@article{Beiglboeck2021,
doi = {10.1007/s11695-021-05763-6},
year = {2021},
month = nov,
publisher = {Springer Science and Business Media {LLC}},
author = {Hannes Beiglb\"{o}ck and Eric M\"{o}rth and Berthold Reichardt and Tanja Stamm and Bianca Itariu and J\"{u}rgen Harreiter and Miriam Hufgard-Leitner and Paul Fellinger and Jakob Eichelter and Gerhard Prager and Alexander Kautzky and Alexandra Kautzky-Willer and Peter Wolf and Michael Krebs},
title = {Sex-Specific Differences in Mortality of Patients with a History of Bariatric Surgery: a Nation-Wide Population-Based Study},
journal = {Obesity Surgery},
abstract = {Bariatric surgery reduces mortality in patients with severe obesity and is predominantly performed in women.
Therefore, an analysis of sex-specific differences after bariatric surgery in a population-based dataset from Austria was
performed. The focus was on deceased patients after bariatric surgery.
The Austrian health insurance funds cover about 98% of the Austrian population. Medical health
claims data of all Austrians who underwent bariatric surgery from 01/2010 to 12/2018 were analyzed. In total, 19,901 patients
with 107,806 observed years postoperative were eligible for this analysis. Comorbidities based on International Classification
of Diseases (ICD)-codes and drug intake documented by Anatomical Therapeutical Chemical (ATC)-codes were analyzed
in patients deceased and grouped according to clinically relevant obesity-associated comorbidities: diabetes mellitus (DM),
cardiovascular disease (CV), psychiatric disorder (PSY), and malignancy (M).
In total, 367 deaths were observed (1.8%) within the observation period from 01/2010 to 04/2020. The overall
mortality rate was 0.34% per year of observation and significantly higher in men compared to women (0.64 vs. 0.24%;
p < 0.001(Chi-squared)). Moreover, the 30-day mortality was 0.19% and sixfold higher in men compared to women (0.48
vs. 0.08%; p < 0.001). CV (82%) and PSY (55%) were the most common comorbidities in deceased patients with no sex-
specific differences. Diabetes (38%) was more common in men (43 vs. 33%; p = 0.034), whereas malignant diseases (36%)
were more frequent in women (30 vs. 41%; p = 0.025).
After bariatric surgery, short-term mortality as well as long-term mortality was higher in men compared to
women. In deceased patients, diabetes was more common in men, whereas malignant diseases were more common in women.},
pdf = {pdfs/Beiglboeck2021_Article_Sex-SpecificDifferencesInMorta.pdf},
thumbnails = {images/2021-Moerth-Diabetes-thumb.png},
images = {images/2021-Moerth-Diabetes.png},
keywords = {Bariatric surgery, Sex differences, Mortality, Population-based registry analysis, Comorbidities, Healthcare, research},
}