About: Bariatric Surgery in Prior Solid Organ Transplantation Patients: Is Race a Predictor of Adverse Outcomes?

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About: Bariatric Surgery in Prior Solid Organ Transplantation Patients: Is Race a Predictor of Adverse Outcomes? Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Bariatric Surgery in Prior Solid Organ Transplantation Patients: Is Race a Predictor of Adverse Outcomes?
Creator	Edwards, Michael Mazzei, Michael Zhao, Huaqing Fagenson, Alexander
Source	PMC
abstract	PURPOSE: Metabolic and bariatric surgery (MBS) is increasingly performed in patients with previous solid organ transplantation (PSOT). In addition, controversy remains about whether racial disparity in outcomes following MBS exists. Therefore, the aim of this analysis was to determine if race independently predicts outcomes in MBS patients with PSOT. MATERIALS AND METHODS: Patients with PSOT undergoing sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) were identified in the 2017 Metabolic and Bariatric Surgery Accreditation Quality and Improvement Project (MBSAQIP) database. Patients were stratified by race (Black and White). Propensity score matching was utilized to adjust for multiple demographic variables. Multivariable logistic regression analyses were performed for overall and bariatric-related morbidity. RESULTS: Of 335 MBS patients with PSOT, 250 (75%) were white and 85 (25%) were black patents. Procedure-type and surgical approach (p > 0.1) were similarly distributed. Black patients were more likely (p < 0.05) to have hypertension dialysis-dependent chronic kidney disease, and be on chronic steroids). Mortality and morbidity were similar. Black patients had significantly (p < 0.05) higher rates of renal failure, pulmonary complications, and emergency department visits in unmatched analysis. After propensity score matching, 82 patients in each cohort were identified and were similar at baseline (p > 0.5). In the matched analysis, black patients had higher overall (17% vs. 10%, p = 0.12) and bariatric-related morbidity (14% vs. 7.2%, p = 0.05). In addition, black patients had significantly (p < 0.05) higher rates of postoperative pneumonias, progressive renal insufficiency, and emergency department visits. On multivariable regression analysis, black race did not independently predict overall or bariatric-related morbidity. CONCLUSION: MBS in racial cohorts with PSOT is safe, with very low rates of overall morbidity and mortality. Black race trended toward increased postoperative morbidity. Larger cohort studies are needed to validate our findings. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11695-020-04813-9) contains supplementary material, which is available to authorized users.
has issue date	2020-07-02(xsd:dateTime)
bibo:doi	10.1007/s11695-020-04813-9
bibo:pmid	32617920
has license	no-cc
sha1sum (hex)	9b8c852ebbc5eda4c095b374d09acbd139f18e11
schema:url	https://doi.org/10.1007/s11695-020-04813-9
resource representing a document's title	Bariatric Surgery in Prior Solid Organ Transplantation Patients: Is Race a Predictor of Adverse Outcomes?
has PubMed Central identifier	PMC7331490
has PubMed identifier	32617920
schema:publication	Obes Surg
resource representing a document's body	covid:9b8c852ebbc5eda4c095b374d09acbd139f18e11#body_text
is schema:about of	named entity 'logistic regression' named entity 'race' named entity 'Black' named entity 'patients' named entity 'morbidity' named entity 'morbidity' named entity 'Organ Transplantation' named entity 'INCREASED' named entity 'LOGISTIC REGRESSION' named entity 'QUALITY' named entity 'WHITE' named entity 'Black' named entity 'Bariatric Surgery' named entity 'Larger' named entity 'remains' named entity 'renal insufficiency' named entity 'cohort' named entity 'Improvement' named entity 'complications' named entity 'identified' named entity 'needed' named entity 'matched' named entity 'exists' named entity 'steroids' named entity 'morbidity' named entity 'bariatric surgery' named entity 'bariatric' named entity 'Roux-en-Y gastric bypass' named entity 'Bariatric Surgery' named entity 'renal insufficiency' named entity 'morbidity' named entity 'logistic regression' named entity 'Bariatric Surgery' named entity 'steroid' named entity 'morbidity' named entity 'univariate analysis' named entity 'morbidity' named entity 'morbidity' named entity 'statistically significant' named entity 'RYGB' named entity 'morbidity' named entity '2.52' named entity 'statistically significant' named entity 'multivariate regression' named entity 'RYGB' named entity 'multivariate regression' named entity 'odds ratio' named entity 'bariatric' named entity 'bariatric surgery' named entity 'IBM Corporation' named entity 'MBS' named entity 'morbidity' named entity 'laparoscopy' named entity 'bariatric surgery' named entity 'Metabolic' named entity 'bariatric surgical' named entity 'RYGB' named entity 'morbidity' named entity 'PUF' named entity 'chronic kidney disease' named entity 'SAS Institute' named entity 'American Indian or Alaska Native' named entity 'RYGB' named entity 'regression model' named entity 'Armonk' named entity 'comorbidities' named entity 'solid organ transplantation' named entity 'bariatric' named entity 'safe and effective' named entity 'dialysis' named entity 'solid organ transplantation' named entity 'organ transplantation' named entity 'morbidity' named entity 'Subgroup analyses' named entity 'emergency department' named entity 'sample size' named entity 'body mass index' named entity 'RYGB'

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