Impact of the COVID-19 pandemic on racial disparities in adolescent bariatric surgery: an MBSAQIP analysis - Report - MDSpire

Impact of the COVID-19 pandemic on racial disparities in adolescent bariatric surgery: an MBSAQIP analysis

  • By

  • Nikita S. Thareja

  • Ana Garcia Cabrera

  • J. Jeffery Reeves

  • Hannah M. Hollandsworth

  • Bryan J. Sandler

  • Garth R. Jacobsen

  • Ryan C. Broderick

  • June 16, 2026

  • 0 min

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Effects of the COVID-19 Pandemic on Racial Inequities in Adolescent Bariatric Surgery

Overview

Expand to include specific impacts of the pandemic on surgical rates and access barriers.

Background

Severe obesity in adolescents poses significant health risks, with rising prevalence leading to increased rates of comorbidities such as type 2 diabetes and hypertension. Despite the efficacy of metabolic and bariatric surgery (MBS) in treating severe obesity, access remains limited, particularly among racial and ethnic minorities. Understanding these disparities is crucial for addressing inequities in healthcare delivery and improving outcomes for affected populations.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

  • Black and Hispanic adolescents have lower rates of bariatric surgery compared to White adolescents, despite higher obesity rates.
  • Postoperative outcomes are comparable across racial groups, indicating disparities arise from access rather than quality of care.
  • The COVID-19 pandemic disrupted healthcare delivery, affecting surgical referrals and access to care.
  • Telemedicine emerged as a potential tool to mitigate access barriers during the pandemic.
  • Structural factors, including insurance coverage and geographic access to surgical centers, contribute to ongoing disparities.

Clinical Implications

Healthcare providers should be aware of the systemic barriers that affect access to bariatric surgery for adolescents, particularly among racial and ethnic minorities. Efforts to enhance referral patterns and improve insurance coverage for surgical interventions are essential to reduce these disparities.

Conclusion

The COVID-19 pandemic has highlighted and potentially worsened existing racial inequities in access to adolescent bariatric surgery. Addressing these disparities is critical for ensuring equitable healthcare delivery and improving health outcomes for all adolescents with severe obesity.

Related Resources & Content

  1. Surgical Endoscopy, 2024 -- Postoperative Outcomes After Bariatric Surgery in the U.S.: Are Racial Disparities Decreasing?
  2. Obesity Surgery, 2025 -- Comparative Analysis of Metabolic Surgery Outcomes in Adolescents with Severe Obesity: A Retrospective Review of the MBSAQIP Database
  3. Surgical Endoscopy, 2024 -- Impact of COVID-19 on Results and Socioeconomic Inequities After Metabolic and Bariatric Surgery
  4. Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity | Pediatrics | American Academy of Pediatrics
  5. Surgical Endoscopy (Springer) — Comparing Outcomes and Trends of Robotic versus Laparoscopic Bariatric Surgery in Patients with a BMI of 60 kg/m2 or Higher: Insights from an MBSAQIP Study of 32,295 Cases
  6. ADOLESCENT BARIATRIC SURGERY
  7. Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity | Pediatrics | American Academy of Pediatrics
  8. Comparative analysis of racial disparities between adolescents and adults undergoing bariatric surgery: analysis from the MBSAQIP database - PubMed

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