ArticleAnnals of surgery2005
Impact of obesity on resource utilization for general surgical procedures.
Article in Annals of surgery, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 122 citations in OpenAlex.
- Effect of obesity on perioperative outcomes following gastrointestinal surgery: meta-analysis.BJS open · 2023Pooled it
- The Association Between Body Mass Index and the Prognosis and Postoperative Complications of Hepatocellular Carcinoma: A Meta-Analysis.Medicine · 2015Pooled it
- Impact of being overweight on the surgical outcomes of patients with gastric cancer: a meta-analysis.World journal of gastroenterology · 2013Pooled it
- Laparoscopic versus open appendectomy for the obese patient: a subset analysis from a prospective, randomized, double-blind study.Surgical endoscopy · 2011Trial
- Review
- The Impact of Obesity and Associated Comorbidities on the Outcomes after Renal Transplantation with a Living Donor vs. Deceased Donor Grafts.Journal of clinical medicine · 2022Article
- The impact of obesity on surgical outcomes in patients undergoing emergency laparotomy for high-risk abdominal emergencies.BMC surgery · 2022Article
- Obesity: is it an additional risk factor in analyzing surgical outcomes in the South Indian population?Journal of preventive medicine and hygiene · 2021Article
- Pediatric appendectomy in developing countries: How does it differ from international experience?International journal of pediatrics & adolescent medicine · 2020Article
- Obesity and appendicitis: Laparoscopy versus open technique.Turkish journal of surgery · 2020Article
- Association of Genetic Risk of Obesity with Postoperative Complications Using Mendelian Randomization.World journal of surgery · 2020Article
- Bariatric Surgery Is Efficacious and Improves Access to Transplantation for Morbidly Obese Renal Transplant Candidates.Obesity surgery · 2019Article
- Clinical Significance of Gender and Body Mass Index in Asian Patients with Colorectal Cancer.Journal of Cancer · 2019Article
- Time Attributable to Obesity in Surgery: A Multi-specialty Report on Day-of-Surgery Resource Utilization from 189,264 Cases.World journal of surgery · 2018Article
- Concise Commentary: Visceral Obesity, Sarcopenia, and Cancer Surgery-Increasing Fitness Decreases Risk.Digestive diseases and sciences · 2018Article
- Association of body mass index with mortality and postoperative survival in renal cell cancer patients, a meta-analysis.Oncotarget · 2018Article
- The impact of obesity on 30-day complications in pediatric surgery.Pediatric surgery international · 2017Article
- When Not to Pouch: Important Considerations for Patient Selection for Ileal Pouch-Anal Anastomosis.Gastroenterology & hepatology · 2017Article
- Obesity Increases Risk-Adjusted Morbidity, Mortality, and Cost Following Cardiac Surgery.Journal of the American Heart Association · 2017Article
- Body Mass Index and Operating Times in Vascular Procedures.EJVES short reports · 2017Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the impact of the obesity epidemic on workload for general surgeons. SUMMARY BACKGROUND DATA: In 2001, the prevalence of obesity in the United States reached 26%, more than double the rate in 1990. This study focuses on the impact of obesity on surgical practice and resource utilization.
methodsA retrospective analysis was done on patients undergoing cholecystectomy, unilateral mastectomy, and colectomy from January 2000 to December 2003 at a tertiary care center. The main outcome variables were operative time (OT), length of stay (LOS), and complications. The key independent variable was body mass index. We analyzed the association of obesity status with OT, LOS, and complications for each surgery, using multivariate regression models controlling for surgeon time-invariant characteristics.
resultsThere were 623 cholecystectomies, 322 unilateral mastectomies, and 430 colectomies suitable for analysis from 2000 to 2003. Multivariable regression analyses indicated that obese patients had statistically significantly longer OT (P < 0.01) but not longer LOS (P > 0.05) or more complications (P > 0.05). Compared with a normal-weight patient, an obese patient had an additional 5.19 (95% confidence interval [CI], 0.15-10.24), 23.67 (95% CI, 14.38-32.96), and 21.42 (95% CI, 9.54-33.30) minutes of OT with respect to cholecystectomy, unilateral mastectomy, and colectomy. These estimates were robust in sensitivity analyses.
conclusionsObesity significantly increased OT for each procedure studied. These data have implications for health policy and surgical resource utilization. We suggest that a CPT modifier to appropriately reimburse surgeons caring for obese patients be considered.
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Registered trials
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