Obesity

Long‐term cancer outcomes after bariatric surgery

Obesity (Silver Spring)Published Retrospective cohort study

Main finding · Any cancer incidenceResult — go to the resultHazard ratio 0.75 95% CI 0.69–0.81

Authors' conclusion

Bariatric surgery was associated with lower all-cancer and obesity-related cancer incidence among female patients. Cancer mortality was significantly lower among females in the surgical group versus the nonsurgical group.

Study context

Population
Bariatric surgery patients (surgery 1982–2018) and matched nonsurgical comparison group; follow-up 1982–2019matched 1:1
Exposure
Bariatric surgery vs nonsurgical comparison group
  • Bariatric surgeryn = 21,837
Outcome
Cancer incidence and mortality, stratified by obesity- and non-obesity-related cancers, sex, cancer stage, and procedure
Methodological detailsmatched 1:1 by age, sex, and BMI
  • Matched 1:1 by age, sex, and BMI

Main finding

Any cancer incidence

Hazard ratio

0.75

95% CI 0.69–0.81

P < 0.001

Bariatric surgeryvs Nonsurgical comparison
HR 0.75 (95% CI 0.69–0.81); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Any cancer incidence, by sexFemale surgeryvs NonsurgicalFemales0.67 (0.62–0.74)P < 0.001
Obesity-related cancers (breast, ovarian, uterine, colon), femalesFemale surgeryvs Nonsurgical females41% lower risk0.59 (0.52–0.66)P < 0.001

Cancer mortality, females

HR (95% CI)P value
Females after surgerySignificantly lower after surgery in females0.53 (0.44–0.64)P < 0.001
Any cancer incidence, by sex — HR lower for females than for males
p < 0.001

Any cancer incidence, by sex

Not lower among male surgery patients

Original publication

Long‐term cancer outcomes after bariatric surgery. Obesity (Silver Spring). Published 22 August 2023. doi:10.1002/oby.23812

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