Edwards Michael A, Bohorquez Caballero Anyull D, Edwards Adrienne E, Spaulding Aaron C
Department of Surgery, Mayo Clinic, Jacksonville, FL, 32224, USA.
Ponte Vedra High School, Ponte Vedra Beach, FL, 32082, USA.
J Racial Ethn Health Disparities. 2025 Feb 17. doi: 10.1007/s40615-025-02302-2.
Obesity is an epidemic that affects individuals of all races. Literature reports reoperation rates from 0.1 to 6.5% and non-operative reintervention rates from 1.1 to 3.6% after metabolic and bariatric surgery (MBS). Despite discordant rates among ethnic groups being described, results are still inconclusive.
To compare reoperation and reintervention causes among ethnic MBS cohorts (setting-Academic Hospital).
Roux-en-Y Gastric Bypass (RYGB) and sleeve gastrectomy (SG) cases were identified from the 2015-2018 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Project (MBSAQIP) databases. Regression analyses were performed to determine predictors of reoperation and reintervention. Reoperation and reintervention causes were compared among racial/ethnic cohorts using Pearson chi-square or Kruskal-Wallis tests. A p-value < 0.05 was considered significant.
In total, 550,671 cases were analyzed. Reoperation and reintervention rates for all-cause and bariatric-related causes were 1.3%, 1.05%, 1.3%, and 1.2%, respectively. The NHB population was identified as an independent predictor of reoperation and reintervention. The most common bariatric-related causes of reoperation were bleeding (22.67%) and leaks (18.07%). NHB had an increased proportion of reoperation due to IO and reintervention due to NVP. For Hispanics and NHW, an increased proportion of bleeding and leaks were significantly increased for both reoperation and reintervention, respectively. After propensity matching, NHB patients undergoing SG had higher odds of reoperation and reintervention due to leaks and bleeding compared to other populations.
MBS reoperation and reintervention causes differ by ethnic groups. Studies on optimizing care quality based on these disparities should be conducted.
肥胖是一种影响所有种族个体的流行病。文献报道代谢和减重手术后的再次手术率为0.1%至6.5%，非手术再次干预率为1.1%至3.6%。尽管描述了不同种族群体之间的不一致率，但结果仍无定论。
比较不同种族代谢和减重手术队列（学术医院环境）中的再次手术和再次干预原因。
从2015 - 2018年代谢和减重手术认证与质量改进项目（MBSAQIP）数据库中识别出Roux-en-Y胃旁路术（RYGB）和袖状胃切除术（SG）病例。进行回归分析以确定再次手术和再次干预的预测因素。使用Pearson卡方检验或Kruskal-Wallis检验比较不同种族/族裔队列中的再次手术和再次干预原因。p值<0.05被认为具有统计学意义。
总共分析了550,671例病例。全因和减重相关原因的再次手术率和再次干预率分别为1.3%、1.05%、1.3%和1.2%。非裔美国人被确定为再次手术和再次干预的独立预测因素。再次手术最常见的减重相关原因是出血（22.67%）和渗漏（18.07%）。非裔美国人因内疝导致的再次手术比例增加，因恶心呕吐导致的再次干预比例增加。对于西班牙裔和非西班牙裔白人，再次手术和再次干预中出血和渗漏的比例分别显著增加。倾向匹配后，接受袖状胃切除术的非裔美国人患者因渗漏和出血导致的再次手术和再次干预几率高于其他人群。
代谢和减重手术的再次手术和再次干预原因因种族而异。应基于这些差异开展优化护理质量的研究。
