ArticleDiseases of the colon and rectum2018
The Obese Colorectal Surgery Patient: Surgical Site Infection and Outcomes.
Article in Diseases of the colon and rectum, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 5 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Risk factors and incidence of surgical wound infection after stoma reversal: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Very low energy diets prior to bariatric surgery may reduce postoperative morbidity: a systematic review and meta-analysis of randomized controlled trials.Frontiers in nutrition · 2023Pooled it
- Mortality risk in patients with underweight or obesity with peripheral artery disease: a meta-analysis including 5,735,578 individuals.International journal of obesity (2005) · 2022Pooled it
- Systematic review and meta-analysis: association between obesity/overweight and surgical complications in IBD.International journal of colorectal disease · 2022Pooled it
- Association between body mass index and urinary tract infection: a systematic review and meta-analysis of observational cohort studies.Eating and weight disorders : EWD · 2021Pooled it
- Cefazolin surgical prophylaxis in obesity: a body composition-driven population pharmacokinetic approach.Antimicrobial agents and chemotherapy · 2026Article
- Glucagon-like peptide-1 (GLP-1) receptor agonists in inflammatory bowel disease: mechanisms, clinical implications, and therapeutic potential.Journal of Crohn's & colitis · 2025Review
- Natural orifice specimen extraction for diverticular disease: technique, outcomes and role of inflammatory markers.Surgical endoscopy · 2025Article
- Pancreas-guided C-shaped surgical procedure: a safer and more efficient procedure for laparoscopic left hemicolectomy in obese patients.Updates in surgery · 2025Article
- Challenges and Strategies in Colorectal Surgery among Patients with Morbid Obesity.Clinics in colon and rectal surgery · 2025Review
- Preoperative very low-energy diets for obese patients undergoing intra-abdominal colorectal surgery: a retrospective cohort study (RetroPREPARE).Techniques in coloproctology · 2024Article
- Impact of Obesity and Metabolic Syndrome on IBD Outcomes.Digestive diseases and sciences · 2024Review
- Surgical Site Infections in Colorectal Cancer Surgeries: A Systematic Review and Meta-Analysis of the Impact of Surgical Approach and Associated Risk Factors.Life (Basel, Switzerland) · 2024Review
- Article
- Analyzing postoperative complications in colorectal cancer surgery: a systematic review enhanced by artificial intelligence.Frontiers in surgery · 2024Review
- Morphomics-informed population pharmacokinetic and physiologically-based pharmacokinetic modeling to optimize cefazolin surgical prophylaxis.Pharmacotherapy · 2024Article
- Recent advances in bariatric surgery: a narrative review of weight loss procedures.Annals of medicine and surgery (2012) · 2023Review
- Subcutaneous fat thickness and abdominal depth are risk factors for surgical site infection after gastric cancer surgery.World journal of clinical cases · 2023Article
- The Relationship Between BMI and Postoperative Complications Among Colorectal Cancer Patients Undergoing Surgery.Cureus · 2023Article
- Perioperative Nutritional Considerations in Colon and Rectal Surgery.Clinics in colon and rectal surgery · 2023Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundObese patients undergoing colorectal surgery are at increased risk for adverse outcomes. It remains unclear whether these risks can be further defined with more discriminatory stratifications of obesity.
objectiveThe purpose of this study was to understand the association between BMI and 30-day postoperative outcomes, including surgical site infection, among patients undergoing colorectal surgery.
designThis was a retrospective cohort study. SETTINGS: The 2011-2013 American College of Surgeons National Surgical Quality Improvement Program database was used. PATIENTS: Patients included those undergoing elective colorectal surgery in 2011-2013 who were assessed by the American College of Surgeons National Surgical Quality Improvement Program.
main outcome measuresBMI was categorized into World Health Organization categories. Primary outcome was 30-day postoperative surgical site infection. Secondary outcomes included all American College of Surgeons National Surgical Quality Improvement Program-assessed 30-day postoperative complications.
resultsOur cohort included 74,891 patients with 4.4% underweight (BMI <18.5), 29.0% normal weight (BMI 18.5-24.9), 33.0% overweight (BMI 25.0-29.9), 19.8% obesity class I (BMI 30.0-34.9), 8.4% obesity class II (BMI 35.0-39.9), and 5.5% obesity class III (BMI ≥40.0). Compared with normal-weight patients, obese patients experienced incremental odds of surgical site infection from class I to class III (I: OR = 1.5 (95% CI, 1.4-1.6); II: OR = 1.9 (95% CI, 1.7-2.0); III: OR = 2.1 (95% CI, 1.9-2.3)). Obesity class III patients were most likely to experience wound disruption, sepsis, respiratory or renal complication, and urinary tract infection. Mortality was highest among underweight patients (OR = 1.3 (95% CI, 1.0-1.8)) and lowest among overweight (OR = 0.8 (95% CI, 0.6-0.9)) and obesity class I patients (OR = 0.8 (95% CI, 0.6-1.0)). LIMITATIONS: Retrospective analysis of American College of Surgeons National Surgical Quality Improvement Program hospitals may not represent patients outside of the American College of Surgeons National Surgical Quality Improvement Program and cannot assign causation or account for interventions to improve surgical outcomes.
conclusionsPatients with increasing BMI showed an incremental and independent risk for adverse 30-day postoperative outcomes, especially surgical site infections. Strategies to address obesity preoperatively should be considered to improve surgical outcomes among this population. See Video Abstract at http://links.lww.com/DCR/A607.
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