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Impact of Bariatric Surgery on Prostate Cancer Screening Rate
Noah Brown1, Abigail J Alexander1, Joshua John Horns1
1From the Department of Surgery, University of Utah Health, Salt Lake City, UT (Brown, Alexander, Horns, Das, Driggs, Paudel, Ibele).
Journal of the American College of Surgeons
|February 19, 2026
Summary
Bariatric surgery significantly increases prostate cancer screening rates in men. Post-surgery, patients showed a higher engagement with healthcare for cancer screening, suggesting a broader impact on health management.
Area of Science:
- Urology
- Bariatric Surgery
- Public Health
Background:
- Obesity is linked to increased risk of aggressive prostate cancer.
- Bariatric surgery may reduce this risk, but mechanisms are unclear.
- This study investigates the impact of bariatric surgery on prostate cancer screening.
Purpose of the Study:
- To examine the association between bariatric surgery and prostate cancer screening rates.
- To determine if bariatric surgery influences patient engagement in cancer screening.
Main Methods:
- Analysis of a national insurance database (Merative MarketScan).
- Comparison of 13,662 men aged 50-65 who underwent bariatric surgery with control groups.
- Multivariable Poisson regression adjusted for demographics and comorbidities.
Main Results:
- Prostate cancer screening rates increased significantly post-bariatric surgery (0.07 to 0.17 tests/person-year).
- Post-surgery patients had the highest screening rates compared to control groups.
- Incidence rate ratio for post-surgery group was 2.35 (2.21-2.50) vs. no-obesity controls.
Conclusions:
- Bariatric surgery is associated with a significant rise in prostate cancer screening.
- Post-operative patients demonstrate increased healthcare system engagement.
- Bariatric surgery may act as a catalyst for improved health management and screening adherence.

