Characterizing Bariatric Surgery Utilization and Complication Rates in the Adolescent Population
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In brief
In brief
NSQIP analysis of 2,625 adolescents (ages 18-21) undergoing bariatric surgery from 2005-2015 reveals a dramatic shift from Roux-en-Y to sleeve gastrectomy, with overall low complication rates (2.4%) and 30-day readmission of 4.1%. The study characterizes utilization patterns and safety outcomes in this growing patient population.
Written by the GCMD Library team from the article.
Introduction
Bariatric surgery is an increasingly common treatment of morbid obesity in the United States and has demonstrated effective weight loss and improvement of comorbidities. We used the National Surgical Quality Improvement Program (NSQIP) data to characterize bariatric surgery utilization and complication rates in the adolescent population.
Methods
Demographics, surgical procedures, comorbidities, and 30-day outcomes of 2625 adolescents ages 18–21 who underwent bariatric surgery were analyzed from NSQIP data-bank from 2005 to 2015.
Results
79.5% of patients were females. Majority of patients identified as Caucasian or Black/African American (BAA) at 66.7% (73% of US population) and 15.5% (12.6% of US population), respectively. 15.9% identified as Hispanic. Comorbidities included diabetes in 9.3% (7.8% NIDDM), hypertension (9.5%), and dyspnea on moderate exertion (13.2%).
Sleeve Gastrectomy, Laparoscopic Roux-En-Y (RY) and Adjustable Gastric Banding (AGB) were the three most common procedures performed during the study period. There has been a sharp trend towards SG in recent years (11.4% in 2010, to 66.6% in 2015), while RY utilization declined (47.4% in 2010 to 28.6% in 2015). Surgical complications were 2.4%, with the most common being superficial surgical site infection (0.7%), UTI (0.7%), and organ-space infection (0.4%). Reoperation and readmission rates within 30-days post-operation were 1.5% and 4.1%, respectively. Those with complications had longer length-of-stays (2.7 vs. 1.8 days, P