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减肥手术与长期存活率之间的关联
David E Arterburn1, Maren K Olsen2, Valerie A Smith3
1Group Health Research Institute, Seattle, Washington2Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle.
JAMA
|January 7, 2015
概括
与匹配的对照组相比,减肥手术显著降低了肥胖退伍军人的长期死亡率. 这项研究强调了这一群体减肥手术的生存益处.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 治疗肥胖症的治疗方法
背景情况:
- 建议减肥手术可以改善严重肥胖患者的生存率.
- 以前对退伍军人的研究表明,减肥手术对生存没有益处.
研究的目的:
- 检查与匹配的对照组相比,在一大群接受减肥手术的退伍军人的长期存活率.
- 研究减肥手术对退伍军人人口全因死亡率的影响.
主要方法:
- 追溯对2500名经过减肥手术的退伍军人 (2000-2011年) 和7462名匹配对照的队列研究.
- 使用卡普兰-梅尔估计器和考克斯回归的生存分析.
- 程序包括胃绕道,袖子胃切除术和可调节的胃带.
主要成果:
- 腹腔外科手术与在手术后5-14年 (HR 0.45-0.47) 显著降低全因死亡率有关.
- 在手术后的第一年,没有观察到死亡率的显著差异.
- 在糖尿病,不同性别和不同手术周期的亚组中,生存益处一致.
结论:
- 腹部外科手术与在手术后5年和10年,肥胖退伍军人的全因死亡率降低有关.
- 这些发现支持减肥手术对退伍军人的生存益处.
- 结果与在年轻人中看到的好处一致,主要是女性人口.
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