Benefits of Bariatric Surgery Do Not Reach Obese Men - Kölner UniversitätsPublikationsServer

Fuchs, Hans F., Broderick, Ryan C., Harnsberger, Cristina R., Chang, David C., Sandler, Bryan J., Jacobsen, Garth R. and Horgan, Santiago (2015). Benefits of Bariatric Surgery Do Not Reach Obese Men. J. Laparoendosc. Adv. Surg. Tech., 25 (3). S. 196 - 202. NEW ROCHELLE: MARY ANN LIEBERT, INC. ISSN 1557-9034

Full text not available from this repository.

DOI:10.1089/lap.2014.0639

Abstract

Background: Epidemiological studies have shown an equal gender distribution of obesity in the United States; however, literature suggests approximately 80% of patients undergoing bariatric surgery are female. The aim of this study is to identify factors that contribute to this gender disparity. Study Design: A retrospective analysis of the Nationwide Inpatient Sample was performed. Obese patients who underwent open or laparoscopic gastric bypass or sleeve gastrectomy were identified using International Classification of Diseases, 9th edition codes. Patients <18 years of age were excluded. Female gender was used as a dependent variable to determine factors that influence gender distribution. Multivariate analyses adjusted for age, race, state within the United States, Charlson Comorbidity Index, income level, and insurance status. Results: From 1998 to 2010, 190,705 patients underwent bariatric surgery (93% gastric bypass, 7% sleeve gastrectomy). Females made up 81.36% of the population. An 80% to 20% female to male distribution was maintained for every year (1998-2010) and was unchanged within individual states. Patients were more likely to be female if from a lower-income neighborhood or if African American or Hispanic (P<.05). Patients were less likely to be female with increasing age, more comorbidities, or private insurance (P<.05). Conclusions: The unequal gender distribution in bariatric surgery patients is influenced by demographic and socioeconomic factors. This disparity is narrowed in patients who are older and have more comorbidities, whereas the disparity is widened for certain races and lower incomes. Given the equal distribution of obesity in the United States, the widespread gender gap in bariatric surgery may suggest an underuse in obese men.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Fuchs, Hans F.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Broderick, Ryan C.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Harnsberger, Cristina R.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Chang, David C.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Sandler, Bryan J.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Jacobsen, Garth R.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Horgan, Santiago	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED