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Disparities in Complication Rates Among Ethnic Minorities Undergoing Bariatric Surgery in the UK
Mohamed Aly1,2, Fahad Iqbal3, Aruna Munasinghe4
1The Hillingdon Hospitals NHS Foundation Trust, London, UK. m.aly@nhs.net.
Obesity Surgery
|April 4, 2025
Summary
This bariatric surgery study found significant ethnic disparities in patient health profiles and postoperative complications. Specific ethnic groups, including Afro-Caribbean and African patients, faced higher risks, highlighting the need for targeted health policies.
Area of Science:
- Surgical outcomes research
- Health disparities
- Bariatric surgery
Background:
- Ethnicity significantly impacts surgical outcomes.
- Variations in disease profiles exist across ethnic groups.
- Investigating ethnicity's role in bariatric surgery complications is crucial.
Purpose of the Study:
- To examine disease profiles across different ethnic groups.
- To determine if ethnicity influences postoperative complication risk in bariatric surgery patients.
- To identify ethnic disparities in bariatric surgery outcomes.
Main Methods:
- Analysis of data from the UK's National Bariatric Surgery Registry (NBSR).
- Inclusion of all adult patients undergoing bariatric procedures.
- Utilized comparative analyses and multivariable regression to identify complication predictors.
Main Results:
- Over 77,000 patients analyzed; majority were Caucasian (91.6%).
- Afro-Caribbean patients had highest BMI and hypertension; Asian patients had higher diabetes prevalence.
- Afro-Caribbean and African ethnicities showed significantly increased risks of postoperative complications (OR 1.47 and 1.34, respectively).
Conclusions:
- UK bariatric surgery patients exhibit ethnic disparities in disease profiles and outcomes.
- Ethnicity is an independent predictor of postoperative complications.
- Targeted health policies are needed to improve outcomes for vulnerable ethnic populations.

