Campoverde Reyes Karen J, Misra Madhusmita, Lee Hang, Stanford Fatima Cody
Neuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States.
Liver Research Center, Beth Israel Deaconess Medical Center, Boston, MA, United States.
Front Pediatr. 2018 Sep 19;6:251. doi: 10.3389/fped.2018.00251. eCollection 2018.
Obesity is associated with early co-morbidities and higher mortality. Even though weight loss surgery (WLS) in adolescents with severe obesity reliably achieves safe and lasting improvement in BMI and superior resolution of comorbid diseases, its utilization among young patients in the clinical practice stands unclear. To show the prevalence of weight loss surgery utilization rates in adolescents and young adults among several healthcare institutions in the United States. WLS in 14-25 years old between 2000 and 2017 was obtained from Washington University, Morehouse Medical, University of Texas, Wake Forest Baptist Medical Center, Beth Israel Deaconess Medical Center, Boston Children's Hospital, Boston Medical Center, and Partners Healthcare using the Shared Health Research Information Network (SHRINE) and Research Patient Data Registry (RPDR) web-based query tools. ICD-9 codes were used for bariatric surgery. Among 2500635 individuals, 18008 (0.7%) had severe obesity. At Partners, 1879 patients had severe obesity, of which 404 (21.5%) underwent WLS, whereas at Washington University, 44 (2.5%) of 1788 the underwent WLS. 13 (2.3%) of the 575 at BIDMC, 43 (1.5%) of the 2969 at BMC, and 37 (0.4%) of 8908 at BCH underwent WLS ( < 0.0001 for all). Even though WLS has shown to be the most effective treatment to create sustainable changes in metabolic derangements for moderate to severe obesity and its comorbidities, it has been underutilized. Further studies need to be conducted to ensure WLS is utilized for those patients who would achieve the most benefit.
肥胖与早期合并症及更高的死亡率相关。尽管针对重度肥胖青少年的减重手术（WLS）确实能安全、持久地改善体重指数（BMI），并能更好地解决合并症，但在临床实践中，年轻患者对该手术的接受情况尚不明晰。本研究旨在展示美国多家医疗机构中青少年及青年成人减重手术的使用率。通过共享健康研究信息网络（SHRINE）和研究患者数据登记系统（RPDR）的网络查询工具，获取了2000年至2017年间华盛顿大学、莫尔豪斯医学院、德克萨斯大学、维克森林浸信会医学中心、贝斯以色列女执事医疗中心、波士顿儿童医院、波士顿医疗中心以及合作伙伴医疗保健机构中14至25岁患者的减重手术数据。国际疾病分类第九版（ICD - 9）编码用于识别减肥手术。在2500635名个体中，18008人（0.7%）患有重度肥胖。在合作伙伴医疗保健机构，1879名患者患有重度肥胖，其中404人（21.5%）接受了减重手术；而在华盛顿大学，1788名患者中有44人（2.5%）接受了减重手术。贝斯以色列女执事医疗中心575名患者中有13人（2.3%）接受了减重手术，波士顿医疗中心2969名患者中有
