Long‐term all‐cause and cause‐specific mortality for four bariatric surgery procedures
Main finding · All-cause mortalityResult — go to the resultHazard ratio 0.84 95% CI 0.79–0.90Authors' conclusion
Reduced all-cause mortality was durable for multiple decades, for multiple bariatric surgical procedures, for females and males, and for greater than age 34 years at surgery. Rate of death from suicide was significantly higher in surgery versus non-surgery participants only in the youngest age at surgery participants.
Study context
- Population
- Participants with and without bariatric surgery, four procedures, multiple age-at-surgery groups21,837 matched pairs
- Exposure
- Bariatric surgery vs no surgery
- Outcome
- All-cause mortality
- Follow-up
- Up to 40 years (mean [SD], 13.2 [9.5] years)
Methodological detailsmatched 1:1 for age, sex, BMI and surgery date
- Matched 1:1 for age, sex, BMI and surgery date
Main finding
As reported in the abstract
Hazard ratio
0.84
95% CI 0.79–0.90
P < 0.001
Surgeryvs Non-surgery
HR 0.84 (95% CI 0.79–0.90); P < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | P value | |
|---|---|---|---|
| Suicide mortalityPrimarily in ages at surgery 18–34 years | 2.4 (1.57–3.68) | P < 0.001 | |
| 0.20.5125Hazard ratio (log scale) |
All-cause mortality by sex
- Significantly lower mortality after surgery for both females and males
Cause-specific mortality (CVD, cancer, diabetes)
- CVD mortality decrease, surgery vs non-surgery
- 29%
- Cancer mortality decrease, surgery vs non-surgery
- 43%
- Diabetes mortality decrease, surgery vs non-surgery
- 72%
Original publication
Long‐term all‐cause and cause‐specific mortality for four bariatric surgery procedures. Obesity (Silver Spring). Published 25 January 2023. doi:10. 1002/ oby. 23646
Composed by AI from the published abstract and checked against it. How Briefs are made →