Metabolic and Bariatric Surgery Outcomes in African American Patients: a Single Institution Experience.
Obes Surg
; 2024 Jul 25.
Article
in En
| MEDLINE
| ID: mdl-39052174
ABSTRACT
BACKGROUND:
The incidence of obesity in African Americans (AAs) is higher than in non-AA in the USA. Previous studies using large national databases report that AA patients have worse outcomes than non-AA patients.OBJECTIVES:
To assess perioperative outcomes among AA patients after MBS at a center of excellence (COE) that serves a large, diverse patient population.SETTING:
University HospitalMETHODS:
A retrospective analysis was performed on patients undergoing MBS between 2010 and 2020 at our two accredited MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) COEs where the AA population makes up over 35% of the population. Preoperative variables were compared using unpaired t-test or chi-squared test where appropriate. Thirty-day outcomes were compared following propensity score matching (exact algorithm) of demographics and comorbidities.RESULTS:
Overall, 5742 patients (AA = 2058, 36%) had Roux-en-Y gastric bypass (AA = 1028, 26%) or sleeve gastrectomy (AA = 1030, 27%). AA patients were more often female (90.2% vs. 80.2%, p < 0.001) and had higher rates of hypertension (56.3% vs. 47.8%, p < 0.001), while non-AA patients had higher rates of hyperlipidemia (27.3% vs. 20.7%, p < 0.001) and obstructive sleep apnea (41.2% vs. 37.1%, p = 0.0024). Matched data showed that AA patients had higher rates of pulmonary embolism (PE) (0.3% vs. 0.1%, p = 0.020) and more emergency department visits (7.0% vs. 5.1%, p = 0.012) but no differences in mortality, readmission, reintervention, or reoperation rates.CONCLUSIONS:
In a diverse area, AA patients who underwent MBS had similar perioperative outcomes compared to non-AA patients except that they experienced higher rates of PE. They also experienced higher rates of emergency department visits but had similar readmission rates.
Full text:
1
Database:
MEDLINE
Language:
En
Journal:
Obes Surg
Journal subject:
METABOLISMO
Year:
2024
Type:
Article
Affiliation country:
United States