Influence of obesity on complications and costs after intestinal surgery.

American Journal of Surgery
Heather WakefieldJoseph J Cullen

Abstract

Obesity is a risk factor for many comorbid conditions that increase the cost of health care. We sought to examine the effect of obesity on surgical complications and cost in a group of patients undergoing intestinal surgery. Using the Veterans Affairs Surgical Quality Improvement Program (VASQIP), which includes clinical data abstracted from medical records for Veterans Affairs (VA) surgical patients, and the VA Decision Support System, which provides the costs of individual patient encounters on the basis of relative values assigned to intermediate products, we examined surgical complications and costs of care in 4,881 patients undergoing intestinal surgery in 2006. Patients were classified into 4 groups based on body mass index (BMI): malnourished (<18), normal weight (18-30), obesity class I to II (30-40), and obesity class III (>40). Patient endpoints included the occurrence of any complication and surgical costs incurred within 30 days of surgery. Endpoints were compared across the 4 BMI categories in unadjusted analyses and risk-adjusted analyses and hospital-level variation using multivariable models. After controlling for patient risk factors and hospital-level variation, patients in obesity class I to II were 1.21 time...Continue Reading

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Citations

Apr 1, 2014·Journal of the American College of Surgeons·Anne M SteyBruce Lee Hall
Jan 22, 2013·American Journal of Surgery·Cynthia E WeberPaul C Kuo
Dec 20, 2015·Journal of Pediatric Urology·Daryl J McLeodPeter C Minneci
Jun 2, 2015·International Journal of Obesity : Journal of the International Association for the Study of Obesity·N TewariD N Lobo
Dec 23, 2014·Journal of the American College of Surgeons·Anne M SteyClifford Y Ko
Jul 22, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Francisco Julimar Correia de MenezesCarlos Antonio Bruno da Silva
Jun 27, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Wei-Teng ZhangXian Shen
Sep 17, 2020·Advances in Therapy·Vwaire OrhurhuThomas Simopoulos

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