Department of Molecular and Clinical Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Int J Obes (Lond). 2012 Mar;36(3):356-62. doi: 10.1038/ijo.2011.15. Epub 2011 Mar 1.
Prospective controlled data on the long-term effects of bariatric surgery on disability pension are not available. This study prospectively compare disability pension in surgically and conventionally treated obese men and women.
The Swedish obese subjects study started in 1987 and involved 2010 obese patients who had bariatric surgery and 2037 contemporaneously matched obese controls, who received conventional treatment. Outcomes of this report were: (i) incidence of disability pension from study inclusion to 31 December 2006 in all subjects, and, (ii) number of disability pension days over 10 years in a subgroup of individuals (N=2901) followed for at least 10 years where partial pensions were recalculated to full number of days per year. Objective information on granted disability pension was obtained from the Swedish Social Insurance Agency and disability pension follow-up rate was 99.9%.
In men, the unadjusted incidence of disability pension did not differ between the surgery and control groups (N=156 in both groups). When adjusting for baseline confounders in men, a reduced risk of disability pension was suggested in the surgery group (hazard ratio 0.79, 95% confidence interval 0.62-1.00; P=0.05). Furthermore, the adjusted average number of disability pension days was lower in the surgery group, 609 versus 734 days (P=0.01). In women, bariatric surgery was not associated with significant effects on incidence or number of days of disability pension.
Bariatric surgery may be associated with favourable effects on disability pension for up to 19 years in men whereas neither favourable nor unfavourable effects could be detected in women.
目前尚无关于减肥手术对残疾抚恤金的长期影响的前瞻性对照数据。本研究前瞻性比较了手术和常规治疗肥胖男性和女性的残疾抚恤金。
瑞典肥胖患者研究于 1987 年启动，共纳入 2010 例接受减肥手术的肥胖患者和 2037 例同期匹配的肥胖对照组，接受常规治疗。本报告的结果为：（i）所有患者从研究纳入到 2006 年 12 月 31 日的残疾抚恤金发生率；（ii）在至少随访 10 年的亚组个体（N=2901）中，残疾抚恤金天数超过 10 年，其中部分残疾抚恤金重新计算为每年的完整天数。获得瑞典社会保险局的残疾抚恤金的客观信息，残疾抚恤金随访率为 99.9%。
在男性中，手术组和对照组的未调整残疾抚恤金发生率无差异（两组均为 156 例）。在校正男性基线混杂因素后，手术组残疾抚恤金风险降低（风险比 0.79，95%置信区间 0.62-1.00；P=0.05）。此外，手术组调整后的平均残疾抚恤金天数较低，为 609 天，而对照组为 734 天（P=0.01）。在女性中，减肥手术与残疾抚恤金发生率或天数无显著关联。
减肥手术可能与男性长达 19 年的残疾抚恤金有利影响相关，而女性则未检测到有利或不利影响。
