ArticleJournal of pediatric surgery2016
Effect of body mass index percentile on pediatric gastrointestinal surgery outcomes.
Article in Journal of pediatric surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The trial behind it
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Who cites it
13 citing papers in PubMed, 25 citations in OpenAlex.
- Obesity and perioperative outcomes in pediatric laparoscopic appendectomy: a retrospective, propensity score-matched cohort study.Translational pediatrics · 2026Article
- Impact of pediatric obesity on abdominal surgery outcome: a narrative review.Frontiers in pediatrics · 2026Review
- Evaluation for Fatty Liver Infiltration Should Become Standard in Pediatric Cholecystectomy Patients.Cureus · 2025Article
- Update on the Diagnosis and Treatment of Acute Appendicitis.Journal of clinical medicine · 2024Article
- Association between bacterial resistance profile and the development of intra-abdominal abscesses in pediatric patients with perforated appendicitis: cohort study.Pediatric surgery international · 2023Article
- Article
- The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A Systematic Review.Journal of clinical medicine · 2023Review
- Body Mass Index (BMI) Impact on Anesthetic Safety among Adolescents Undergoing Bilateral Reduction Mammaplasty.Plastic and reconstructive surgery. Global open · 2022Article
- Clinical, Laboratory and Radiographic Features Associated With Prolonged Hospitalization in Children With Complicated Appendicitis.Frontiers in pediatrics · 2022Article
- Appendectomy Hospital Stay: No Difference in Obese Adult or Pediatric Patient Length of Stay Compared to Nonobese Patients.Ochsner journal · 2021Article
- Characterizing the spectrum of body mass index associated with severe postoperative pulmonary complications in children.Journal of anesthesia · 2019Article
- New anthropometric classification scheme of preoperative nutritional status in children: a retrospective observational cohort study.BMJ paediatrics open · 2018Article
- The impact of obesity on 30-day complications in pediatric surgery.Pediatric surgery international · 2017Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
background/purposePediatric obesity is an important public health concern, yet its effect on surgical outcomes is poorly understood. The purpose of this study was to determine if age and gender-specific body mass index (BMI) percentile influences complications and hospital resource utilization following pediatric gastrointestinal surgeries.
methodsPatients aged ≥2 to <18years who underwent appendectomy or other gastrointestinal operations were identified in the 2012-2013 Pediatric National Surgical Quality Improvement Program datasets. Age- and gender-specific pediatric BMI percentiles were calculated. Patients who underwent appendectomy (n=9606) and those undergoing all other intestinal operations (n=2664) were evaluated as separate cohorts.
resultsIn the appendectomy cohort, frequency of any complication increased with BMI category (normal weight 4.5%, overweight 5.3%, obese 5.7%, morbidly obese 7.3%, overall 5.0%, p=0.014). In multivariate analysis, there was a quadratic association between BMI percentile and increased frequency of superficial incisional infection, unplanned tracheal intubation, and longer operative duration. In the intestinal surgery cohort, BMI percentile was not a predictor of any individual complication or any measure of hospital utilization.
conclusionsAge- and gender-specific BMI percentile was associated with increased risk of complications and longer operative duration in patients undergoing appendectomy but not other intestinal operations.
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Registered trials
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