PMID- 28534189
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR  - 20220318
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 27
IP  - 11
DP  - 2017 Nov
TI  - National Trends in Bariatric Surgery 2012-2015: Demographics, Procedure 
      Selection, Readmissions, and Cost.
PG  - 2933-2939
LID - 10.1007/s11695-017-2719-1 [doi]
AB  - BACKGROUND: Bariatric surgery is widely accepted as the best treatment for 
      obesity and type 2 diabetes mellitus (T2DM). The Roux-en-Y gastric bypass (RYGB) 
      and the sleeve gastrectomy (SG) have become the predominant bariatric procedures 
      in the USA over the last several years, although the most recent trends in 
      selection are unknown. OBJECTIVE: The objective of this study is to assess 
      selection trends, readmission rates, and cost of bariatric procedures in the USA 
      from 2012 to 2015. METHODS: We used the Premier database from 2012 to 2015 to 
      examine trends in incidence of RYGB, adjustable gastric banding (LAGB), and SG; 
      readmissions; and cost. Multivariate regression was performed to identify 
      predictors of readmission. RESULTS: The proportion of SG went up from 38 to 63% 
      while the RYGB decreased from 44 to 30% over this time period. LAGB has decreased 
      in use from 13 to 2%. In comparison to RYGB, readmission was less likely for SG 
      (OR 0.64), males (OR 0.91), and more likely for black race (OR 1.27). The overall 
      proportion of patients seeking RYGB with type 2 diabetes was higher than with SG 
      (36 versus 25%), but SG has now overtaken RYGB as the most common procedure among 
      diabetics. The SG is less costly than RYGB ($11,183 versus $13,485). CONCLUSIONS: 
      There is a continued overall trend in the increased popularity of the SG and 
      decreased utilization of the RYGB and LAGB, although growth of the SG appears to 
      be slowing. This is also true among patients with type 2 diabetes mellitus. 
      Regardless of surgery type, underinsured and African-American race were more 
      likely to be readmitted.
FAU - Kizy, Scott
AU  - Kizy S
AD  - Department of Surgery, University of Minnesota, 420 Delaware St. SE, Minneapolis, 
      MN, 55455, USA.
FAU - Jahansouz, Cyrus
AU  - Jahansouz C
AD  - Department of Surgery, University of Minnesota, 420 Delaware St. SE, Minneapolis, 
      MN, 55455, USA.
FAU - Downey, Michael C
AU  - Downey MC
AD  - Department of Biochemistry, Molecular Biology and Biophysics, University of 
      Minnesota, Minneapolis, MN, 55455, USA.
FAU - Hevelone, Nathanael
AU  - Hevelone N
AD  - Department of Healthcare Outcomes, Covidien and Medtronic, Boston, MA, 02048, 
      USA.
FAU - Ikramuddin, Sayeed
AU  - Ikramuddin S
AD  - Department of Surgery, University of Minnesota, 420 Delaware St. SE, Minneapolis, 
      MN, 55455, USA.
FAU - Leslie, Daniel
AU  - Leslie D
AUID- ORCID: 0000-0002-6167-8531
AD  - Department of Surgery, University of Minnesota, 420 Delaware St. SE, Minneapolis, 
      MN, 55455, USA. Lesli002@umn.edu.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Adult
MH  - Bariatric Surgery/adverse effects/*economics/*methods/*trends
MH  - Choice Behavior
MH  - Databases, Factual
MH  - Diabetes Mellitus, Type 2/economics/epidemiology/*surgery
MH  - Female
MH  - Gastrectomy/adverse effects/economics/methods/trends
MH  - Gastric Bypass/adverse effects/economics/methods/trends
MH  - *Health Care Costs/statistics & numerical data/trends
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/economics/epidemiology/*surgery
MH  - *Patient Readmission/economics/statistics & numerical data
MH  - Patient Selection
MH  - United States/epidemiology
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Comorbidities
OT  - Procedure trends
OT  - Readmissions
EDAT- 2017/05/24 06:00
MHDA- 2018/04/10 06:00
CRDT- 2017/05/24 06:00
PHST- 2017/05/24 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
PHST- 2017/05/24 06:00 [entrez]
AID - 10.1007/s11695-017-2719-1 [pii]
AID - 10.1007/s11695-017-2719-1 [doi]
PST - ppublish
SO  - Obes Surg. 2017 Nov;27(11):2933-2939. doi: 10.1007/s11695-017-2719-1.