Impact of COVID-19 pandemic on adolescents undergoing metabolic bariatric surgery

IF 3.5 3区医学 Q1 SURGERY

Surgery for Obesity and Related Diseases Pub Date : 2024-12-01 DOI:10.1016/j.soard.2024.07.012

Nicholas Schmoke M.D. , Christopher Nemeh M.D. , Robert W. Crum M.D. , Emily C. McManus B.S. , Alexey Abramov M.D. , Chunhui Wang M.D., M.P.H. , Paul Kurlansky M.D. , Jeffrey Zitsman M.D.

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引用次数: 0

Abstract

Background

While the lasting effect of the COVID-19 pandemic continues to unfold, the impact on adolescents undergoing bariatric surgery remains unseen.

Objective

We examined the impact of the pandemic on adolescents undergoing metabolic bariatric surgery.

Setting

Academic hospital, New York, NY.

Methods

A single-institution review of prospectively collected data evaluated adolescents who underwent laparoscopic sleeve gastrectomy between 2010 and 2023, forming two cohorts: pre-COVID (before March 1, 2019) and COVID (after March 1, 2020). Absolute and percent weight loss and body mass index (BMI) change at 6 and 12 months postsurgery were compared between cohorts. Multivariable linear regression models were constructed to estimate the association between weight loss, adjusting for age, gender, ethnicity, and BMI.

Results

A total of 358 patients were included: 245 in the pre-COVID cohort and 113 in the COVID cohort. There were no significant differences in baseline characteristics. There were no significant differences between cohorts at 6 months in weight loss (21.6 kg vs. 22.5 kg, P = .43), percent weight loss (18% vs. 18%, P = .63), and BMI change (8.0 vs. 8.4, P = .39) which was maintained at 12 months. In multivariate models, after adjusting for age, gender, ethnicity, and baseline BMI, undergoing surgery during the pandemic was not associated with a difference in weight loss or BMI change at 6 and 12 months postoperatively.

Conclusion

Despite the severe societal impact of the COVID-19 pandemic, laparoscopic sleeve gastrectomy remained a durable intervention for adolescent obesity, with no observed differences in weight loss in patients undergoing surgery during the pandemic compared to prepandemic.

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COVID-19 大流行对接受代谢减肥手术的青少年的影响

尽管 COVID-19 大流行的持久影响仍在继续，但其对接受减肥手术的青少年的影响仍未显现。我们研究了大流行对接受代谢减肥手术的青少年的影响。纽约州纽约市，学术医院。我们对前瞻性收集的数据进行了单机构回顾，评估了 2010 年至 2023 年间接受腹腔镜袖带胃切除术的青少年，形成了两个队列：COVID 前队列（2019 年 3 月 1 日之前）和 COVID 后队列（2020 年 3 月 1 日之后）。比较不同组群在手术后 6 个月和 12 个月的绝对体重减轻率和百分比以及体重指数 (BMI) 变化。建立了多变量线性回归模型来估计体重减轻与年龄、性别、种族和体重指数之间的关系。共纳入 358 名患者：其中 245 人属于 COVID 前队列，113 人属于 COVID 队列。基线特征无明显差异。在 6 个月时，两组患者在体重减轻（21.6 千克对 22.5 千克，P=0.43）、体重减轻百分比（18% 对 18%，P=0.63）和体重指数变化（8.0 对 8.4，P=0.39）方面无明显差异，12 个月时仍保持不变。在多变量模型中，对年龄、性别、种族和基线体重指数进行调整后，在大流行期间接受手术与术后6个月和12个月体重减轻或体重指数变化的差异无关。尽管COVID-19大流行对社会造成了严重影响，但腹腔镜袖带胃切除术仍是治疗青少年肥胖症的一种持久性干预措施，在大流行期间接受手术的患者与大流行前相比，体重减轻情况无明显差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery for Obesity and Related Diseases 医学-外科

CiteScore

6.70

自引率

12.90%

发文量

570

审稿时长

56 days

期刊介绍： Surgery for Obesity and Related Diseases (SOARD), The Official Journal of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Brazilian Society for Bariatric Surgery, is an international journal devoted to the publication of peer-reviewed manuscripts of the highest quality with objective data regarding techniques for the treatment of severe obesity. Articles document the effects of surgically induced weight loss on obesity physiological, psychiatric and social co-morbidities.