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Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
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Unmet need for bariatric surgery.

Kate N O'Neill1, Francis M Finucane2, Carel W le Roux3

  • 1Department of Epidemiology and Public Health, University College Cork, Ireland.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
|March 4, 2017
PubMed
Summary
This summary is machine-generated.

Bariatric surgery is a cost-effective treatment for severe obesity and type 2 diabetes (T2D). However, current services meet less than 0.1% of the identified need, indicating a critical gap in care provision.

Keywords:
Bariatric surgery eligibilitySevere obesityType 2 diabetes

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Area of Science:

  • Medical and Health Sciences
  • Surgical Interventions
  • Public Health Policy

Background:

  • Severe obesity and type 2 diabetes (T2D) are increasingly prevalent global health issues.
  • Bariatric surgery is an effective treatment option for carefully selected patients with severe obesity and T2D.
  • Significant disparities exist in the availability and accessibility of bariatric surgical services across different countries.

Purpose of the Study:

  • To estimate the number of individuals who meet eligibility criteria for bariatric surgery.
  • To inform health service planning and resource allocation for bariatric care.
  • To assess the gap between the need for bariatric surgery and current service provision.

Main Methods:

  • Utilized a nationally representative sample of community-dwelling older adults.
  • Applied two distinct evidence-based criteria sets to determine surgical eligibility.
  • Calculated prevalence estimates and applied them to 2011 census data to determine absolute numbers.

Main Results:

  • Nearly 8% of adults aged 50 and over (92,573 individuals) met the first set of criteria (BMI ≥ 40 or BMI ≥ 35 with comorbidities).
  • Approximately 1% of adults aged 50 and over (11,231 individuals) met the second set of criteria (T2D with BMI ≥ 35 and specific complications).
  • Current publicly funded bariatric surgeries meet less than 0.1% of the estimated need, highlighting a substantial service gap.

Conclusions:

  • A significant number of older adults meet the clinical criteria for bariatric surgery.
  • The current provision of bariatric surgical services is insufficient to meet the identified patient need.
  • There is an urgent requirement for strategic development and expansion of bariatric care services.