Higher Socioeconomic Status is Associated with Improved Outcomes After Obesity Surgery Among Women in Germany
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Higher Socioeconomic Status is Associated with Improved Outcomes After Obesity Surgery Among Women in Germany. / Wagner, Jonas; Zanker, Nicola; Duprée, Anna; Mann, Oliver; Izbicki, Jakob; Wolter, Stefan.
in: WORLD J SURG, Jahrgang 45, Nr. 11, 11.2021, S. 3330-3340.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Higher Socioeconomic Status is Associated with Improved Outcomes After Obesity Surgery Among Women in Germany
AU - Wagner, Jonas
AU - Zanker, Nicola
AU - Duprée, Anna
AU - Mann, Oliver
AU - Izbicki, Jakob
AU - Wolter, Stefan
N1 - © 2021. The Author(s).
PY - 2021/11
Y1 - 2021/11
N2 - BACKGROUND: Low socioeconomic status (SES) is associated with an increased prevalence of obesity. It is unknown whether SES influences the outcome after bariatric surgery in Germany. Therefore, the aim of our study was to investigate whether the SES is linked with an inferior outcome after bariatric surgery.METHODS: We included all patients who underwent bariatric surgery in our university hospital from 2012-2014. Net income was estimated by matching the zip codes of patient residency with the region-specific purchasing power index. We analyzed the relationship between SES, weight loss and remission of comorbidities.RESULTS: We included 559 patients in this study and detected a mean 5-year percentage excess weight loss (%EWL) of 52.3%. We detected a significantly lower initial body mass index (BMI) and weight in patients with a higher income. One year after surgery, we did not find a significant difference. Further analysis revealed that only women with a higher income had a significantly lower BMI and weight 3 and 5 years after surgery.CONCLUSIONS: Bariatric surgery is beneficial for all patients regardless of income. Furthermore, we demonstrated that women with high SES have a better outcome after bariatric surgery.
AB - BACKGROUND: Low socioeconomic status (SES) is associated with an increased prevalence of obesity. It is unknown whether SES influences the outcome after bariatric surgery in Germany. Therefore, the aim of our study was to investigate whether the SES is linked with an inferior outcome after bariatric surgery.METHODS: We included all patients who underwent bariatric surgery in our university hospital from 2012-2014. Net income was estimated by matching the zip codes of patient residency with the region-specific purchasing power index. We analyzed the relationship between SES, weight loss and remission of comorbidities.RESULTS: We included 559 patients in this study and detected a mean 5-year percentage excess weight loss (%EWL) of 52.3%. We detected a significantly lower initial body mass index (BMI) and weight in patients with a higher income. One year after surgery, we did not find a significant difference. Further analysis revealed that only women with a higher income had a significantly lower BMI and weight 3 and 5 years after surgery.CONCLUSIONS: Bariatric surgery is beneficial for all patients regardless of income. Furthermore, we demonstrated that women with high SES have a better outcome after bariatric surgery.
U2 - 10.1007/s00268-021-06252-8
DO - 10.1007/s00268-021-06252-8
M3 - SCORING: Journal article
C2 - 34309693
VL - 45
SP - 3330
EP - 3340
JO - WORLD J SURG
JF - WORLD J SURG
SN - 0364-2313
IS - 11
ER -
