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Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry
BACKGROUND: When surgery resumed following the outbreak of the COVID-19 pandemic, guidelines recommended the prioritization of patients with greater obesity-related co-morbidities and/or higher body mass index. OBJECTIVE: The aim of this study was to record the effect of the pandemic on total number...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204276/ https://www.ncbi.nlm.nih.gov/pubmed/37365067 http://dx.doi.org/10.1016/j.soard.2023.05.011 |
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author | McGlone, Emma Rose Carey, Iain M. Currie, Andrew Mahawar, Kamal Welbourn, Richard Ahmed, Ahmed R. Pring, Chris Small, Peter K. Khan, Omar A. |
author_facet | McGlone, Emma Rose Carey, Iain M. Currie, Andrew Mahawar, Kamal Welbourn, Richard Ahmed, Ahmed R. Pring, Chris Small, Peter K. Khan, Omar A. |
author_sort | McGlone, Emma Rose |
collection | PubMed |
description | BACKGROUND: When surgery resumed following the outbreak of the COVID-19 pandemic, guidelines recommended the prioritization of patients with greater obesity-related co-morbidities and/or higher body mass index. OBJECTIVE: The aim of this study was to record the effect of the pandemic on total number, patient demographics, and perioperative outcomes of elective bariatric surgery patients in the United Kingdom. SETTING AND METHODS: The United Kingdom National Bariatric Surgical Registry was used to identify patients who underwent elective bariatric surgery during the pandemic (1 yr from April 1, 2020). Characteristics of this group were compared with those of a pre-pandemic cohort. Primary outcomes were case volume, case mix, and providers. National Health Service cases were analyzed for baseline health status and perioperative outcomes. Fisher exact, χ(2), and Student t tests were used as appropriate. RESULTS: The total number of cases decreased to one third of pre-pandemic volume (8615 to 2930). The decrease in operating volume varied, with 36 hospitals (45%) experiencing a 75%–100% reduction. Cases performed in the National Health Service fell from 74% to 53% (P < .0001). There was no change in baseline body mass index (45.2 ± 8.3 kg/m(2) from 45.5 ± 8.3 kg/m(2); P = .23) or prevalence of type 2 diabetes (26% from 26%; P = .99). Length of stay (median 2 d) and surgical complication rate (1.4% from 2.0%; relative risk = .71; 95% CI .45–1.12; P = .13) were unchanged. CONCLUSIONS: In the context of a dramatic reduction in elective bariatric surgery due to the COVID-19 pandemic, patients with more severe co-morbidities were not prioritized for surgery. These findings should inform preparation for future crises. |
format | Online Article Text |
id | pubmed-10204276 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102042762023-05-23 Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry McGlone, Emma Rose Carey, Iain M. Currie, Andrew Mahawar, Kamal Welbourn, Richard Ahmed, Ahmed R. Pring, Chris Small, Peter K. Khan, Omar A. Surg Obes Relat Dis Original Article BACKGROUND: When surgery resumed following the outbreak of the COVID-19 pandemic, guidelines recommended the prioritization of patients with greater obesity-related co-morbidities and/or higher body mass index. OBJECTIVE: The aim of this study was to record the effect of the pandemic on total number, patient demographics, and perioperative outcomes of elective bariatric surgery patients in the United Kingdom. SETTING AND METHODS: The United Kingdom National Bariatric Surgical Registry was used to identify patients who underwent elective bariatric surgery during the pandemic (1 yr from April 1, 2020). Characteristics of this group were compared with those of a pre-pandemic cohort. Primary outcomes were case volume, case mix, and providers. National Health Service cases were analyzed for baseline health status and perioperative outcomes. Fisher exact, χ(2), and Student t tests were used as appropriate. RESULTS: The total number of cases decreased to one third of pre-pandemic volume (8615 to 2930). The decrease in operating volume varied, with 36 hospitals (45%) experiencing a 75%–100% reduction. Cases performed in the National Health Service fell from 74% to 53% (P < .0001). There was no change in baseline body mass index (45.2 ± 8.3 kg/m(2) from 45.5 ± 8.3 kg/m(2); P = .23) or prevalence of type 2 diabetes (26% from 26%; P = .99). Length of stay (median 2 d) and surgical complication rate (1.4% from 2.0%; relative risk = .71; 95% CI .45–1.12; P = .13) were unchanged. CONCLUSIONS: In the context of a dramatic reduction in elective bariatric surgery due to the COVID-19 pandemic, patients with more severe co-morbidities were not prioritized for surgery. These findings should inform preparation for future crises. American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. 2023-05-23 /pmc/articles/PMC10204276/ /pubmed/37365067 http://dx.doi.org/10.1016/j.soard.2023.05.011 Text en © 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Original Article McGlone, Emma Rose Carey, Iain M. Currie, Andrew Mahawar, Kamal Welbourn, Richard Ahmed, Ahmed R. Pring, Chris Small, Peter K. Khan, Omar A. Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry |
title | Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry |
title_full | Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry |
title_fullStr | Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry |
title_full_unstemmed | Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry |
title_short | Bariatric surgery provision in response to the COVID-19 pandemic: retrospective cohort study of a national registry |
title_sort | bariatric surgery provision in response to the covid-19 pandemic: retrospective cohort study of a national registry |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204276/ https://www.ncbi.nlm.nih.gov/pubmed/37365067 http://dx.doi.org/10.1016/j.soard.2023.05.011 |
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