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Disparities in Bariatric Surgery Outcomes: A Regional Analysis
Emiliano G Manueli Laos1, Alessandro Martinino2, Alberto Mangano1
1Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL, 60612, USA.
Obesity Surgery
|August 28, 2024
Summary
Neighborhoods impact weight loss after metabolic and bariatric surgery (MBS), but not pre-surgical attrition or post-operative compliance. Further research into geographic disparities in MBS outcomes is warranted.
Area of Science:
- Bariatric Surgery Outcomes
- Health Disparities Research
- Geographic Health Variations
Background:
- Metabolic and bariatric surgery (MBS) success is hindered by high pre-surgical attrition and poor post-operative follow-up.
- Understanding geographic influences on MBS outcomes is crucial for improving patient care.
Purpose of the Study:
- To investigate geographic variations in pre-surgical attrition, post-operative compliance, and weight loss among MBS patients across nine Chicago neighborhoods.
- To determine if suboptimal weight loss or reduced adherence to the MBS program differs by neighborhood.
Main Methods:
- Retrospective analysis of 1202 patients from the University of Illinois Health MBS program (January 2019 - December 2020).
- Data extracted included demographics, pre-surgical attrition, post-operative weight at 3, 6, and 12 months, and compliance with follow-up appointments.
- Patients were categorized by residential neighborhood to analyze geographic variations in outcomes.
Main Results:
- A pre-surgical attrition rate of 64.9% was observed, with significant variations in age, sex, and race/ethnicity across geographic regions.
- Post-operative weight loss differed significantly between neighborhoods, particularly those with higher proportions of racial/ethnic minority residents.
- Pre-operative attrition and post-operative compliance rates did not vary significantly across geographic regions.
Conclusions:
- Residential neighborhood may be a significant factor influencing post-MBS weight loss.
- Pre-operative and post-operative compliance rates in MBS programs appear consistent across different neighborhoods.
- Further research is needed to explore the complex interplay between neighborhood characteristics and bariatric surgery outcomes.
