Highlights
- •The preoperative disease is seen more in Laparoscopic Roux-en Y white males.
- •Most comorbidities persist at 12 months, in patterns similar to preoperative period.
- •Only 3 comorbidities vary at 24 months.
Abstract
Background
Whether/how LRYGB men vary by race in clinical characteristics/post-operative outcomes
is unknown.
Objective
Identify male pre-/post LRYGB clinical/outcomes variations by race.
Methods
Data from 17,734 LYRGB BOLD database men were analyzed in five groups: African American
(AA, n = 1310), Caucasian (C, n = 14,168), Asian (A, n = 53), Hispanic (H, n = 1519),
and Other (O, Pacific Islander, Native American, or more than one race, n = 684).
Data: demographics, BMI, and 28 weight-related conditions.
Results
Pre-LRYGB age, health insurance, unemployment, BMI, and 24/28 obesity related comorbidities
varied by race (p < 0.01). Highest pre-LRYGB: AA 4, C 14, A 5, H none, O 1 comorbidity.
12 month BMI and 14 comorbidities varied by race (p < 0.05). 24 months only dyslipidemia,
depression, and psychological impairment varied by race (p < 0.05).
Conclusion
Demographics, BMI and 24 obesity comorbidities vary by race in LRYGB men, but only
3 at 24 months. Caucasians have the greatest cardiopulmonary related comorbidities.
This advanced knowledge may facilitate peri-operative management.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Variation in clinical characteristics of women versus men pre-operative for laparoscopic Roux-en-Y gastric bypass (LRYGB): analysis of 83,059 patients.Am Surg. 2017; 83: 947-951https://doi.org/10.1177/000313481708300930
- Outcomes following laparoscopic Roux-en-Y gastric bypass (LRYGB) vary by sex: analysis of 83,059 women and men with morbid obesity.Am J Surg. 2019; 217: 1019-1024https://doi.org/10.1016/j.amjsurg.2018.11.003
- Interaction of race with weight loss and resolution of obesity Co-morbidities in patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB): an analysis of 83,059 bold database patients.Adv Obes Weight Managt Control. 2021; 11: 76-84https://doi.org/10.15406/aowmc.2021.11.00339
- Health insurance does matter: clinically significant variation in obesity-related diagnoses between insurance types in 83,059 morbidly obese patients.Adv Obes Weight Manag Control. 2018; 8: 178-183https://doi.org/10.15406/aowmc.2018.08.00238
- Variation by age in baseline clinical characteristics and post-operative outcomes after laparoscopic Roux-en- Y gastric bypass (LRYGB).Surg Obes Relat Dis. 2018; 14 (Supplement): S167https://doi.org/10.1016/j.soard.2018.09.379
- Baseline data from American society for metabolic and bariatric surgery-designated bariatric surgery centers of excellence using the bariatric outcomes longitudinal database.Surg Obes Relat Dis. 2010; 6: 347-355https://doi.org/10.1016/j.soard.2009.11.015
- SAS/STAT(R) 9.22 User's Guide. The SAS Institute, Cary, NC2009
- Metabolic syndrome is less likely to resolve in Hispanics and non-hispanic blacks after bariatric surgery.Ann Surg. 2014; 259: 279-285https://doi.org/10.1097/SLA.0000000000000258
- Racial and Ethnic Disparities in Diabetes Prevalence, Self-Management, and Health Outcomes Among Medicare Beneficiaries.CMS OMH Data Highlight No. 6, Baltimore, MD2017
- Racial and ethnic differences in depression: current perspectives.Neuropsychiatric Dis Treat. 2019; 15: 603-609https://doi.org/10.2147/NDT.S128584
- Racial and ethnic disparities in adult obesity in the United States: CDC's tracking to inform state and local action.Prev Chronic Dis. 2019 Apr 11; 16: E46https://doi.org/10.5888/pcd16.180579
- Metabolic syndrome prevalence by race/ethnicity and sex in the United States, National and Nutrition examination Survey, 1988-2012.Prev Chronic Dis. 2017; 14160287https://doi.org/10.5888/pcd114.160287
- Improvement of nonalcoholic fatty liver disease after bariatric surgery in morbidly obese Chinese patients.Obes Surg. 2012; 22 (J): 1016-1021https://doi.org/10.1007/s11695-011-0579-7
- Roux-en-Y gastric bypass improves liver histology in patients with non-alcoholic fatty liver disease.Obes Res. 2005; 13: 1180-1186https://doi.org/10.1038/oby.2005.140
Adult obesity facts. Overweight & Obesity. Centers for Disease Control and Prevention; [last reviewed 2021 Sept 30; cited 2022 Mar 12]. Available from: https://www.cdc.gov/obesity/data/adult.html.
- Examining the Hispanic paradox in bariatric surgery.Surg Obes Relat Dis. 2020; 16: 1392-1400https://doi.org/10.1016/j.soard.2020.06.009
Article info
Publication history
Published online: October 15, 2022
Accepted:
October 12,
2022
Received in revised form:
September 21,
2022
Received:
March 25,
2022
Identification
Copyright
© 2022 Published by Elsevier Inc.