Highlights
- •African American race was associated with lower post-operative weight loss.
- •There was no difference in weight loss between Caucasian and Hispanic patients.
- •There were no racial differences in postoperative satisfaction rates.
Abstract
Background
A growing body of evidence has demonstrated racial disparities in bariatric surgery
(BS) outcomes. We aimed to investigate the impact of race on postoperative percent
excess weight loss (%EWL) and patient satisfaction.
Methods
Single center retrospective study of patients who underwent BS January 2012 to November
2017. Statistical analysis utilized Chi-squared, ANOVA and multivariable regression.
Results
A total of 378 patients were included. African American patients lost significantly
less weight compared to Caucasian and Hispanic patients (39.0 %EWL, 53.4 %EWL and
52.3 %EWL, respectively). A significant difference remained after adjustment for possible
confounders. No difference in postoperative satisfaction was found.
Conclusions
Our study adds to the existing literature demonstrating racial disparities in BS postoperative
EWL, despite adjusting for possible confounders, while contributing to the limited
literature examining Hispanic patients. Furthermore, we examined an understudied outcome
in postoperative patient satisfaction and found no racial disparity despite disparity
in EWL.
Keywords
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Article info
Publication history
Published online: September 16, 2021
Accepted:
September 8,
2021
Received in revised form:
August 11,
2021
Received:
May 12,
2021
Identification
Copyright
© 2021 Published by Elsevier Inc.
