ArticleObesity surgery2019
An Examination of Who Is Eligible and Who Is Receiving Bariatric Surgery in England: Secondary Analysis of the Health Survey for England Dataset.
Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Cost-effectiveness of metabolic surgery for the treatment of type 2 diabetes and obesity: a systematic review of economic evaluations.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Pooled it
- UK cost-effectiveness analysis of endoscopic sleeve gastroplasty versus lifestyle modification alone for adults with class II obesity.International journal of obesity (2005) · 2023Trial
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- Establishing a multidisciplinary bariatric arterial embolization program: A two-year clinical experience.Obesity pillars · 2025Article
- Cost-Effectiveness of Tirzepatide Versus Liraglutide, Both Adjunct to Diet and Exercise, for Patients with Obesity or Overweight: A UK Perspective.Advances in therapy · 2025Article
- Evaluation of the Digital Support Tool Gro Health W8Buddy as Part of Tier 3 Weight Management Service: Observational Study.Journal of medical Internet research · 2025Observational
- Anti-obesity treatment preferences of healthcare providers and people living with obesity: A survey-based study.Clinical obesity · 2025Article
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- Assessing economic investment required to scale up bariatric surgery capacity in England: a health economic modelling analysis.BMJ open · 2024Article
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- EMBIO trial study protocol: left gastric artery embolisation for weight loss in patients living with obesity with a BMI 35-50 kg/mBMJ open · 2023Article
- Access to publicly funded weight management services in England using routine data from primary and secondary care (2007-2020): An observational cohort study.PLoS medicine · 2023Observational
- Nonalcoholic Fatty Liver Disease: An Emerging Modern-Day Risk Factor for Cardiovascular Disease.Cureus · 2022Review
- The economic burden of obesity in Italy: a cost-of-illness study.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Obesity-An Update on the Basic Pathophysiology and Review of Recent Therapeutic Advances.Biomolecules · 2021Review
- Morbidly obese patient with endometrial cancer treated by bariatric surgery to enable cancer treatment.BMJ case reports · 2021Article
- Managing obesity in people with type 2 diabetes.Clinical medicine (London, England) · 2021Article
- Bariatric surgery: the GP's role in long-term post-bariatric surgery follow-up.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- The Effect of Participation in Tier 3 Services on the Uptake of Bariatric Surgery.Obesity surgery · 2021Article
- Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy.Current obesity reports · 2020Review
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver 2 million people in England were estimated to be eligible for bariatric surgery in 2006. In 2014, clinical guidelines were updated, widening potential eligibility, meanwhile, obesity prevalence rose. However, numbers receiving surgery decreased, and concerns exist of inequalities in access between population groups. This study is aimed at estimating the number of adults eligible for surgery in England and to compare demographics with those that receive surgery.
methodsBMI and comorbidity status were used to determine eligibility for bariatric surgery within participants of the 2014 Health Survey for England dataset (6938 adults), based on the National Institute of Health and Care Excellence guidelines. Results were scaled up using national population estimates. The demographics of eligible participants were compared against 2014/2015 hospital episode statistics for sex and age group using a chi-squared analysis.
resultsOf the total population of England, 7.78% (95% CI 7.1-8.6%), or 3,623,505 people, could have been eligible for bariatric surgery in 2014; nearly a million more than if previous guidelines applied. Eligibility peaked at ages 45-54, with most in the 35-64 age group (58.9%). 58.4% of those eligible were women. Patients receiving surgery were far more likely to be female than male (76.1%) and the distribution skewed towards younger ages when compared with those eligible.
conclusionBariatric surgery may benefit many people in England; significant investment is required so that service provision is adequate for demand. Differences between demographics of those eligible and receiving surgery may be explainable; however, the potential health inequality should be investigated.
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