30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data
| dc.contributor.author | Quinino, Reynaldo Martins e | |
| dc.contributor.author | Singhal, Rishi | |
| dc.contributor.author | Cardoso, Victor Roth | |
| dc.contributor.author | Wiggins, Tom | |
| dc.contributor.authorID | https://orcid.org/0000-0002-4284-2543 | pt_BR |
| dc.date.accessioned | 2023-07-10T18:29:42Z | |
| dc.date.available | 2023-07-10T18:29:42Z | |
| dc.date.issued | 2022-11-15 | |
| dc.description.resumo | BACKGROUND: There is a paucity of data comparing 30-day morbidity and mortality of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). This study aimed to compare the 30-day safety of SG, RYGB, and OAGB in propensity score-matched cohorts. MATERIALS AND METHODS: This analysis utilised data collected from the GENEVA study which was a multicentre observational cohort study of bariatric and metabolic surgery (BMS) in 185 centres across 42 countries between 01/05/2022 and 31/10/2020 during the Coronavirus Disease-2019 (COVID-19) pandemic. 30-day complications were categorised according to the Clavien–Dindo classification. Patients receiving SG, RYGB, or OAGB were propensity-matched according to baseline characteristics and 30-day complications were compared between groups. RESULTS: In total, 6770 patients (SG 3983; OAGB 702; RYGB 2085) were included in this analysis. Prior to matching, RYGB was associated with highest 30-day complication rate (SG 5.8%; OAGB 7.5%; RYGB 8.0% (p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus and hypercholesterolaemia were associated with increased 30-day complications. Being a non-smoker was associated with reduced complication rates. When compared to SG as a reference category, RYGB, but not OAGB, was associated with an increased rate of 30-day complications. A total of 702 pairs of SG and OAGB were propensity score-matched. The complication rate in the SG group was 7.3% (n = 51) as compared to 7.5% (n = 53) in the OAGB group (p = 0.68). Similarly, 2085 pairs of SG and RYGB were propensity score-matched. The complication rate in the SG group was 6.1% (n = 127) as compared to 7.9% (n = 166) in the RYGB group (p = 0.09). And, 702 pairs of OAGB and RYGB were matched. The complication rate in both groups was the same at 7.5 % (n = 53; p = 0.07). CONCLUSIONS: This global study found no significant difference in the 30-day morbidity and mortality of SG, RYGB, and OAGB in propensity score-matched cohorts. | pt_BR |
| dc.identifier.citation | QUININO, Reynaldo Martins e; CARDOSO, Victor Roth; WIGGINS, Tom; SUPER, Jonathan; et al. 30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the geneva data. International Journal Of Obesity, [S.L.], v. 46, n. 4, p. 750-757, 15 dez. 2021. Springer Science and Business Media LLC. http://dx.doi.org/10.1038/s41366-021-01048-1. Disponível em: https://www.nature.com/articles/s41366-021-01048-1. Acesso em: 10 jul. 2023. | pt_BR |
| dc.identifier.doi | http://dx.doi.org/10.1038/s41366-021-01048-1 | |
| dc.identifier.uri | https://repositorio.ufrn.br/handle/123456789/53189 | |
| dc.language | en | pt_BR |
| dc.publisher | Springer | pt_BR |
| dc.rights | Attribution 3.0 Brazil | * |
| dc.rights.uri | http://creativecommons.org/licenses/by/3.0/br/ | * |
| dc.subject | gastrectomy | pt_BR |
| dc.subject | gastrectomia | pt_BR |
| dc.subject | morbidity | pt_BR |
| dc.subject | morbidade | pt_BR |
| dc.subject | anastomosis gastric bypass | pt_BR |
| dc.subject | bypass gástrico com anastomose | pt_BR |
| dc.title | 30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data | pt_BR |
| dc.type | article | pt_BR |
Arquivos
Pacote Original
1 - 1 de 1
Nenhuma Miniatura disponível
- Nome:
- 30dayMorbidityMortality_Quinino_Etal_2022.pdf
- Tamanho:
- 567.91 KB
- Formato:
- Adobe Portable Document Format
Nenhuma Miniatura disponível
Licença do Pacote
1 - 1 de 1
Nenhuma Miniatura disponível
- Nome:
- license.txt
- Tamanho:
- 1.45 KB
- Formato:
- Item-specific license agreed upon to submission
Nenhuma Miniatura disponível