Inequity to the Utilization of Bariatric Surgery: a Systematic Review and Meta-Analysis

被引：79

作者：

Bhogal, Sanjit K. ^{[1
]}

Reddigan, Jacinta I. ^{[1
]}

Rotstein, Ori D. ^{[1
,2
]}

Cohen, Ashley ^{[3
]}

Glockler, Dresden ^{[4
]}

Tricco, Andrea C. ^{[5
]}

Smylie, Janet K. ^{[6
]}

Glazer, Stephen A. ^{[7
]}

Pennington, Jason ^{[8
]}

Conn, Lesley Gotlib ^{[9
]}

Jackson, Timothy D. ^{[10
]}

机构：

[1] St Michaels Hosp, Dept Surg, Toronto, ON M5B 1W8, Canada

[2] St Michaels Hosp, Li Ka Shing Knowledge Inst, Keenan Res Ctr, Toronto, ON M5B 1W8, Canada

[3] St Michaels Hosp, Li Ka Shing Knowledge Inst, Appl Hlth Res Ctr, Toronto, ON M5B 1W8, Canada

[4] Univ Western Ontario, London, ON, Canada

[5] St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada

[6] St Michaels Hosp, Ctr Res Inner City Hlth, Toronto, ON M5B 1W8, Canada

[7] Humber River Reg Hosp, Bariatr Program, Toronto, ON, Canada

[8] Scarborough Gen Hosp, Div Gen Surg, Toronto, ON, Canada

[9] Sunnybrook Res Inst, Toronto, ON, Canada

[10] Univ Hlth Network, Div Gen Surg, Toronto, ON M5T 2S8, Canada

来源：

OBESITY SURGERY | 2015年 / 25卷 / 05期

关键词：

Bariatric surgery; Obesity; Sociodemographic disparities; Inequity; Utilization; Systematic review; Meta-analysis; RACIAL-DIFFERENCES; SOCIOECONOMIC-STATUS; UNITED-STATES; LUNG-CANCER; OBESITY; DISPARITIES; HEALTH; RACE; CARE; PATIENT;

D O I：

10.1007/s11695-015-1595-9

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This systematic review explores the sociodemographic factors associated with the utilization of bariatric surgery among eligible patients. Electronic databases were searched for population-based studies that explored the relationship between sociodemographic characteristics of patients eligible for bariatric surgery to those who actually received the procedure. Twelve retrospective cohort studies were retrieved, of which the results of 9 studies were pooled using a random effects model. Patients who received bariatric surgery were significantly more likely to be white versus non-white (OR 1.54; 95 % CI 1.08, 2.19), female versus male (OR 2.80; 95 % CI 2.46, 3.22), and have private versus government or public insurance (OR 2.51; 95 % CI 1.04, 6.05). Prospective cohort studies are warranted to further determine the relative effect of these factors, adjusting for confounding factors.

引用

页码：888 / 899

页数：12

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