ArticleSurgery today2015
Effects of body mass index (BMI) on surgical outcomes: a nationwide survey using a Japanese web-based database.
Article in Surgery today, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.
- Surgical and demographic predictors of free flap salvage after takeback: A systematic review.Microsurgery · 2023Pooled it
- The Association Between Preoperative Malnutrition and Early Postoperative Outcomes in Children with Congenital Heart Disease: A 2-Year Retrospective Study at a Lebanese Tertiary Medical Center.Children (Basel, Switzerland) · 2025Article
- Study on the application of modified negative pressure wound therapy with instillation in cervical anastomotic leakage after oesophageal cancer surgery.Frontiers in oncology · 2025Article
- Evolution of liver transplantation in the metabolic dysfunction-associated steatotic liver disease era: Tracking impact through time.World journal of transplantation · 2024Review
- Surgical Implications for Nonalcoholic Steatohepatitis-Related Hepatocellular Carcinoma.Cancers · 2024Review
- Reduction Mammoplasty in the Pediatric Population: An Analysis of Pediatric NSQIP Data From 2012 to 2019.Plastic surgery (Oakville, Ont.) · 2024Article
- The healthcare costs of increased body mass index-evidence from The Trøndelag Health Study.Health economics review · 2024Article
- Association between body mass index and outcomes after autologous breast reconstruction: a nationwide inpatient database study in Japan.Breast cancer research and treatment · 2024Article
- Levels of Cell-Free DNA in Kidney Failure Patients before and after Renal Transplantation.Cells · 2023Article
- Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Body mass index affects kidney transplant outcomes: A cohort study over 5 years using a steroid sparing protocol.Frontiers in endocrinology · 2023Observational
- Assessment of BMI and Venous Thromboembolism Rates in Patients on Standard Chemoprophylaxis Regimens After Undergoing Free Tissue Transfer to the Head and Neck.JAMA otolaryngology-- head & neck surgery · 2022Article
- Effects of body mass index and serum albumin on overall survival in patients with cancer undergoing pancreaticoduodenectomy: a single-center retrospective cohort study.World journal of surgical oncology · 2022Article
- Effect of Household Income on Short-Term Outcomes Following Cerebellopontine Angle Tumor Resection.Journal of neurological surgery. Part B, Skull base · 2022Article
- Article
- Correlation between Body Mass Index and the Occurrence of Postoperative Complications after Surgical Removal of the Lower Third Molar.Acta stomatologica Croatica · 2022Article
- Impact of body mass index on short-term outcomes after differentiated thyroid cancer surgery: a nationwide inpatient database study in Japan.European thyroid journal · 2022Article
- Recovery of Physical Function Based on Body Mass Index Following Anterior Cervical Discectomy and Fusion.International journal of spine surgery · 2021Article
- The impact of obesity and severe obesity on postoperative outcomes after pancreatoduodenectomy.Surgery · 2021Article
- Prediction of postoperative complications and survival after laparoscopic gastrectomy using preoperative Geriatric Nutritional Risk Index in elderly gastric cancer patients.Surgical endoscopy · 2021Article
Corrections and comments
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Authors and funding
15 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo define the effects of body mass index (BMI) on operative outcomes for both gastroenterological and cardiovascular surgery, using the National Clinical Database (NCD) of the Japanese nationwide web-based database.
methodsThe subjects of this study were 288,418 patients who underwent typical surgical procedures between January 2011 and December 2012. There were eight gastroenterological procedures, including esophagectomy, distal gastrectomy, total gastrectomy, right hemicolectomy, low anterior resection, hepatectomy of >1 segment excluding the lateral segment, pancreaticoduodenectomy, and surgery for acute diffuse peritonitis (n = 232,199); and five cardiovascular procedures, including aortic valve replacement, total arch replacement (TAR), descending thoracic aorta replacement (descending TAR), and on- or off-pump coronary artery bypass grafting (n = 56,219). The relationships of BMI with operation time and operative mortality for each procedure were investigated, using the NCD.
resultsOperation times were longer for patients with a higher BMI. When a BMI cut-off of 30 was used, the operation time for obese patients was significantly longer than that for non-obese patients, for all procedures except esophagectomy (P < 0.01). The mortality rate based on BMI revealed a U-shaped distribution, with both underweight and obese patients having high mortality rates for almost all procedures.
conclusionsThis Japanese nationwide study provides solid evidence to reinforce that both obesity and excessively low weight are factors that impact operative outcomes significantly.
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