To analyze trends in bariatric surgery practice patterns and outcomes from 2020 to 2024 using the MBSAQIP database.
Approach:
Study Design: A retrospective analysis of the MBSAQIP data registry was performed, capturing clinical data from 902 accredited American and Canadian metabolic and bariatric surgery centers.
Data Collection: Basic demographic data, patient comorbidities, operative characteristics, and outcome variables were collected and analyzed.
Statistical Analysis: Categorical variables were expressed as frequencies and percentages, while continuous variables were presented as means with standard deviations. Temporal trends were evaluated using chi-square tests and linear regression.
Key Findings:
The proportion of female patients undergoing bariatric procedures increased from 81.73% in 2020 to 82.48% in 2024.
The mean age of patients decreased from 44.17 years in 2020 to 43.55 years in 2024.
There was an increase in racial and ethnic diversity among patients, with the percentage of White patients decreasing from 67.38% in 2020 to 60.09% in 2024.
Interpretation:
The study presents data on changing demographics and trends in bariatric surgery over the five-year period.
Limitations:
The study relies on the MBSAQIP database, which may not include all bariatric surgeries performed outside accredited centers.
The retrospective nature of the analysis may introduce biases in the interpretation of the data.
Conclusion:
The findings indicate changes in patient demographics and procedural trends in bariatric surgery over the past five years.