Evidence map›Paper›PMID 39052174›Full record

ArticleObesity surgery2024

Metabolic and Bariatric Surgery Outcomes in African American Patients: a Single Institution Experience.

Alice Wang, Alexander Abdurakhmanov, Kyle J Thompson, Iain H McKillop, Vilok Vijayanagar, Timothy S Kuwada, Roc Bauman, Selwan Barbat, Keith S Gersin, Abdelrahman Nimeri

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Article in Obesity surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Alice WangDepartment of Surgery, Wright State University, Dayton, OH, 45324, USA.ORCID 0000-0002-0325-6832
Alexander AbdurakhmanovDepartment of Surgery, Maimonides Medical Center, Brooklyn, NY, 11219, USA.
Kyle J ThompsonDivision of Research, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
Iain H McKillopDivision of Research, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
Vilok VijayanagarHCA Health Capital Division, Hopewell, VA, 23860, USA.
Timothy S KuwadaAtrium Health Weight Management, Section of Bariatric & Metabolic Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
Roc BaumanAtrium Health Weight Management, Section of Bariatric & Metabolic Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
Selwan BarbatAtrium Health Weight Management, Section of Bariatric & Metabolic Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
Keith S GersinAtrium Health Weight Management, Section of Bariatric & Metabolic Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
Abdelrahman NimeriAtrium Health Weight Management, Section of Bariatric & Metabolic Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA. animeri@bwh.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of obesity in African Americans (AAs) is higher than in non-AA in the USA. Previous studies using large national databases report that AA patients have worse outcomes than non-AA patients.

objectivesTo assess perioperative outcomes among AA patients after MBS at a center of excellence (COE) that serves a large, diverse patient population.

settingUniversity Hospital

methodsA retrospective analysis was performed on patients undergoing MBS between 2010 and 2020 at our two accredited MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) COEs where the AA population makes up over 35% of the population. Preoperative variables were compared using unpaired t-test or chi-squared test where appropriate. Thirty-day outcomes were compared following propensity score matching (exact algorithm) of demographics and comorbidities.

resultsOverall, 5742 patients (AA = 2058, 36%) had Roux-en-Y gastric bypass (AA = 1028, 26%) or sleeve gastrectomy (AA = 1030, 27%). AA patients were more often female (90.2% vs. 80.2%, p < 0.001) and had higher rates of hypertension (56.3% vs. 47.8%, p < 0.001), while non-AA patients had higher rates of hyperlipidemia (27.3% vs. 20.7%, p < 0.001) and obstructive sleep apnea (41.2% vs. 37.1%, p = 0.0024). Matched data showed that AA patients had higher rates of pulmonary embolism (PE) (0.3% vs. 0.1%, p = 0.020) and more emergency department visits (7.0% vs. 5.1%, p = 0.012) but no differences in mortality, readmission, reintervention, or reoperation rates.

conclusionsIn a diverse area, AA patients who underwent MBS had similar perioperative outcomes compared to non-AA patients except that they experienced higher rates of PE. They also experienced higher rates of emergency department visits but had similar readmission rates.

Indexed as

Bariatric SurgeryBlack or African AmericanObesity, MorbidAdultFemaleGastric BypassHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAfrican AmericanDiversityMetabolic surgeryPulmonary embolism

Identifiers

PMID39052174

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.