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Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018.

Publication ,  Journal Article
Steinberger, AE; Youngwirth, LM; Kim, SE; Duke, NN; Skinner, A; Gordee, A; Kuchibhatla, M; Armstrong, S; Seymour, KA
Published in: Obes Surg
August 2021

INTRODUCTION: Racial disparities exist in obesity prevalence and obesity-related comorbid conditions among youth. We hypothesized that non-White adolescents would have poorer 30-day outcomes after adolescent bariatric surgery. METHODS: Adolescent patients 19 years or younger who had bariatric surgery from January 2015 to December 2018 were identified in the Metabolic and Bariatric Surgery Accreditation and Quality Initiative Program datafiles. Patient characteristics and 30-day perioperative outcomes were compared across racial groups. Trends in utilization of adolescent bariatric surgery were evaluated by race and procedure. RESULTS: Bariatric surgery was performed in 3177 adolescents with a mean age of 17.9 years [standard deviation (SD) 1.1 years]. The majority of patients were White 71.5% (2,271), while only 16.4% (520) were Black, and 12.1% (386) were other. Black adolescents 42.7% (222) more commonly presented with a BMI >50kg/m2 compared to 28.4% (645) White and 27.2% (105) other. Baseline hypertension and sleep apnea were more common among Black adolescents than other racial groups (P< 0.05). Black adolescents with LRYGB comprised 4.6% (48) of procedures in 2015 and only 1.5% (11) in 2018. Clavien-Dindo complications and all-cause readmission rates were similar among racial groups. Mean BMI decrease after 30 days was greatest for Black patients after Roux-en-Y gastric bypass, with a loss of 3.1 BMI points (SD 1.5). CONCLUSIONS: Despite similar short-term outcomes, significant disparities exist for Black adolescents who qualify for bariatric surgery. Further investigation is warranted to better understand the racial differences that limit access and utilization of this safe and effective intervention.

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Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

August 2021

Volume

31

Issue

8

Start / End Page

3776 / 3785

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Obesity, Morbid
  • Laparoscopy
  • Humans
  • Gastric Bypass
  • Gastrectomy
  • Bariatric Surgery
 

Citation

APA
Chicago
ICMJE
MLA
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Steinberger, A. E., Youngwirth, L. M., Kim, S. E., Duke, N. N., Skinner, A., Gordee, A., … Seymour, K. A. (2021). Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018. Obes Surg, 31(8), 3776–3785. https://doi.org/10.1007/s11695-021-05500-z
Steinberger, Allie E., Linda M. Youngwirth, Se Eun Kim, Naomi N. Duke, Asheley Skinner, Alexander Gordee, Maragatha Kuchibhatla, Sarah Armstrong, and Keri A. Seymour. “Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018.Obes Surg 31, no. 8 (August 2021): 3776–85. https://doi.org/10.1007/s11695-021-05500-z.
Steinberger AE, Youngwirth LM, Kim SE, Duke NN, Skinner A, Gordee A, et al. Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018. Obes Surg. 2021 Aug;31(8):3776–85.
Steinberger, Allie E., et al. “Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018.Obes Surg, vol. 31, no. 8, Aug. 2021, pp. 3776–85. Pubmed, doi:10.1007/s11695-021-05500-z.
Steinberger AE, Youngwirth LM, Kim SE, Duke NN, Skinner A, Gordee A, Kuchibhatla M, Armstrong S, Seymour KA. Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018. Obes Surg. 2021 Aug;31(8):3776–3785.
Journal cover image

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

August 2021

Volume

31

Issue

8

Start / End Page

3776 / 3785

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Obesity, Morbid
  • Laparoscopy
  • Humans
  • Gastric Bypass
  • Gastrectomy
  • Bariatric Surgery