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Clifford W. Deveney, MD

Arch Surg. 2006;141:1121.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this article, Livingston and Langert examined outcomes from bariatric procedures using 2 databases, the National Inpatient Survey and the National Hospital Discharge Survey, and found that age, male sex, certain comorbidities, and Medicare status adversely affected short-term outcomes, such as perioperative complications and operative mortality, with these complications increasing steeply after the age of 65 years. When patients with similar comorbidities were compared, Medicare status alone did not affect outcomes. The study has some of the inherent shortcomings of retrospective data acquisition from large databases. For example, all bariatric procedures were analyzed together (Roux-en-Y gastric bypass, biliopancreatic diversion with duodenal switch, lap band, etc), so we have no idea if these data apply to all procedures. Furthermore, the data are collected from all hospitals, not simply from those that have bariatric centers. Conspicuously absent from the data is an analysis of the effect of weight . . . [Full Text of this Article]

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RELATED ARTICLE

The Impact of Age and Medicare Status on Bariatric Surgical Outcomes
Edward H. Livingston and Joshua Langert
Arch Surg. 2006;141(11):1115-1120.
ABSTRACT | FULL TEXT