Ahmad M Hider, Sarah Petersen, Arthur M Carlin, Jonathan Finks, Oliver A Varban, Nabeel R Obeid
{"title":"评估密歇根州中东和北非患者的代谢/减肥手术后的结果","authors":"Ahmad M Hider, Sarah Petersen, Arthur M Carlin, Jonathan Finks, Oliver A Varban, Nabeel R Obeid","doi":"10.1016/j.soard.2025.05.014","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Middle Eastern and North African (MENA) population of the United States consists of 3.8 million citizens. This study compares health care outcomes for MENA patients undergoing metabolic and bariatric surgery (MBS) in Michigan to those of non-MENA patients statewide.</p><p><strong>Objectives: </strong>To compare outcomes of MBS between MENA and non-MENA patients in Michigan and identify disparities in surgery rates.</p><p><strong>Setting: </strong>Michigan Bariatric Surgery Collaborative (MBSC), Ann Arbor, MI.</p><p><strong>Methods: </strong>This retrospective cohort study used data from the MBSC database from 2017 to 2024. The cohort consisted of self-identified MENA patients (n = 799), approximately 1.5% of the MBSC total patient cohort. Data collected included demographic information, co-morbidities, type of bariatric procedure performed, adverse events at 30 days and at 1-year postoperative, including weight loss and changes in co-morbid status.</p><p><strong>Results: </strong>Compared to non-MENA patients, MENA patients were more likely to be males (25.8% vs. 18.5%; P < .0001), present at younger ages (age < 30 years: 21.8% vs. 11.0%, P < .0001), have lower initial body mass index (BMI) (45.1 vs 47.4, P < .001), be active smokers (12.6% vs 8.5%; P < .0001), and undergo sleeve gastrectomy (84.7% vs 80.1%; P = .0011). There were no differences in 30-day complications (5.9% vs. 5.7%, P = .5056), although MENA patients had lower rates of emergency department visits (6.3% vs 7.1%, P = .0139) and healthcare utilization (8.6% vs 10.0%, P = .0117). Overall, there were no differences in weight loss outcomes or rates of comorbidity improvement at 1 year following MBS among MENA patients undergoing gastric bypass specifically, the percent total weight loss at 1 year was lower than non-MENA patients (30.2% vs 33.4%, P = .0168).</p><p><strong>Conclusion: </strong>MENA individuals tend to pursue MBS at a younger age and with a lower BMI. Bariatric surgery appears equally safe and similarly effective in this patient population.</p>","PeriodicalId":94216,"journal":{"name":"Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery","volume":" ","pages":"1048-1055"},"PeriodicalIF":3.8000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating outcomes after metabolic/bariatric surgery among middle Eastern and North African patients in Michigan.\",\"authors\":\"Ahmad M Hider, Sarah Petersen, Arthur M Carlin, Jonathan Finks, Oliver A Varban, Nabeel R Obeid\",\"doi\":\"10.1016/j.soard.2025.05.014\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The Middle Eastern and North African (MENA) population of the United States consists of 3.8 million citizens. This study compares health care outcomes for MENA patients undergoing metabolic and bariatric surgery (MBS) in Michigan to those of non-MENA patients statewide.</p><p><strong>Objectives: </strong>To compare outcomes of MBS between MENA and non-MENA patients in Michigan and identify disparities in surgery rates.</p><p><strong>Setting: </strong>Michigan Bariatric Surgery Collaborative (MBSC), Ann Arbor, MI.</p><p><strong>Methods: </strong>This retrospective cohort study used data from the MBSC database from 2017 to 2024. The cohort consisted of self-identified MENA patients (n = 799), approximately 1.5% of the MBSC total patient cohort. Data collected included demographic information, co-morbidities, type of bariatric procedure performed, adverse events at 30 days and at 1-year postoperative, including weight loss and changes in co-morbid status.</p><p><strong>Results: </strong>Compared to non-MENA patients, MENA patients were more likely to be males (25.8% vs. 18.5%; P < .0001), present at younger ages (age < 30 years: 21.8% vs. 11.0%, P < .0001), have lower initial body mass index (BMI) (45.1 vs 47.4, P < .001), be active smokers (12.6% vs 8.5%; P < .0001), and undergo sleeve gastrectomy (84.7% vs 80.1%; P = .0011). There were no differences in 30-day complications (5.9% vs. 5.7%, P = .5056), although MENA patients had lower rates of emergency department visits (6.3% vs 7.1%, P = .0139) and healthcare utilization (8.6% vs 10.0%, P = .0117). Overall, there were no differences in weight loss outcomes or rates of comorbidity improvement at 1 year following MBS among MENA patients undergoing gastric bypass specifically, the percent total weight loss at 1 year was lower than non-MENA patients (30.2% vs 33.4%, P = .0168).</p><p><strong>Conclusion: </strong>MENA individuals tend to pursue MBS at a younger age and with a lower BMI. 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引用次数: 0
摘要
背景：美国的中东和北非（MENA）人口由380万公民组成。本研究比较了密歇根州接受代谢和减肥手术（MBS）的中东和北非患者与全州非中东和北非患者的医疗保健结果。目的：比较密歇根州MENA和非MENA患者的MBS结果，并确定手术率的差异。背景：密歇根减肥外科合作中心（MBSC），密歇根州安娜堡。方法：这项回顾性队列研究使用了MBSC数据库2017年至2024年的数据。该队列由自我认定的中东和北非患者（n = 799）组成，约占MBSC总患者队列的1.5%。收集的数据包括人口统计信息、合并症、所进行的减肥手术类型、术后30天和1年的不良事件，包括体重减轻和合并症状态的变化。结果：与非MENA患者相比，MENA患者以男性为主(25.8% vs. 18.5%；P < 0.0001)，存在于较年轻的年龄（年龄< 30岁：21.8%对11.0%,P < 0.0001），具有较低的初始体重指数（BMI）（45.1对47.4,P < .001），是活跃的吸烟者(12.6%对8.5%；P < 0.0001)，并行套管胃切除术(84.7% vs 80.1%；P = .0011)。30天并发症发生率无差异（5.9%对5.7%,P = .5056），尽管中东和北非患者急诊科就诊率（6.3%对7.1%,P = .0139）和医疗保健利用率（8.6%对10.0%,P = .0117）较低。总体而言，接受胃分流术的中东和北非地区患者在MBS后1年的体重减轻结果或合并症改善率没有差异，1年的总体重减轻百分比低于非中东和北非地区患者（30.2% vs 33.4%, P = 0.0168）。结论：中东和北非地区的个体倾向于在较年轻和较低的BMI时追求MBS。在这类患者中，减肥手术似乎同样安全有效。
Evaluating outcomes after metabolic/bariatric surgery among middle Eastern and North African patients in Michigan.
Background: The Middle Eastern and North African (MENA) population of the United States consists of 3.8 million citizens. This study compares health care outcomes for MENA patients undergoing metabolic and bariatric surgery (MBS) in Michigan to those of non-MENA patients statewide.
Objectives: To compare outcomes of MBS between MENA and non-MENA patients in Michigan and identify disparities in surgery rates.
Setting: Michigan Bariatric Surgery Collaborative (MBSC), Ann Arbor, MI.
Methods: This retrospective cohort study used data from the MBSC database from 2017 to 2024. The cohort consisted of self-identified MENA patients (n = 799), approximately 1.5% of the MBSC total patient cohort. Data collected included demographic information, co-morbidities, type of bariatric procedure performed, adverse events at 30 days and at 1-year postoperative, including weight loss and changes in co-morbid status.
Results: Compared to non-MENA patients, MENA patients were more likely to be males (25.8% vs. 18.5%; P < .0001), present at younger ages (age < 30 years: 21.8% vs. 11.0%, P < .0001), have lower initial body mass index (BMI) (45.1 vs 47.4, P < .001), be active smokers (12.6% vs 8.5%; P < .0001), and undergo sleeve gastrectomy (84.7% vs 80.1%; P = .0011). There were no differences in 30-day complications (5.9% vs. 5.7%, P = .5056), although MENA patients had lower rates of emergency department visits (6.3% vs 7.1%, P = .0139) and healthcare utilization (8.6% vs 10.0%, P = .0117). Overall, there were no differences in weight loss outcomes or rates of comorbidity improvement at 1 year following MBS among MENA patients undergoing gastric bypass specifically, the percent total weight loss at 1 year was lower than non-MENA patients (30.2% vs 33.4%, P = .0168).
Conclusion: MENA individuals tend to pursue MBS at a younger age and with a lower BMI. Bariatric surgery appears equally safe and similarly effective in this patient population.
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