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 | Karaca, Esma Seda Akalın | |
| dc.date.accessioned | 2022-10-27T11:10:25Z | |
| dc.date.available | 2022-10-27T11:10:25Z | |
| dc.date.issued | 2022-04 | |
| dc.description.abstract | 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. © 2021, The Author(s). | en_US |
| dc.fullTextLevel | Full Text | en_US |
| dc.identifier.doi | 10.1038/s41366-021-01048-1 | |
| dc.identifier.issn | 0307-0565 | |
| dc.identifier.pmid | 34912046 | en_US |
| dc.identifier.scopus | 2-s2.0-85121334402 | en_US |
| dc.identifier.uri | https://hdl.handle.net/11411/4622 | |
| dc.identifier.uri | https://doi.org/10.1038/s41366-021-01048-1 | |
| dc.identifier.wosquality | Q1 | en_US |
| dc.indekslendigikaynak | Scopus | en_US |
| dc.indekslendigikaynak | PubMed | en_US |
| dc.issue | 4 | en_US |
| dc.language.iso | en | en_US |
| dc.national | International | en_US |
| dc.numberofauthors | 100+ | en_US |
| dc.pages | 750-757 | en_US |
| dc.publisher | Springer Nature | en_US |
| dc.relation.ispartof | International Journal of Obesity | en_US |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| 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 | |
| dc.type | Article | |
| dc.volume | 46 | en_US |
