Lawrence Joseph; Paul Poirier; Mark J Eisenberg Journal: Arch Surg Date: 2011-11
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Authors: Anne Berghöfer; Tobias Pischon; Thomas Reinhold; Caroline M Apovian; Arya M Sharma; Stefan N Willich Journal: BMC Public Health Date: 2008-06-05 Impact factor: 3.295
Authors: Inka Miñambres; Miguel Angel Rubio; Ana de Hollanda; Irene Breton; Nuria Vilarrasa; Silvia Pellitero; Marta Bueno; Albert Lecube; Clara Marcuello; Albert Goday; Maria D Ballesteros; German Soriano; Assumpta Caixàs Journal: Obes Surg Date: 2019-02 Impact factor: 4.129
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Authors: Uri Kaplan; Orly Romano-Zelekha; David Goitein; Dean Keren; Ian M Gralnek; Lital Keinan Boker; Nasser Sakran Journal: Obes Surg Date: 2020-05 Impact factor: 4.129
Authors: Vicente J Beltrán-Carrillo; Alejandro Jiménez-Loaisa; George Jennings; David González-Cutre; Natalia Navarro-Espejo; Eduardo Cervelló Journal: Int J Qual Stud Health Well-being Date: 2019-12
Authors: Karen D Coulman; Noah Howes; James Hopkins; Katie Whale; Katy Chalmers; Sara Brookes; Alex Nicholson; Jelena Savovic; Yasmin Ferguson; Amanda Owen-Smith; Jane Blazeby; Jane Blazeby; Richard Welbourn; James Byrne; Jenny Donovan; Barnaby C Reeves; Sarah Wordsworth; Robert Andrews; Janice L Thompson; Graziella Mazza; Chris A Rogers Journal: Obes Surg Date: 2016-11 Impact factor: 4.129
Authors: Ana de Hollanda; Albert Lecube; Miguel Angel Rubio; Enric Sánchez; Núria Vilarrasa; José Gregorio Oliva; María Luisa Fernández-Soto; Jordi Salas-Salvadó; María D Ballesteros-Pomar; Andreea Ciudin; Ferran Torres; Concepción Vidal; María José Morales; Sergio Valdés; Silvia Pellitero; Inka Miñambres; Lluís Masmiquel; Albert Goday; Lorena Suarez; Liliam Flores; Marta Bueno; Assumpta Caixàs; Irene Bretón; Rosa Cámara; Romina Olbeyra; Rona Penso; María José de la Cruz; Andreu Simó-Servat; Francisca María Pereyra-García; Elena Teresa López-Mezquita; Anna Gils; Enzamaria Fidilio; Orosia Bandrés; Ángel Martínez; Jose Abuín; Montserrat Marques-Pamies; Laura Tuneu; Magdalena Arteaga; Olga Castañer; Fernando Goñi; Cristina Arrizabalaga; Manuel Antonio Botana; Alfonso Calañas; Ángel Rebollo Journal: J Clin Med Date: 2020-04-09 Impact factor: 4.241