美国肥胖症手术的国家趋势：十年研究。

US national trends in bariatric surgery: A decade of study.

机构信息

Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah, Qassim, Saudi Arabia; Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, FL.

UF Health Bariatric Surgery Center, Department of Surgery, University of Florida, Gainesville, FL. Electronic address: https://twitter.com/JeffFriedman19.

出版信息

Surgery. 2021 Jul;170(1):13-17. doi: 10.1016/j.surg.2021.02.002. Epub 2021 Mar 11.

DOI:10.1016/j.surg.2021.02.002

PMID:33714616

Abstract

BACKGROUND

Since the 1990s, the number of bariatric surgeries has dramatically increased, including the number of bariatric centers in the United States; no recent studies have yet assessed trends of bariatric surgery. This study aims to assess the trends of bariatric surgery and the change in utilization by the type of surgery, from 2006 to 2015, using real-world data.

METHODS

A cross-sectional analysis of MarketScan databases of privately insured beneficiaries aged equal to or more than 18 years, to assess the annual incidence rate of bariatric surgery type of surgery from 2006 to 2015. Linear regression analysis was used to assess the significance of bariatric surgery changes over time.

RESULTS

A gradual increase in overall bariatric surgery was observed from 43.5 per 100,000 in 2006 to 70.6 per 100,000 in 2009. This increasing trend plateaued from 2010 to 2015. Among all bariatric surgeries performed, the sleeve gastrectomy showed a significant increase from (n = 596) 11% in 2006 to (n = 15,425) 70% in 2015 (P < .001), whereas there was a decrease in Roux-en-Y from (n = 10,129) 45% in 2010 to (n = 5074) 24% in 2015 (P < .001).

CONCLUSION

Utilization of bariatric surgery showed a gradual increase in the first 5 years, with steady rates in the last 5 years of the study period. Sleeve gastrectomy and Roux-en-Y remain the most performed bariatric procedures. Laparoscopic surgery continues to dominate bariatric surgery compared with open surgery.

摘要

背景

自 20 世纪 90 年代以来，减重手术的数量显著增加，包括美国的减重中心数量；最近还没有研究评估减重手术的趋势。本研究旨在使用真实世界的数据评估 2006 年至 2015 年期间减重手术的趋势以及手术类型的利用变化。

方法

对年龄等于或大于 18 岁的私人保险受益人的 MarketScan 数据库进行横断面分析，以评估 2006 年至 2015 年期间的每年减重手术类型发生率。线性回归分析用于评估随着时间的推移减重手术变化的显著性。

结果

从 2006 年的每 100,000 人中 43.5 例到 2009 年的每 100,000 人中 70.6 例，观察到整体减重手术的逐渐增加。从 2010 年到 2015 年，这种上升趋势趋于平稳。在所有进行的减重手术中，袖状胃切除术显示出显著增加，从 2006 年的 11%（n=596）增加到 2015 年的 70%（n=15,425）（P<0.001），而 Roux-en-Y 则从 2010 年的 45%（n=10,129）下降到 2015 年的 24%（n=5074）（P<0.001）。