Skip to main content
Journal cover image

Racial differences among patients undergoing laparoscopic gastric bypass surgery: a population-based trend analysis from 2002 to 2008.

Publication ,  Journal Article
Worni, M; Guller, U; Maciejewski, ML; Curtis, LH; Gandhi, M; Pietrobon, R; Jacobs, DO; Østbye, T
Published in: Obes Surg
February 2013

BACKGROUND: Laparoscopic gastric bypass surgery (LGBS) has become the most widely used bariatric procedure due to its beneficial long-term outcomes for patients with morbid obesity. However, it is unclear whether racial differences in admission for LGBS have changed over time compared to racial differences in all other admissions. We aimed to investigate the trends and differences in the use of LGBS among white, African-American, and Hispanic patients from 2002 to 2008. METHODS: We performed a secondary analysis of data on obese adult patients operated between 2002 and 2008, using the Nationwide Inpatient Sample (NIS) database. The probability of being admitted for LGBS was estimated using logistic regression with race, year, and year by race interaction as predictors, controlling for numerous patient and hospital characteristics. RESULTS: Among 1,704,972 obese hospitalized patients captured through NIS from 2002 to 2008, 2.6 % underwent LGBS (2.8 % Whites, 1.7 % African-Americans, and 2.6 % Hispanics). In adjusted analysis, obese African-American (OR 0.48, p < 0.001) and Hispanic patients (OR 0.59, p < 0.001) were less likely to be admitted for LGBS than white patients in 2002. Race-year interactions showed that the odds of African-Americans undergoing LGBS significantly increased from 2002 to 2008 compared with Whites (annual OR 1.03, p < 0.001) while no such increase was detected for Hispanics (annual OR 1.02, p = 0.11). In 2008, African-American (OR 0.58, p < 0.001) and Hispanic patients (OR 0.65, p < 0.001) still had lower odds than white patients. CONCLUSIONS: This is the first study showing that the difference in the use of LGBS between obese African-American and white patients declined between 2002 and 2008. However, LGBS use still remained significantly lower for both African-American and Hispanic patients in 2008 compared with white patients.

Duke Scholars

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

February 2013

Volume

23

Issue

2

Start / End Page

226 / 233

Location

United States

Related Subject Headings

  • White People
  • United States
  • Surgery
  • Quality Assurance, Health Care
  • Obesity, Morbid
  • Middle Aged
  • Medicaid
  • Male
  • Logistic Models
  • Laparoscopy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Worni, M., Guller, U., Maciejewski, M. L., Curtis, L. H., Gandhi, M., Pietrobon, R., … Østbye, T. (2013). Racial differences among patients undergoing laparoscopic gastric bypass surgery: a population-based trend analysis from 2002 to 2008. Obes Surg, 23(2), 226–233. https://doi.org/10.1007/s11695-012-0832-8
Worni, Mathias, Ulrich Guller, Matthew L. Maciejewski, Lesley H. Curtis, Mihir Gandhi, Ricardo Pietrobon, Danny O. Jacobs, and Truls Østbye. “Racial differences among patients undergoing laparoscopic gastric bypass surgery: a population-based trend analysis from 2002 to 2008.Obes Surg 23, no. 2 (February 2013): 226–33. https://doi.org/10.1007/s11695-012-0832-8.
Worni M, Guller U, Maciejewski ML, Curtis LH, Gandhi M, Pietrobon R, et al. Racial differences among patients undergoing laparoscopic gastric bypass surgery: a population-based trend analysis from 2002 to 2008. Obes Surg. 2013 Feb;23(2):226–33.
Worni, Mathias, et al. “Racial differences among patients undergoing laparoscopic gastric bypass surgery: a population-based trend analysis from 2002 to 2008.Obes Surg, vol. 23, no. 2, Feb. 2013, pp. 226–33. Pubmed, doi:10.1007/s11695-012-0832-8.
Worni M, Guller U, Maciejewski ML, Curtis LH, Gandhi M, Pietrobon R, Jacobs DO, Østbye T. Racial differences among patients undergoing laparoscopic gastric bypass surgery: a population-based trend analysis from 2002 to 2008. Obes Surg. 2013 Feb;23(2):226–233.
Journal cover image

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

February 2013

Volume

23

Issue

2

Start / End Page

226 / 233

Location

United States

Related Subject Headings

  • White People
  • United States
  • Surgery
  • Quality Assurance, Health Care
  • Obesity, Morbid
  • Middle Aged
  • Medicaid
  • Male
  • Logistic Models
  • Laparoscopy