About: Male gender is an independent risk factor for patients undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass: an MBSAQIP® database analysis

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About: Male gender is an independent risk factor for patients undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass: an MBSAQIP® database analysis Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Male gender is an independent risk factor for patients undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass: an MBSAQIP® database analysis
Creator	Gersin, Keith Kuwada, Timothy Nimeri, Abdelrahman Prasad, · Roberts, Amanda Thompson, Kyle Dugan, Nicholas Maloney, Sean Mckillop, Iain Selwan Barbat, ·
Source	PMC
abstract	BACKGROUND: Male patients undergoing bariatric surgery have (historically) been considered higher risk than females. The aim of this study was to examine the disparity between genders undergoing laparoscopic sleeve gastrectomy (SG) and laparoscopic Roux-en-Y gastric bypass (RYGB) procedures and assess gender as an independent risk factor. METHODS: The MBSAQIP® Data Registry Participant User Files for 2015–2017 was reviewed for patients having primary SG and RYGB. Patients were divided into groups based on gender and procedure. Variables for major complications were grouped together, including but not limited to PE, stroke, and MI. Univariate and propensity matching analyses were performed. RESULTS: Of 429,664 cases, 20.58% were male. Univariate analysis demonstrated males were older (46.48 ± 11.96 vs. 43.71 ± 11.89 years, p < 0.0001), had higher BMI (46.58 ± 8.46 vs. 45.05 ± 7.75 kg/m(2), p < 0.0001), and had higher incidence of comorbidities. Males had higher rates of major complications (1.72 vs. 1.05%; p < 0.0001) and 30-day mortality (0.18 vs. 0.07%, p < 0.0001). Significance was maintained after subgroup analysis of SG and RYGB. Propensity matched analysis demonstrated male gender was an independent risk factor for RYGB and SG, major complications [2.21 vs. 1.7%, p < 0.0001 (RYGB), 1.12 vs. 0.89%, p < 0.0001 (SG)], and mortality [0.23 vs. 0.12%, p < 0.0001 (RYGB), 0.10 vs. 0.05%; p < 0.0001 (SG)]. CONCLUSION: Males continue to represent a disproportionately small percentage of bariatric surgery patients despite having no difference in obesity rates compared to females. Male gender is an independent risk factor for major post-operative complications and 30-day mortality, even after controlling for comorbidities.
has issue date	2020-02-18(xsd:dateTime)
bibo:doi	10.1007/s00464-019-07106-0
bibo:pmid	32072290
has license	no-cc
sha1sum (hex)	8a35fec61605d49ee5221a6e762560873cc166f6
schema:url	https://doi.org/10.1007/s00464-019-07106-0
resource representing a document's title	Male gender is an independent risk factor for patients undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass: an MBSAQIP® database analysis
has PubMed Central identifier	PMC7224103
has PubMed identifier	32072290
schema:publication	Surg Endosc
resource representing a document's body	covid:8a35fec61605d49ee5221a6e762560873cc166f6#body_text
is schema:about of	named entity 'risk factor' named entity 'Methods' named entity 'User' named entity 'matching' named entity 'incidence' named entity 'based' named entity 'DEMONSTRATED' named entity 'MAJOR' named entity 'DIVIDED' named entity 'MALE' named entity '1.05' named entity 'TO EXAMINE' named entity 'PROCEDURE' named entity 'HAVE' named entity 'PATIENTS' named entity 'disparity' named entity 'Participant' named entity 'laparoscopic' named entity 'gastric bypass' named entity 'venous thromboembolism' named entity 'risk factors' named entity 'grouped' named entity 'genders' named entity 'Files' named entity 'BMI' named entity 'Registry' named entity 'subgroup analysis' named entity 'Roux-en-Y gastric bypass' named entity 'risk factor' named entity 'database' named entity 'organ' named entity 'RYGB' named entity 'sample size' named entity 'SSI' named entity 'surgical site infection' named entity 'morbidity' named entity 'weight loss' named entity 'mortality rates' named entity 'post-operative' named entity 'laparoscopic' named entity 'higher risk' named entity 'algorithm' named entity 'BMI' named entity 'bariatric surgery' named entity 'National Inpatient Sample' named entity 'GERD' named entity 'gastroesophageal reflux disease' named entity 'RYGB' named entity 'RYGB' named entity 'laparoscopic' named entity 'health services' named entity 'insulin' named entity 'RYGB' named entity 'bariatric surgery' named entity 'adjustable gastric band' named entity 'bariatric surgery' named entity 'bariatric surgery' named entity 'post-operative' named entity 'univariate analysis' named entity 'post-operative' named entity 'anticoagulation therapy' named entity 'COPD' named entity 'health services' named entity 'hyperlipidemia' named entity 'morbidity' named entity 'obesity' named entity 'VTE' named entity 'statistically significant' named entity 'bariatric surgery' named entity 'significant difference' named entity 'septic shock' named entity 'UTI'

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