Gladys M Rodriguez, Divya A Parikh, Kris Kapphahn, Divya M Gupta, Alice C Fan, Sumit Shah, Sandy Srinivas, Winifred Teuteberg, Briththa Seevaratnam, Khay Asuncion, Joanne Chien, Kaidi Moore, Shann Mika Ruiz, Manali I Patel
Coaches Activating, Reaching, and Engaging Patients to Engage in Advance Care Planning: A Randomized Clinical Trial
JAMA oncology
increasing prevalence associated sociodemographic disparities morbid obesity serious public health concerns bariatric surgical procedures provide greater durable weight reduction behavioral pharmacological interventions morbid obesityto examine trends elective bariatric surgical procedures patient characteristics inhospital complications 1998 2003 united statesthe nationwide inpatient sample used identify bariatric surgery admissions 19982002 preliminary data 12 states 2003 using international classification diseases ninth revision codes foregut surgery confirmatory diagnosis obesity diagnosis related group code obesity surgery annual estimates trends determined procedures patient characteristics adjusted complication ratestrends bariatric surgical procedures patient characteristics complicationsthe estimated number bariatric surgical procedures increased 13365 1998 72177 2002 p001 based preliminary statelevel data 19982003 number bariatric surgical procedures projected 102 794 2003 gastric bypass procedures accounted 80 bariatric surgical procedures 1998 2002 upward trends proportion females 81 84 p 003 privately insured patients 75 83 p 001 patients zip code areas highest annual household income 32 60 p001 patients aged 50 64 years 15 24 p001 length stay decreased 45 days 1998 33 days 2002 p001 adjusted inhospital mortality rate ranged 01 02 rates unexpected reoperations surgical complications ranged 6 9 pulmonary complications ranged 4 7 rates inhospital complications lowthese findings suggest use bariatric surgical procedures increased substantially 1998 2003 rates inhospital complications stable length stay decreased however disparities use procedures disproportionate increasing use among women private insurance wealthier zip code areas explored