12
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Weight Loss Surgery Utilization in Patients Aged 14–25 With Severe Obesity Among Several Healthcare Institutions in the United States

      brief-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction: Obesity is associated with early co-morbidities and higher mortality. Even though weight loss surgery (WLS) in adolescents with severe obesity reliably achieves safe and lasting improvement in BMI and superior resolution of comorbid diseases, its utilization among young patients in the clinical practice stands unclear.

          Objective: To show the prevalence of weight loss surgery utilization rates in adolescents and young adults among several healthcare institutions in the United States.

          Method: WLS in 14–25 years old between 2000 and 2017 was obtained from Washington University, Morehouse Medical, University of Texas, Wake Forest Baptist Medical Center, Beth Israel Deaconess Medical Center, Boston Children's Hospital, Boston Medical Center, and Partners Healthcare using the Shared Health Research Information Network (SHRINE) and Research Patient Data Registry (RPDR) web-based query tools. ICD-9 codes were used for bariatric surgery.

          Results: Among 2500635 individuals, 18008 (0.7%) had severe obesity. At Partners, 1879 patients had severe obesity, of which 404 (21.5%) underwent WLS, whereas at Washington University, 44 (2.5%) of 1788 the underwent WLS. 13 (2.3%) of the 575 at BIDMC, 43 (1.5%) of the 2969 at BMC, and 37 (0.4%) of 8908 at BCH underwent WLS ( p < 0.0001 for all).

          Discussion: Even though WLS has shown to be the most effective treatment to create sustainable changes in metabolic derangements for moderate to severe obesity and its comorbidities, it has been underutilized. Further studies need to be conducted to ensure WLS is utilized for those patients who would achieve the most benefit.

          Related collections

          Most cited references15

          • Record: found
          • Abstract: found
          • Article: not found

          Prevalence of Obesity Among Adults and Youth: United States, 2015-2016.

          Obesity is associated with serious health risks. Monitoring obesity prevalence is relevant for public health programs that focus on reducing or preventing obesity. Between 2003–2004 and 2013–2014, there were no significant changes in childhood obesity prevalence, but adults showed an increasing trend. This report provides the most recent national estimates from 2015–2016 on obesity prevalence by sex, age, and race and Hispanic origin, and overall estimates from 1999–2000 through 2015–2016.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity

            Sleeve gastrectomy is increasingly used in the treatment of morbid obesity, but its long-term outcome vs the standard Roux-en-Y gastric bypass procedure is unknown.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Weight Loss and Health Status 3 Years after Bariatric Surgery in Adolescents.

              Bariatric surgery is increasingly considered for the treatment of adolescents with severe obesity, but few prospective adolescent-specific studies examining the efficacy and safety of weight-loss surgery are available to support clinical decision making.
                Bookmark

                Author and article information

                Contributors
                Journal
                Front Pediatr
                Front Pediatr
                Front. Pediatr.
                Frontiers in Pediatrics
                Frontiers Media S.A.
                2296-2360
                19 September 2018
                2018
                : 6
                : 251
                Affiliations
                [1] 1Neuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School , Boston, MA, United States
                [2] 2Liver Research Center, Beth Israel Deaconess Medical Center , Boston, MA, United States
                [3] 3Pediatric Endocrinology, Massachusetts General Hospital and Harvard Medical School , Boston, MA, United States
                [4] 4MGH Biostatistics Center, Massachusetts General Hospital , Boston, MA, United States
                [5] 5MGH Weight Center, Massachusetts General Hospital , Boston, MA, United States
                Author notes

                Edited by: Andrew S. Day, University of Otago, New Zealand

                Reviewed by: Hellas Cena, University of Pavia, Italy; Sravan Kumar Reddy Matta, Children's National Health System, United States

                *Correspondence: Fatima Cody Stanford fstanford@ 123456mgh.harvard.edu

                This article was submitted to Pediatric Gastroenterology, Hepatology and Nutrition, a section of the journal Frontiers in Pediatrics

                Article
                10.3389/fped.2018.00251
                6156515
                bb29df6b-8b56-4341-b4ff-fc65fbb6846a
                Copyright © 2018 Campoverde Reyes, Misra, Lee and Stanford.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 12 July 2018
                : 28 August 2018
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 20, Pages: 5, Words: 2956
                Categories
                Pediatrics
                Brief Research Report

                obesity surgery,weight loss,adolescent,youth,bariatric surgery

                Comments

                Comment on this article