دورية أكاديمية
Clinical outcomes and adverse events of bariatric surgery in adults with severe obesity in Scotland : the SCOTS observational cohort study
| العنوان: | Clinical outcomes and adverse events of bariatric surgery in adults with severe obesity in Scotland : the SCOTS observational cohort study |
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| المؤلفون: | Mackenzie, Ruth M, Ali, Abdulmajid, Bruce, Duff, Bruce, Julie, Ford, Ian, Greenlaw, Nicola, Grieve, Eleanor, Lean, Mike, Lindsay, Robert S, O’Donnell, Joanne, Sattar, Naveed, Stewart, Sally, Logue, Jennifer |
| بيانات النشر: | NIHR Health Technology Assessment programme |
| سنة النشر: | 2024 |
| المجموعة: | The University of Warwick: WRAP - Warwick Research Archive Portal |
| الوصف: | Background Bariatric surgery is a common procedure worldwide for the treatment of severe obesity and associated comorbid conditions but there is a lack of evidence as to medium-term safety and effectiveness outcomes in a United Kingdom setting. Objective To establish the clinical outcomes and adverse events of different bariatric surgical procedures, their impact on quality of life and the effect on comorbidities. Design Prospective observational cohort study. Setting National Health Service secondary care and private practice in Scotland, United Kingdom. Participants Adults (age >16 years) undergoing their first bariatric surgery procedure. Main outcome measures Change in weight, hospital length of stay, readmission and reoperation rate, mortality, diabetes outcomes (HbA1c, medications), quality of life, anxiety, depression. Data sources Patient-reported outcome measures, hospital records, national electronic health records (Scottish Morbidity Record 01, Scottish Care Information Diabetes, National Records Scotland, Prescription Information System). Results Between December 2013 and February 2017, 548 eligible patients were approached and 445 participants were enrolled in the study. Of those, 335 had bariatric surgery and 1 withdrew from the study. Mean age was 46.0 (9.2) years, 74.7% were female and the median body mass index was 46.4 (42.4; 52.0) kg/m2. Weight was available for 128 participants at 3 years: mean change was −19.0% (±14.1) from the operation and −24.2% (±12.8) from the start of the preoperative weight-management programme. One hundred and thirty-nine (41.4%) participants were readmitted to hospital in the same or subsequent 35 months post surgery, 18 (5.4% of the operated cohort) had a reoperation or procedure considered to be related to bariatric surgery gastrointestinal complications or revisions. Fewer than five participants (<2%) died during follow-up. HbA1c was available for 93/182 and diabetes medications for 139/182 participants who had type 2 diabetes prior to surgery; HbA1c mean ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| العلاقة: | https://wrap.warwick.ac.uk/183541/1/WRAP-clinical-outcomes-adverse-events-bariatric-surgery-adults-severe-obesity-Scotland-the-SCOTS-observational-cohort-study-2024.pdfTest; Mackenzie, Ruth M, Ali, Abdulmajid, Bruce, Duff, Bruce, Julie, Ford, Ian, Greenlaw, Nicola, Grieve, Eleanor, Lean, Mike, Lindsay, Robert S, O’Donnell, Joanne, Sattar, Naveed, Stewart, Sally and Logue, Jennifer (2024) Clinical outcomes and adverse events of bariatric surgery in adults with severe obesity in Scotland : the SCOTS observational cohort study. Health Technology Assessment, 28 (7). doi:10.3310/unaw6331 ISSN 1366-5278. |
| DOI: | 10.3310/unaw6331 |
| الإتاحة: | https://doi.org/10.3310/unaw6331Test https://wrap.warwick.ac.uk/183541Test/ https://wrap.warwick.ac.uk/183541/1/WRAP-clinical-outcomes-adverse-events-bariatric-surgery-adults-severe-obesity-Scotland-the-SCOTS-observational-cohort-study-2024.pdfTest |
| رقم الانضمام: | edsbas.CB919A72 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3310/unaw6331 |
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