Obesity

Risk for cancer after bariatric surgery compared with the general population: a nationwide matched cohort study

Obesity (Silver Spring)Published Nationwide matched cohort study

Main finding · New onset of cancer (all-cancer)Result — go to the resultIncidence rate ratio 1.03 95% CI 0.99–1.07

Authors' conclusion

All-cancer incidence risk was similar between patients who underwent MBS and the general population. Although breast and skin cancer risk was lower among MBS patients compared with controls, MBS patients had a greater risk for multiple cancer types. Thus, patients who have undergone MBS should continue recommended cancer screening and clinically approved work-up for cancer symptoms as recommended for the general population.

Study context

Population
Patients who underwent metabolic and bariatric surgery (MBS) in Sweden from 2007 to 2020 and matched general population controlsmatched cohort
Participants
68,424 vs 640,944
Exposure
MBS vs matched general population controls
  • MBSn = 68,424
  • Controlsn = 640,944reference
Outcome
New incidence of cancer
Methodological detailsmatched on age, sex, area of residence, general population controls
  • Matched on age, sex, area of residence
  • General population controls

Main finding

New onset of cancer (all-cancer)

Incidence rate ratio

1.03

95% CI 0.99–1.07

MBSvs Controls
IRR 1.03 (95% CI 0.99–1.07)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeIRR (95% CI)
Breast cancer in women0.78 (0.71–0.86)
Nonmelanoma skin cancer in men and women0.71 (0.59–0.85)
Melanoma skin cancer in men and women0.77 (0.68–0.87)

Other cancer types

Increased risk remained with MBS vs controls for colon, liver, pancreatic, corpus uteri and renal cancer, malignant meningioma and non-Hodgkin's lymphoma

Original publication

Risk for cancer after bariatric surgery compared with the general population: a nationwide matched cohort study. Obesity (Silver Spring). Published 23 July 2025. doi:10.1002/oby.24318

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