Clinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism, KU Leuven, ON I Herestraat 49 - bus 902, 3000, Louvain, Belgium.
Department of Endocrinology, University Hospitals Leuven, Herestraat 49, 3000, Louvain, Belgium.
Obes Surg. 2022 Aug;32(8):2625-2631. doi: 10.1007/s11695-022-06118-5. Epub 2022 Jun 15.
Aside from an impact on health, obesity is also associated with higher social and economic costs such as impaired productivity, increased work absenteeism, and higher rates of unemployment. The aim of this study was to assess the effect of bariatric surgery on employment status in a large nationwide database, using data from all patients that underwent bariatric surgery in Belgium.
This is a retrospective analysis of all Belgian patients that underwent bariatric surgery between 2014 and 2015. The work status of these patients was examined yearly: 4 years before and 3 years after surgery. Increased employment after surgery was defined (1) as a reduction in days of unemployment and incapacity and (2) as the resumption of work among the unemployed.
In total, 16,276 patients were included. The number of working people rose from 49.7% before to 61.2% 3 years after bariatric surgery, i.e., an increase of 11.5% between pre- and post-surgery. The largest improvement in reduction in unemployment was found in individuals who were absent from work for more than 9 months, namely, a reduction from 13.4 to 7.2%. In the population of unemployed patients, 20.9% became employed after bariatric surgery.
We found an increase in employment rate and a decrease in work incapacity and unemployment after bariatric surgery. Higher rates of employment after bariatric surgery may also contribute to an increased cost-effectiveness of bariatric surgery. It would be interesting to research possible targeting strategies to increase the employment rate even more after bariatric surgery.
肥胖除了对健康有影响外，还与更高的社会和经济成本相关，如生产力受损、工作缺勤增加和更高的失业率。本研究的目的是在一个大型全国性数据库中，使用所有在比利时接受过减重手术的患者的数据，评估减重手术对就业状况的影响。
这是对所有在 2014 年至 2015 年间接受过减重手术的比利时患者进行的回顾性分析。这些患者的工作状况每年进行检查：手术前 4 年和手术后 3 年。术后就业增加被定义为（1）失业和无能力天数减少和（2）失业者重新就业。
共纳入 16276 例患者。工作人数从手术前的 49.7%增加到术后 3 年的 61.2%，即手术前后增加了 11.5%。在缺勤超过 9 个月的人群中，失业减少的改善最大，从 13.4%降至 7.2%。在失业患者人群中，有 20.9%的人在接受减重手术后就业。
我们发现减重手术后就业率增加，工作能力丧失和失业减少。减重手术后更高的就业率也可能有助于提高减重手术的成本效益。研究可能的靶向策略以进一步提高减重手术后的就业率将是有趣的。
