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Changes in physical function and physical activity in patients up to 5  years after bariatric surgery
Bariatric surgery is effective for patients with severe obesity, but relatively little is known about long-term functional outcomes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 9, 2023 Category: Surgery Authors: Leslie M. Schuh, David B. Creel, Marielle Collins, Jaishna Sivakumar, David Diaz Tags: Integrated health article Source Type: research

Changes in physical function and physical activity in patients up to 5 years after bariatric surgery
Bariatric surgery is effective for severe obesity; however, relatively little is known about long-term functional outcomes. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 9, 2023 Category: Surgery Authors: Leslie M. Schuh, David B. Creel, Marielle Collins, Jaishna Sivakumar, David Diaz Tags: Integrated Health Article Source Type: research

Financial toxicity risk among patients with gastric banding complications in the United States: Analysis of the National Inpatient Sample
Laparoscopic adjustable gastric banding (AGB) was historically among the most performed bariatric procedures but has fallen out of favor in recent years due to poor long-term weight loss and high revisional surgery rates. Significant financial hardship of medical care, known as “financial toxicity”, can occur from experiencing unexpected complications of AGB. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 9, 2023 Category: Surgery Authors: Yung Lee, Tania Kazi, Jerry Dang, Matthew Kroh, Aristithes G. Doumouras, Dennis Hong Tags: Original articles Source Type: research

Comment on: Predicting readmission after bariatric surgery using machine  learning
Butler et  al. [1] have come up with a novel model for predicting 30-day readmission after metabolic and bariatric surgery (MBS) by using machine learning (ML). The authors make the point that, in the current literature, readmissions are fairly common, occurring 3%–11% of the time after MBS [2], and that s uch readmissions contribute significantly to morbidity and overall health care costs. Traditional calculators, such as the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Risk Calculator [3], use linear regression models to predict complications, death, and re admissions. (Sourc...
Source: Surgery for Obesity and Related Diseases - July 8, 2023 Category: Surgery Authors: Ann Rogers Tags: Editorial comment Source Type: research

Comment on: Bariatric surgery outcomes in patients with bipolar or schizoaffective disorders
When I first read the title of this paper [1], I was certain that the outcomes for patients with bipolar and schizoaffective disorders who underwent metabolic and bariatric surgery would be less good than those in “normal” control subjects. After all, do we not routinely do psychological testing for our preoperative candidates and rule out those with significant ongoing psychological issues such as severe depression, schizophrenia under poor control, and other issues that could include bipolar and schizoa ffective disorders? Practices can differ significantly regarding the exclusion criteria and method for screening of...
Source: Surgery for Obesity and Related Diseases - July 8, 2023 Category: Surgery Authors: Bruce Schirmer Tags: Editorial comment Source Type: research

Comment on: MBSAQIP risk calculator use in bariatric surgery is associated with a reduction in serious complications: A retrospective analysis of 210,710 patients.
Research across surgical specialties has shown that risk calculators can be a helpful tool for risk stratification and treatment planning. Few studies have access to large data sets. Using the largest prospectively collected database in North America, Hetherington, and collaborators present a provocative and interesting manuscript entitled “MBSAQIP risk calculator use in bariatric surgery is associated with a reduction in serious complications: A retrospective analysis of 210,710 patients” [1]. In this manuscript, the authors discuss the use and implications of the Metabolic and Bariatric Surgery Accreditation and Qual...
Source: Surgery for Obesity and Related Diseases - July 8, 2023 Category: Surgery Authors: Claudia Meza Mu ñoz, Alfredo Daniel Guerron Source Type: research

Comment on: Predicting readmission after bariatric surgery using machine learning
Butler et al.1 have come up with a novel model for predicting 30-day readmission after metabolic and bariatric surgery (MBS) by using machine learning (ML). The authors make the point that, in the current literature, readmissions are fairly common, occurring 3-11% of the time after MBS2, and that such readmissions contribute significantly to morbidity and overall healthcare costs. Traditional calculators, such as the MBSAQIP Risk Calculator3, use linear regression models to predict complications, death and readmissions. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - July 8, 2023 Category: Surgery Authors: Ann Rogers Source Type: research

Wrong again!
When I first read the title of this manuscript, I was fairly certain that the outcomes for patients with bipolar and schizoaffective disorders (BSD) who underwent metabolic and bariatric surgery would be less good than “normal” control subjects. After all, don’t we routinely do psychological testing for our preoperative candidates and rule out those with significant ongoing psychological issues such as severe depression, schizophrenia under poor control, or other issues which could include bipolar and schizo affective disorders? Practices can differ significantly regarding the exclusion criteria and method for screen...
Source: Surgery for Obesity and Related Diseases - July 8, 2023 Category: Surgery Authors: Bruce Schirmer Source Type: research

Impact of prior bariatric surgery on outcomes of hospitalized patients with systemic lupus erythematosus: a propensity score-matched analysis of the U.S. Nationwide Inpatient Sample
Systemic lupus erythematosus (SLE) is an autoimmune disease that primarily affects young women, has many different manifestations, and the disease severity can wax and wane. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 28, 2023 Category: Surgery Authors: Po-Chun Wang, Kung-Chan Ho, Wen-Ching Ko, Wei-Ning Lin Tags: Original articles Source Type: research

Variation by Race/Ethnicity in the Utilization and Weight Loss Following Metabolic Bariatric Surgery
Understanding the disparities in utilization and weight loss outcomes of metabolic bariatric surgery (MBS) by demographics, will inform strategies targeting potential treatment gaps, and enhance overall clinical obesity treatment. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 28, 2023 Category: Surgery Authors: Guanming Chen, William T. Donahoo, Michelle I. Cardel, Allison Holgerson, Alexander Ayzengart, Crystal N. Johnson-Mann, Matthew J. Gurka Tags: Original articles Source Type: research

Comment on: A qualitative analysis of Black men ’s attitudes toward obesity and bariatric surgery
Metabolic and bariatric surgery (MBS) is the most effective treatment for weight loss and leads to significant improvement in many weight-related co-morbidities. Despite this, MBS is vastly underutilized among the eligible patient population across all populations. The reasons for this are multifactorial. Patients and referring providers tend to overestimate the risks of MBS, and many do not know about its efficacy and effect on diseases other than obesity [1]. There is also significant uncertainty about insurance coverage for MBS because eligibility criteria differ among insurance providers and are constantly changing. (S...
Source: Surgery for Obesity and Related Diseases - June 27, 2023 Category: Surgery Authors: Tayler J. James, James D. Nguyen, Matthew J. Martin Tags: Editorial comment Source Type: research

Comment on: National usage of bariatric surgery for class I obesity: An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Progra"
The 1991 National Institutes of Health (NIH) consensus statement delineating criteria for metabolic and bariatric surgery (MBS) was critical to open access to life-saving surgical treatments for those suffering from obesity. Without compelling scientific evidence at the time, those recommendations included criteria now considered dubious such as psychiatric screening, integrated nonsurgical treatments, and strict BMI criteria with specific severe co-morbidity requirements (1). (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 27, 2023 Category: Surgery Authors: Ramsey M. Dallal Source Type: research

Examining Sex Differences in the Association Between Sedentary Behavior and Cognitive Function in Bariatric Surgery Patients
Obesity is associated with cognitive impairment. A potential contributor to these deficits is sedentary behavior (SB), which is linked to poorer cognitive functioning in other populations. Little is known about the association between SB and cognitive function in bariatric surgery populations. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 27, 2023 Category: Surgery Authors: Urja Bhatia, Dale Bond, John Gunstad, Ian Carroll, Ross Crosby, James E. Mitchell, Christine M. Peat, Kristine Steffen, Leslie Heinberg Tags: Original articles Source Type: research

Impact of socioeconomic status on new chronic opioid use after gastric bypass surgery
Socioeconomic status may influence weight-loss, postoperative complications and health related quality-of-life after bariatric surgery. Chronic use of opioid analgesics is a known risk after bariatric surgery, but if socioeconomic factors are associated with new chronic use of opioid analgesics has not been investigated in depth. (Source: Surgery for Obesity and Related Diseases)
Source: Surgery for Obesity and Related Diseases - June 27, 2023 Category: Surgery Authors: Stefan Wallen, Eva Szabo, Maria Palmetun-Ekback, Ingmar Naslund, Johan Ottosson, Erik Naslund, Erik Stenberg Tags: Original articles Source Type: research

Comment on: A qualitative analysis of Black men ’s attitudes towards obesity and bariatric surgery
Metabolic and bariatric surgery (MBS) is the most effective treatment for weight loss and leads to significant improvement in many weight-related comorbidities. Despite this, MBS is vastly underutilized among the eligible patient population across all populations. The reasons for this are multifactorial. Patients and referring providers tend to overestimate the risks of MBS, and many do not know about its efficacy and effect on diseases other than obesity.1 There is also significant uncertainty about insurance coverage for MBS, as eligibility criteria differs among insurance providers and are constantly changing. (Source: ...
Source: Surgery for Obesity and Related Diseases - June 27, 2023 Category: Surgery Authors: Tayler J. James, James D. Nguyen, Matthew J. Martin Source Type: research