Breaking News
January 23, 2019 - Scientists reveal new mechanism that could lead to specific treatment of strokes and seizures
January 23, 2019 - Both educational level and occupational orientation predict mother’s smoking during pregnancy
January 23, 2019 - How to (gently) get your child to brush their teeth
January 23, 2019 - Short-term hospital readmissions for gun injuries cost $86 million a year | News Center
January 23, 2019 - New certified reference material for testing residual solvents in cannabis
January 23, 2019 - Gene-edited chickens could prevent future flu pandemic
January 23, 2019 - Cardiovascular disease risk begins even before birth
January 23, 2019 - Younger patients receiving kidney transplant more likely to live longer, shows data
January 23, 2019 - Skin samples hold early signs of prion disease, research suggests
January 23, 2019 - Researchers discover how body initiates repair mechanisms that limits damage to myelin sheath
January 23, 2019 - Fecal transplant from certain donors better than others
January 23, 2019 - Risk for Uninsurance in AMI Patients Reduced With Medicaid Expansion
January 23, 2019 - Readmissions reduction program may be associated with increase in patient-level mortality
January 23, 2019 - Fostering translation and communication in medicine and beyond
January 23, 2019 - To Fight Fatty Liver, Avoid Sugary Foods and Drinks
January 23, 2019 - TPU scientists develop new implants that double the rate of bone lengthening in kids
January 23, 2019 - New sessions at Pittcon 2019
January 23, 2019 - Insilico to present latest findings in AI for Drug Discovery at 3rd Annual SABPA FTD Forum
January 23, 2019 - Opioid overdose patients can be safely discharged an hour after administration of naloxone
January 23, 2019 - Scientists find bacterial extracellular vesicles in human blood
January 23, 2019 - Researchers gain new insights into development of necrotizing enterocolitis in preemies
January 23, 2019 - Medical expert advises people with epilepsy not to stockpile medicines
January 23, 2019 - Study outlines research priorities for improving pediatric patient care and safety
January 23, 2019 - Bedfont to exhibit NObreath FeNO monitor at Arab Health 2019
January 23, 2019 - Nicotinamide riboside supplementation confers significant physiological benefits to mothers and offspring
January 23, 2019 - Increasing temperatures may help preserve crop nutrition
January 23, 2019 - Many Oncologists in the Dark About LGBTQ Health Needs
January 23, 2019 - Epigenetic change causes fruit fly babies to inherit diet-induced heart disease
January 23, 2019 - Erasing memories could reduce relapse rates among drug addicts
January 23, 2019 - African Americans who smoke cigarettes are more likely to develop peripheral artery disease
January 23, 2019 - Unique data combination helps FinnGen researchers to fund links between genetic factors and health
January 23, 2019 - Parents’ mental health problems associated with reactive attachment disorder in children
January 23, 2019 - Graphene Flagship project studies impact of graphene and related materials on our health
January 23, 2019 - The connection between the Pope and contraceptive pills
January 23, 2019 - Prior dengue infection could protect children from symptomatic Zika
January 23, 2019 - Previous dengue virus infection associated with protection from symptomatic Zika
January 23, 2019 - VISTA checkpoint implicated in pancreatic cancer immunotherapy resistance
January 23, 2019 - The Tiny Camera That Could Revolutionize Cardiovascular Surgery
January 23, 2019 - Peptide isolated from soil fungi has antitumor and antibacterial properties
January 23, 2019 - TGen identifies polio-like virus as potential cause of Acute Flaccid Myelitis outbreak
January 23, 2019 - Migrants and refugees do not bring disease and are at greater health risk themselves says WHO
January 23, 2019 - Examing the effects of menopause in workplace
January 23, 2019 - Enemy number 1 – Air pollution and climate change top of WHO agenda
January 23, 2019 - Two Positive Phase III studies of Tafenoquine for the Radical Cure of Plasmodium vivax Malaria Published in The New England Journal of Medicine
January 23, 2019 - World Trade Center responders at increased risk for head and neck cancers
January 23, 2019 - Low-sugar diet leads to significant improvement in nonalcoholic fatty liver disease in boys
January 23, 2019 - Chaos in bodily regulation can optimize our immune system, finds study
January 23, 2019 - Short, text-based exercises can increase happiness for adults recovering from substance use disorders
January 23, 2019 - Body size may have greater influence on women’s lifespan than men
January 23, 2019 - Groundbreaking tool helps visualize neuronal activity with near-infrared light
January 23, 2019 - Prior dengue immunity in children may be protective against symptomatic Zika
January 23, 2019 - Holocaust survivors with PTSD and their offspring exhibit more unhealthy behavior patterns
January 23, 2019 - Scientists discover new genetic mutations causing inherited deaf-blindness
January 23, 2019 - UC team designs new naloxone-dispensing smart device
January 23, 2019 - Torrent Pharmaceuticals Limited Issues Voluntary Nationwide Recall of Losartan Potassium Tablets, USP and Losartan Potassium and Hydrochlorothiazide Tablets, USP
January 23, 2019 - Brain activity shows development of visual sensitivity in autism
January 23, 2019 - Two hour gap between dinner and sleep is overrated says Japanese research
January 23, 2019 - Fear and embarrassment are causing smear test numbers to plummet
January 23, 2019 - Protein-secreting device implanted in epileptic rats reduces seizures, improves cognition
January 23, 2019 - Reintroduction project recovers current wild population of green turtle in Cayman Islands
January 23, 2019 - Cancer survivors face greater financial burden related to medical bills
January 23, 2019 - PSA screening reduces prostate cancer deaths by 30%
January 23, 2019 - LSTM receives grant to help improve health of people living in informal settlements
January 23, 2019 - Hemochromatosis Mutation Linked to Other Morbidity
January 23, 2019 - Why early diagnosis of autism should lead to early intervention
January 23, 2019 - Aspirin May Lower Stroke Risk in Women with History of Preeclampsia
January 23, 2019 - Exposure to certain chemicals may be linked to decrease in blood pressure during pregnancy
January 23, 2019 - Bowel cancer on the rise among younger Australians
January 23, 2019 - Scientists have reversed memory loss in a mouse model of Alzheimer’s
January 23, 2019 - Defective molecular master switch could lead to age-related macular degeneration
January 23, 2019 - Researchers identify how concussions may contribute to seizures
January 23, 2019 - Short interval between last meal of the day and bedtime may not affect blood glucose levels
January 23, 2019 - Still Too Many Highway Deaths Tied to Speeding
January 23, 2019 - Prenatal valproate exposure linked to increased ADHD risk
January 23, 2019 - Compound identified that may help treat heart failure
January 23, 2019 - Undiagnosed Asthma in Urban Adolescents May Be Common
January 23, 2019 - Study describes metabolism of intestinal microbiota in babies for the first time
January 22, 2019 - Study links concussions to development of epilepsy
January 22, 2019 - Specialist-led hospital bereavement service may help restrain legal action after difficult deaths
January 22, 2019 - Genetic study reveals possible new routes to treating osteoarthritis
Weight loss surgery widely underutilized among young patients with severe obesity

Weight loss surgery widely underutilized among young patients with severe obesity

image_pdfDownload PDFimage_print

Among U.S. teenagers and young adults with severe obesity, a new study finds that only a small percentage undergo weight loss surgery, even though it is broadly considered the most effective long-term weight loss therapy. The study results, from high-volume surgical centers across five states, will be presented Monday at ENDO 2018, the Endocrine Society’s 100th annual meeting in Chicago, Ill.

“The prevalence of obesity among adolescents and young adults is rapidly increasing. However, weight loss surgery is widely underutilized in this age group,” said one of the study’s collaborators, Karen Campoverde-Reyes, M.D., a research fellow at Harvard Medical School and Massachusetts General Hospital in Boston, Mass. Lead investigator Fatima Cody Stanford, M.D., M.P.H., M.P.A., was the recipient of the Massachusetts General Hospital Physician Scientist Development Award and Executive Committee on Research, which funded this study.

Also called bariatric surgery, weight loss surgery includes gastric bypass and the gastric sleeve procedure. Eligibility criteria for weight loss surgery in the United States, besides inability to lose weight with diet and exercise, include a body mass index (BMI) of 40 kg/m2 or greater-;also called severe obesity-;or a BMI of at least 35 plus one or more obesity-related complications, such as type 2 diabetes, heart disease and obstructive sleep apnea.

Campoverde-Reyes, Stanford and Madhusmita Misra, M.D., M.P.H., determined the frequency of weight loss surgery in 14- to 25-year-olds treated at eight academic health systems that participate in a web-based clinical data research network called the Scalable Collaborative Infrastructure for Learning Healthcare System, or SCILHS. Four of the institutions are in Boston: Beth Israel Deaconess Medical Center, Boston Children’s Hospital; Boston Medical Center and Partners Healthcare, which comprises Massachusetts General and Brigham and Women’s Hospital. The others are Washington University School of Medicine in St. Louis, Morehouse Healthcare in Atlanta, University of Texas Health Science Center at Houston and Wake Forest Baptist Medical Center in Winston-Salem, N.C.

To identify individuals with severe obesity, they used the diagnostic medical billing code for severe obesity and a BMI of 40 or more. Medical billing codes also helped identify weight loss surgeries. Partners Healthcare data came from the system’s Research Patient Data Registry.

About 0.7 percent, or 18,008, of the more than 2.5 million patients ages 14 to 25 had a diagnosis of severe obesity, the investigators reported. The percentage of patients with severe obesity who underwent weight loss surgery ranged from 0.4 percent at Boston Children’s Hospital to 21.5 percent at Partners Healthcare. The other percentages were 1.4 at Boston Medical Center, 2.3 at Beth Israel and 2.5 percent at Washington University. The other institutions performed too few weight loss surgeries (less than 10) to report percentages.

“This finding is a wake-up call that we need to adequately use the appropriate treatment modality for the severity of the disease, which for many people with more severe obesity is weight loss surgery,” Stanford said. “Studies in both adults and adolescents have shown weight loss surgery to reliably achieve safe and lasting improvement in BMI and resolution of comorbid diseases that is superior to other treatment modalities.”

A possible reason for the underutilization of weight loss surgery in young patients with severe obesity, according to the investigators, is the lack of education and awareness among health care providers and the public regarding surgical treatment of obesity. The researchers suggest more education should occur among physicians, physicians in training, social workers and school nurses.

Source:

https://www.endocrine.org/

Tagged with:

About author

Related Articles