dc.contributor.author | Beiglböck, Hannes | |
dc.contributor.author | Mörth, Eric | |
dc.contributor.author | Reichardt, Berthold | |
dc.contributor.author | Stamm, Tanja | |
dc.contributor.author | Itariu, Bianca | |
dc.contributor.author | Harreiter, Jürgen | |
dc.contributor.author | Hufgard-Leitner, Miriam | |
dc.contributor.author | Fellinger, Paul | |
dc.contributor.author | Eichelter, Jakob | |
dc.contributor.author | Prager, Gerhard | |
dc.contributor.author | Kautzky, Alexander | |
dc.contributor.author | Kautzky-Willer, Alexandra | |
dc.contributor.author | Wolf, Peter | |
dc.contributor.author | Krebs, Michael | |
dc.date.accessioned | 2022-02-09T12:29:55Z | |
dc.date.available | 2022-02-09T12:29:55Z | |
dc.date.created | 2021-12-03T17:32:34Z | |
dc.date.issued | 2022 | |
dc.identifier.issn | 0960-8923 | |
dc.identifier.uri | https://hdl.handle.net/11250/2977998 | |
dc.description.abstract | Purpose
Bariatric surgery reduces mortality in patients with severe obesity and is predominantly performed in women. Therefore, an analysis of sex-specific differences after bariatric surgery in a population-based dataset from Austria was performed. The focus was on deceased patients after bariatric surgery.
Materials and Methods
The Austrian health insurance funds cover about 98% of the Austrian population. Medical health claims data of all Austrians who underwent bariatric surgery from 01/2010 to 12/2018 were analyzed. In total, 19,901 patients with 107,806 observed years postoperative were eligible for this analysis. Comorbidities based on International Classification of Diseases (ICD)-codes and drug intake documented by Anatomical Therapeutical Chemical (ATC)-codes were analyzed in patients deceased and grouped according to clinically relevant obesity-associated comorbidities: diabetes mellitus (DM), cardiovascular disease (CV), psychiatric disorder (PSY), and malignancy (M).
Results
In total, 367 deaths were observed (1.8%) within the observation period from 01/2010 to 04/2020. The overall mortality rate was 0.34% per year of observation and significantly higher in men compared to women (0.64 vs. 0.24%; p < 0.001(Chi-squared)). Moreover, the 30-day mortality was 0.19% and sixfold higher in men compared to women (0.48 vs. 0.08%; p < 0.001). CV (82%) and PSY (55%) were the most common comorbidities in deceased patients with no sex-specific differences. Diabetes (38%) was more common in men (43 vs. 33%; p = 0.034), whereas malignant diseases (36%) were more frequent in women (30 vs. 41%; p = 0.025).
Conclusion
After bariatric surgery, short-term mortality as well as long-term mortality was higher in men compared to women. In deceased patients, diabetes was more common in men, whereas malignant diseases were more common in women. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Springer | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Sex‑Specifc Diferences in Mortality of Patients with a History of Bariatric Surgery: a Nation‑Wide Population‑Based Study | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright The Author(s) 2021 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1007/s11695-021-05763-6 | |
dc.identifier.cristin | 1964623 | |
dc.source.journal | Obesity Surgery | en_US |
dc.source.pagenumber | 8-17 | en_US |
dc.identifier.citation | Obesity Surgery. 2021, 32, 8-17. | en_US |
dc.source.volume | 32 | en_US |