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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
- Source :
- International Journal of Obesity (2005), GENEVA Collaborators 2022, ' 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, vol. 46, no. 4, pp. 750-757 . https://doi.org/10.1038/s41366-021-01048-1
- Publication Year :
- 2021
-
Abstract
- 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.
- Subjects :
- Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Gastric Bypass
Medicine (miscellaneous)
nutritional and metabolic diseases
COVID-19
Gastrectomy
Humans
Morbidity
Propensity Score
Retrospective Studies
Treatment Outcome
Diabetes Mellitus, Type 2
Obesity, Morbid
Article
Diabetes Mellitus
Obesity
Morbid
Type 2
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- International Journal of Obesity (2005), GENEVA Collaborators 2022, ' 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, vol. 46, no. 4, pp. 750-757 . https://doi.org/10.1038/s41366-021-01048-1
- Accession number :
- edsair.doi.dedup.....ec52ef9f4aa50e70a91f3cbe5adec406