News – NEWBERRY, FL – June 11, 2021 A new study released today shows that people in several states with the highest rates of obesity are the least likely to undergo weight loss surgery, which has long been considered the standard for treating severe obesity and related diseases, including type 2 diabetes and heart disease. : . The study is presented at the 2021 Annual Meeting of the American Society for Metabolic Surgery (ASMBS) *.
Researchers at Rush University Medical Center in Chicago conducted a state-of-the-art analysis of nearly 100,000 patients who underwent bariatric surgery (including gastrectomy or gastric bypass) out of 1,789,457 patients who were considered ineligible for surgery. Patient data was obtained from the PearlDiver Mariner insurance claims database.
According to the study, the overall use of bariatric surgery was highest in New Jersey (10.4%), Rhode Island (9.6%), Delaware (9.2%), lowest in Vermont (2.1%), and Arkansas (2.6%). %), Alabama (2.8%) և West Virginia (2.8%) – four to five times the difference in usage rates between the states. The US Centers for Disease Control and Prevention (CDC) reports that the highest prevalence of obesity is in the Midwest (33.9%) and South (33.3%), followed by the Northeast (29.0%) and the West (27.4%).
“The best treatment for severe obesity is, unfortunately, the most optimal of the people who can benefit most,” said study co-author Scott Schimpke, MD, associate professor, Department of Minimally Invasive Bariatric Surgery, Rush Medical College. “These state disparities in use ները the factors contributing to this need to be better understood և addressed in order to ensure equal access to bariatric surgery և to reduce the burden of obesity in America.”
The authors of the study note that many factors can contribute to changing the use of bariatric surgery, including physicians’ beliefs, the number of bariatric surgeons, financial incentives, insurance coverage, policy differences, and patient characteristics. In 2019, only about 256,000 bariatric surgeries were performed in the United States, representing less than 1% of the country’s currently eligible surgical population.
Eligible adults include people with a body mass index (BMI) of at least 35 who have obesity-related illnesses such as diabetes or a BMI of at least 40. BMI is a measure of body fat based on weight և height. The CDC reports that 42.4% of adults in the United States were obese in 2017-2018. Another 9.2% had severe obesity. Obesity is associated with more than 40 diseases, including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.
“Barrier surgery remains one of the most widely used treatments in medicine,” says Matthew M. “Access to this life-saving և transformative treatment should not be determined by zip code, but rather by medical necessity.”
Abol has been shown to be the most effective “long-term” treatment for severe / obese metabolic / bariatric surgery, leading to significant weight loss, resolution or improvement in diabetes, heart disease, sleep apnea, and many other diseases. The safety profile of laparoscopic bariatric surgery has become comparable to some of the safest and most common surgeries in the United States, including gallbladder surgery, appendectomy, and knee replacement.
ASMBS is the largest organization of bariatric surgeons in the country. It is a non-profit organization that works to advance the art and science of bariatric surgery, and is committed to educating medical professionals and the public about bariatric surgery as a treatment for obesity, as well as its risks and benefits. . It encourages its members to investigate, discover new advances in bariatric surgery, while maintaining a consistent exchange of experience and ideas, which can lead to improved surgical outcomes in patients with severe obesity. For more information, visit www.asmbs.org.
* Saturday 6.12.21 Paper Session 3:
“Variations in the use of bariatric surgery by the state from 2010 to 2019. PearlDiver Mariner Database Analysis »
Presentation: 16:11 – 16:16 ET; Discussion 16:16 – 16:19 ET:
Host: Xunjun Kim
Co-author: Scott Chimpke
1:Effectiveness of Bariatric Surgery և Risks. Updated Systematic Review և Meta-Analysis, 2003-2012. Access: https://jamanetwork.com/journals/jamasurgery/fullarticle/1790378
2:Steele CB, Thomas CC, Henley SJ et al. Vital signs. Trends in Cancer Overweight and Obesity – United States, 2005–2014. MMWR Morb Mortal Wkly Rep 2017; 66: 1052–1058: DOI: http://dx.doi.org/10.15585/mmwr.mm6639e1:
3:Disease Control and Prevention Centers. (2015) Health effects of overweight and obesity. Access: https://www.cdc.gov/healthyweight/effects/index.html
4:Weiner, RA և others. (2010): Indications և Metabolic Surgery և Principles. US National Library of Medicine. 81 (4) pp.379-394: https://www.ncbi.nlm.nih.gov/pubmed/20361370:
5:Gastric bypass surgery is just as safe as regular surgery. Health capacity. Cleveland Clinic. November 6, 2014. Available in October 2017 https://health.clevelandclinic.org/2014/11/gastric-bypass-is-as-safe-as-commonly-performed-surgeries/