Obesity

Increasing Obesity Severity Is Associated With Less Surgical Care in the United States

Obesity (Silver Spring)Published Retrospective cohort study

Authors' conclusion

Despite increased growth in higher BMI populations, individuals in these categories undergo fewer surgical operations annually.

Study context

Population
All multispecialty National Surgical Quality Improvement Program (NSQIP) surgical cases, US, 2005–2022
Participants
11,634,075 NSQIP cases
Exposure
Trends in proportional operative volume across BMI categories over time
Outcome
Proportional operative volume (odds of undergoing surgery) by BMI category over consecutive years
Follow-up
2005 to 2022
Methodological detailsmultispecialty NSQIP database, multinomial logistic regression adjusted for demographics and comorbidities
  • Multispecialty NSQIP database
  • Multinomial logistic regression adjusted for demographics and comorbidities

Main finding

As reported in the abstract

Odds of undergoing surgery over consecutive years by BMI category
  • Decreased odds of patients with BMI ≥ 50 kg/m² undergoing surgery over consecutive years, with increasingly higher BMI groups representing greater declines
  • Patients with BMI 30.0-39.9 kg/m² had increased proportional operative volume

Observational data: associations, not effects.

Original publication

Increasing Obesity Severity Is Associated With Less Surgical Care in the United States. Obesity (Silver Spring). Published 8 June 2026. doi:10.1002/oby.70240

Composed by AI from the published abstract and checked against it. How Briefs are made →

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