Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis

Abstract Men have been historically considered to be higher-risk patients for bariatric surgery compared to women, the perception of which is suggested to be a barrier to bariatric surgery in men. The purpose of this study is to conduct a matched-pair analysis to evaluate sex disparities in laparosc...

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Autores principales:	Pouria Mousapour, Erfan Tasdighi, Alireza Khalaj, Maryam Mahdavi, Majid Valizadeh, Hamidreza Taheri, Farhad Hosseinpanah, Maryam Barzin
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a701c761c85946bdb9ab90bf3e7aa9c8
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spelling	oai:doaj.org-article:a701c761c85946bdb9ab90bf3e7aa9c82021-12-02T17:40:49ZSex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis10.1038/s41598-021-92254-42045-2322https://doaj.org/article/a701c761c85946bdb9ab90bf3e7aa9c82021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92254-4https://doaj.org/toc/2045-2322Abstract Men have been historically considered to be higher-risk patients for bariatric surgery compared to women, the perception of which is suggested to be a barrier to bariatric surgery in men. The purpose of this study is to conduct a matched-pair analysis to evaluate sex disparities in laparoscopic bariatric surgery outcomes. Data on patients who underwent laparoscopic bariatric surgery from March 2013 to 2017 was collected prospectively. Then, 707 men and 707 women pair-matched for age, preoperative body mass index (BMI) and the procedure type (i.e., sleeve gastrectomy, Roux-en-Y, or one-anastomosis gastric bypass) were compared in terms of weight loss, remission of obesity-related comorbidities, and postoperative complications classified according to the Clavien–Dindo classification. There was no difference between the two sexes regarding the operation time, bleeding during surgery and length of postoperative hospital stay. We observed similar total weight loss, BMI loss, and percentage of excess BMI loss at 12, 24, and 36 months postoperatively between men and women, with no difference in remission of diabetes mellitus, hypertension and dyslipidemia at 12 months. The rate of in-hospital, 30-day and late complications according to Clavien–Dindo classification grades was similar between men and women. Our matched-pair cohort analysis demonstrated that bariatric surgery results in comparable short- and mid-term efficacy in men and women, and is associated with similar rate and severity of postoperative complications between sexes. These findings suggest bariatric surgeons not to consider sex for patient selection in bariatric surgery.Pouria MousapourErfan TasdighiAlireza KhalajMaryam MahdaviMajid ValizadehHamidreza TaheriFarhad HosseinpanahMaryam BarzinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Pouria Mousapour Erfan Tasdighi Alireza Khalaj Maryam Mahdavi Majid Valizadeh Hamidreza Taheri Farhad Hosseinpanah Maryam Barzin Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis
description	Abstract Men have been historically considered to be higher-risk patients for bariatric surgery compared to women, the perception of which is suggested to be a barrier to bariatric surgery in men. The purpose of this study is to conduct a matched-pair analysis to evaluate sex disparities in laparoscopic bariatric surgery outcomes. Data on patients who underwent laparoscopic bariatric surgery from March 2013 to 2017 was collected prospectively. Then, 707 men and 707 women pair-matched for age, preoperative body mass index (BMI) and the procedure type (i.e., sleeve gastrectomy, Roux-en-Y, or one-anastomosis gastric bypass) were compared in terms of weight loss, remission of obesity-related comorbidities, and postoperative complications classified according to the Clavien–Dindo classification. There was no difference between the two sexes regarding the operation time, bleeding during surgery and length of postoperative hospital stay. We observed similar total weight loss, BMI loss, and percentage of excess BMI loss at 12, 24, and 36 months postoperatively between men and women, with no difference in remission of diabetes mellitus, hypertension and dyslipidemia at 12 months. The rate of in-hospital, 30-day and late complications according to Clavien–Dindo classification grades was similar between men and women. Our matched-pair cohort analysis demonstrated that bariatric surgery results in comparable short- and mid-term efficacy in men and women, and is associated with similar rate and severity of postoperative complications between sexes. These findings suggest bariatric surgeons not to consider sex for patient selection in bariatric surgery.
format	article
author	Pouria Mousapour Erfan Tasdighi Alireza Khalaj Maryam Mahdavi Majid Valizadeh Hamidreza Taheri Farhad Hosseinpanah Maryam Barzin
author_facet	Pouria Mousapour Erfan Tasdighi Alireza Khalaj Maryam Mahdavi Majid Valizadeh Hamidreza Taheri Farhad Hosseinpanah Maryam Barzin
author_sort	Pouria Mousapour
title	Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis
title_short	Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis
title_full	Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis
title_fullStr	Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis
title_full_unstemmed	Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis
title_sort	sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/a701c761c85946bdb9ab90bf3e7aa9c8
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Sex disparity in laparoscopic bariatric surgery outcomes: a matched-pair cohort analysis

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