ArticleObesity surgery2020
Ethnic Disparities in Use of Bariatric Surgery in the USA: the Experience of Native Americans.
Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
The trial behind it
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
4 citing papers in PubMed, 8 citations in OpenAlex.
- Characteristics and Clinical Outcomes of Women with Polycystic Ovary Syndrome After Bariatric Surgery.Obesity surgery · 2025Article
- Obesity among Asian American people in the United States: A review.Obesity (Silver Spring, Md.) · 2023Review
- Sociodemographic characteristics of patients and their use of post-bariatric contouring surgery in the US.BMC health services research · 2022Article
- The Bariatric Experience Long Term (BELONG): Factors Related to Having Bariatric Surgery in a Large Integrated Healthcare System.Obesity surgery · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
Abstract
purposeTo examine disparities in use of bariatric surgery in the USA with particular focus on the experience of Native Americans. MATERIALS AND
methodsMultivariable logistic regression models were applied to the hospital discharge HCUP-NIS dataset (2008-2016) in order to examine the influence of ethnicity in use of bariatric surgery while controlling for aspects of need, predisposing and enabling factors. Separate models investigated disparities in length of stay, cost and discharge to healthcare facility among patient episodes for bariatric surgery.
resultsFull data for 1,729,245 bariatric surgery eligible participants were extracted from HCUP-NIS. The odds of Native Americans receiving bariatric surgery compared to White Americans were 0.67 (95% CI, 0.62-0.73) in a model unadjusted for covariates; 0.65 (95% CI, 0.59-0.71) in a model adjusted for demography and insurance; 0.59 (95% CI, 0.54-0.64) in a model adjusted for clinical variables; and 0.72 (95% CI, 0.66-0.79) in a model adjusted for demographic, insurance types and clinical variables. Native Americans who underwent surgery had significantly shorter lengths of stay, lower healthcare expenditures and lower likelihood of discharge to other healthcare facilities relative to White Americans (controlling for covariates).
conclusionOur study, the first study to examine this subject, showed apparent variations in receipt of bariatric surgery between Native Americans and White Americans even after a range of covariates were controlled. In addition, Native Americans have shorter lengths of stay and significantly lower expenditures.
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