Dating after gastric bypass surgery
Vertebral fracture was not included as an outcome due to the difficulty in capturing incident vertebral fracture using claims data.
Potential confounders (including age, year of surgery, geographical region, osteoporosis diagnosis, receipt of osteoporosis medications, history of fall, BMD testing, and markers of healthcare use intensity) were assessed with type of bariatric surgery during the baseline period of 365 days and on the index date.
Following 1:1 propensity score matching, the final cohort consisted of 7516 pairs of RYGB and AGB patients.
Baseline demographics, comorbidities, and healthcare utilization were well balanced within the propensity score-matched cohort; the mean age was 44 years and the majority of patients were female (79%).
Doctors often use the body mass index (BMI) and health conditions such as type 2 diabetes (diabetes that started in adulthood) and high blood pressure to determine which people are most likely to benefit from weight-loss surgery.
Patients were excluded if they had undergone sleeve gastrectomy or other gastric surgeries including revision, had cancer, received chemotherapy, had end-stage renal disease or received a renal transplant, or were admitted to a nursing home during the baseline period of 365 days before the index date.
Fracture risk after bariatric surgery: Roux-en-Y gastric bypass versus adjustable gastric banding. Globally, Roux-en-Y gastric bypass (RYGB) and adjustable gastric banding (AGB) are among the most commonly performed bariatric surgery procedures.
Among patients with severe obesity, bariatric surgery is effective at reducing body weight; however, there are potential clinical risks associated with these procedures, such as metabolic bone disease.
If you do not follow these measures, you may have complications from the surgery and poor weight loss.
Be sure to discuss the benefits and risks with your surgeon.