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Obesity Surgery

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Open Access 24-11-2022 | Obesity | Original Contributions

Frequency of Short- vs Long-Term Reporting of Bariatric Surgery Outcomes

Authors: Krishna K. Oochit, Safwan Shahwan, James Hughes, Georgios Kourounis

Published in: Obesity Surgery | Issue 1/2023

Abstract

Background and Aims

Bariatric surgery is an effective treatment for obesity. Though both short- and long-term outcomes have been reported, most of the published literature reports on short-term outcomes. Identification of post-operative weight regain and re-emergence of comorbidities requires medium- and long-term follow-up. We aimed to identify the distribution of follow-up times within the literature.

Methods

We screened through 1807 articles from 9 PubMed Indexed bariatric surgery journals published between January to June of 2015 and 2021 and selected articles reporting weight loss as a main outcome. Follow-up intervals were defined as per American Society for Metabolic and Bariatric Surgery (ASMBS) guidelines.

Results

Fifty-three and sixty-three articles were identified in 2015 and 2021 respectively. Reported follow-up lengths in 2015 were 60% short-, 26% medium-, and 14% long-term; while in 2021, there were 65% short-, 10% medium-, and 25% long-term articles. Of the articles reporting long-term outcomes in 2015 and 2021, 48%, and 70% of the included patients respectively had > 5 years follow-up.

Conclusion

Though reporting of long-term outcomes increased, most published outcomes remain short-term. The UK National Bariatric Surgery Registry is helping to mitigate this. An increased effort and emphasis on reporting long-term outcomes is needed.

Graphical Abstract

Obesity and overweight [Internet]. WHO FACTSHEET. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed 16 July 2022.

Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al. Bariatric surgery: a systematic review and meta-analysis. J Am Med Assoc. 2004;292(14):1724–37.CrossRef

Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.CrossRef

Fifth IFSO Global Registry Report (2019) | Dendrite Clinical Systems [Internet]. [cited 2022 Feb 1]. Available from: http://new.e-dendrite.com/index.php/IFSO2019?page=4

Sjöström L, Peltonen M, Jacobson P, Sjöström CD, Karason K, Wedel H, et al. Bariatric surgery and long-term cardiovascular events. JAMA [Internet]. 2012 Jan 4 [cited 2022 Apr 6];307(1):56–65. Available from: https://pubmed.ncbi.nlm.nih.gov/22215166/

Billeter AT, Scheurlen KM, Probst P, Eichel S, Nickel F, Kopf S, et al. Meta-analysis of metabolic surgery versus medical treatment for microvascular complications in patients with type 2 diabetes mellitus. Br J Surg [Internet]. 2018 Feb 1 [cited 2022 Apr 6];105(3):168–81. Available from: https://pubmed.ncbi.nlm.nih.gov/29405276/

Müller-Stich BP, Fischer L, Kenngott HG, Gondan M, Senft J, Clemens G, et al. Gastric bypass leads to improvement of diabetic neuropathy independent of glucose normalization--results of a prospective cohort study (DiaSurg 1 study). Ann Surg [Internet]. 2013 Nov [cited 2022 Apr 6];258(5):760–6. Available from: https://pubmed.ncbi.nlm.nih.gov/23979278/

Lassailly G, Caiazzo R, Buob D, Pigeyre M, Verkindt H, Labreuche J, et al. Bariatric surgery reduces features of nonalcoholic steatohepatitis in morbidly obese patients. Gastroenterology [Internet]. 2015 Aug 1 [cited 2022 Apr 6];149(2):379–88. Available from: https://pubmed.ncbi.nlm.nih.gov/25917783/

Sjöström L. Bariatric surgery and reduction in morbidity and mortality: experiences from the SOS study. Int J Obes (Lond) [Internet]. 2008 [cited 2022 Feb 1];32 Suppl 7:S93–7. Available from: https://pubmed.ncbi.nlm.nih.gov/19136998/

10.

Magro DO, Geloneze B, Delfini R, Pareja BC, Callejas F, Pareja JC. Long-term weight regain after gastric bypass: a 5-year prospective study. Obes Surg [Internet]. 2008 Jun [cited 2022 Feb 1];18(6):648–51. Available from: https://pubmed.ncbi.nlm.nih.gov/18392907/

11.

Sjöström L, Lindroos A-K, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med [Internet]. 2004 Dec 23 [cited 2022 Feb 1];351(26):2683–93. Available from: https://pubmed.ncbi.nlm.nih.gov/15616203/

12.

Courcoulas AP, Christian NJ, O’Rourke RW, Dakin G, Patchen Dellinger E, Flum DR, et al. Preoperative factors and 3-year weight change in the Longitudinal Assessment of Bariatric Surgery (LABS) consortium. Surg Obes Relat Dis. 2015;11(5):1109–18.CrossRef

13.

Wedin S, Madan A, Correll J, Crowley N, Malcolm R, Karl Byrne T, et al. Emotional eating, marital status and history of physical abuse predict 2-year weight loss in weight loss surgery patients. Eat Behav. 2014;15(4):619–24.CrossRef

14.

Suter M, Donadini A, Romy S, Demartines N, Giusti V. Laparoscopic Roux-en-Y gastric bypass: significant long-term weight loss, improvement of obesity-related comorbidities and quality of life. Ann Surg [Internet]. 2011 Aug [cited 2022 Feb 1];254(2):267–73. Available from: https://pubmed.ncbi.nlm.nih.gov/21772127/

15.

Edholm D, Svensson F, Näslund I, Karlsson FA, Rask E, Sundbom M. Long-term results 11 years after primary gastric bypass in 384 patients. Surg Obes Relat Dis. 2013;9(5):708–13.CrossRef

16.

Christou N V., Look D, MacLean LD. Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg [Internet]. 2006 Nov [cited 2022 Feb 1];244(5):734–40. Available from: https://pubmed.ncbi.nlm.nih.gov/17060766/

17.

Higa K, Ho T, Tercero F, Yunus T, Boone KB. Laparoscopic Roux-en-Y gastric bypass: 10-year follow-up. Surg Obes Relat Dis. 2011;7(4):516–25.CrossRef

18.

Surve A, Cottam D, Medlin W, Richards C, Belnap L, Horsley B, et al. Long-term outcomes of primary single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). Surg Obes Relat Dis. 2020;16(11):1638–46.CrossRef

19.

Kourounis G, Kong CY, Logue J, Gibson S. Weight loss in adults following bariatric surgery, a systematic review of preoperative behavioural predictors. Clin Obes [Internet]. 2020 Oct [cited 2022 Jul 2];10(5). Available from: https://pubmed.ncbi.nlm.nih.gov/32691530/

20.

Brethauer SA, Kim J, El Chaar M, Papasavas P, Eisenberg D, Rogers A, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Surg Obes Relat Dis [Internet]. 2015 May 1 [cited 2022 Jan 29];11(3):489–506. Available from: https://pubmed.ncbi.nlm.nih.gov/26093765/

21.

Shahwan S, Oochit K, Campbell E, Kourounis G. Reporting of weight loss outcomes in bariatric surgery following introduction of 2015 ASMBS guidelines. Surg Obes Relat Dis [Internet]. 2022 Jul [cited 2022 Jul 2];0(0). Available from: http://www.soard.org/article/S1550728922005676/fulltext

22.

Fewtrell MS, Kennedy K, Singhal A, Martin RM, Ness A, Hadders-Algra M, et al. How much loss to follow-up is acceptable in long-term randomised trials and prospective studies? Arch Dis Child [Internet]. 2008 Jun 1 [cited 2022 Jul 2];93(6):458–61. Available from: https://adc.bmj.com/content/93/6/458

23.

Kristman, V, Manno, M, Côté, P. Loss to follow-up in cohort studies: how much is too much? Eur J Epidemiol 19, 751–760 (2004). [cited 2022 Oct 22]. Available from: https://doi.org/10.1023/B:EJEP.0000036568.02655.f8

24.

Suter M, Calmes JM, Paroz A, Giusti V. A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg [Internet]. 2006 Jul [cited 2022 Feb 1];16(7):829–35. Available from: https://pubmed.ncbi.nlm.nih.gov/16839478/

25.

Te Riele WW, Boerma D, Wiezer MJ, Rinkes IHMB, Van Ramshorst B. Long-term results of laparoscopic adjustable gastric banding in patients lost to follow-up. Br J Surg [Internet]. 2010 Oct [cited 2022 Jan 29];97(10):1535–40. Available from: https://pubmed.ncbi.nlm.nih.gov/20564686/

26.

The United Kingdom National Bariatric Surgery Registry 3rd Report (2020) | Dendrite Clinical Systems [Internet]. [cited 2022 Feb 1]. Available from: https://new.e-dendrite.com/NBSR2020

Title: Frequency of Short- vs Long-Term Reporting of Bariatric Surgery Outcomes
Authors: Krishna K. Oochit
Safwan Shahwan
James Hughes
Georgios Kourounis
Publication date: 24-11-2022
Publisher: Springer US
Keywords: Obesity
Obesity
Bariatric Surgery
Bariatric Surgery
Published in: Obesity Surgery / Issue 1/2023
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-022-06360-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Frequency of Short- vs Long-Term Reporting of Bariatric Surgery Outcomes

Abstract

Background and Aims

Methods

Results

Conclusion

Graphical Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and Aims

Methods

Results

Conclusion

Graphical Abstract

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