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

被引：0

作者：

Sanjit K. Bhogal

Jacinta I. Reddigan

Ori D. Rotstein

Ashley Cohen

Dresden Glockler

Andrea C. Tricco

Janet K. Smylie

Stephen A. Glazer

Jason Pennington

Lesley Gotlib Conn

Timothy D. Jackson

机构：

[1] St. Michael’s Hospital,Department of Surgery

[2] St. Michael’s Hospital,Keenan Research Centre of the Li Ka Shing Knowledge Institute

[3] St. Michael’s Hospital,Applied Health Research Centre of the Li Ka Shing Knowledge Institute

[4] University of Western Ontario,Li Ka Shing Knowledge Institute

[5] St. Michael’s Hospital,Centre for Research on Inner City Health

[6] St. Michael’s Hospital,Bariatric Program

[7] Humber River Regional Hospital,Division of General Surgery

[8] The Scarborough Hospital,Division of General Surgery

[9] Sunnybrook Research Institute,undefined

[10] University Health Network,undefined

来源：

Obesity Surgery | 2015年 / 25卷

关键词：

Bariatric surgery; Obesity; Sociodemographic disparities; Inequity; Utilization; Systematic review; Meta-analysis;

D O I：

暂无

中图分类号：

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：11

共 241 条

[1]

McGuire S(2011)Adult obesity prevalence in Canada and the United States. NCHS data brief no. 56, Hyattsville, MD: National Center for Health Statistics, 2011 Adv Nutr 2 368-369

[2]

Shields M(2006)Prevalence of class I, II and III obesity in Canada CMAJ 174 156-157

[3]

Carroll MD(2013)Morbid obesity rates continue to rise rapidly in the United States Int J Obes (Lond) 37 889-891

[4]

Ogden CL(2003)Years of life lost due to obesity JAMA 289 187-193

[5]

Katzmarzyk PT(2013)Life years lost associated with obesity-related diseases for U.S. non-smoking adults PLoS One 8 e66550-S13

[6]

Mason C(2007)2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary] CMAJ 176 S1-1737

[7]

Sturm R(2004)Bariatric surgery: a systematic review and meta-analysis JAMA 292 1724-752

[8]

Hattori A(2007)Effects of bariatric surgery on mortality in Swedish obese subjects N Engl J Med 357 741-454

[9]

Fontaine KR(2009)Perioperative safety in the longitudinal assessment of bariatric surgery N Engl J Med 361 445-420

[10]

Redden DT(2011)First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass Ann Surg 254 410-640

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