Adverse event comparison between glucagon‐like peptide‐1 receptor agonists and other antiobesity medications following bariatric surgery

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Our results showed that GLP-1RA AOMs were not associated with an increased risk of AEs compared to non-GLP-1RA AOMs in patients who had previously undergone bariatric surgery. Prospective studies are needed to identify the optimal timeframe for GLP-1RA initiation.

Study context

Population
Patients aged 16–65 years after laparoscopic RYGB or SG who initiated antiobesity medications (AOMs); 83% female, median (IQR) age 47.8 (40.9–55.4) years
Participants
599 patients
Exposure
GLP-1RA AOMs vs non-GLP-1RA AOMs after bariatric surgery
Outcome
AE incidence
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Adjusted odds ratio (95% CI)
GLP-1RAvs FDA-approved
1.1(0.5–2.6)
GLP-1RAvs Off-label
1.1(0.6–2.3)

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)P value
AEs by timing of AOM initiation: ≥12 vs <12 months after surgeryLower risk of AEs with ≥12 months0.01 (0.0–0.01)P < 0.001

Original publication

Adverse event comparison between glucagon‐like peptide‐1 receptor agonists and other antiobesity medications following bariatric surgery. Diabetes Obes Metab. Published 27 June 2024. doi:10.1111/dom.15737

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