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Open Access Green as soon as Postprint is submitted to ZB.
Impact of surgical postponements due to Covid-19 on weight and metabolic parameters in bariatric surgery in Germany: Monocentric experiences and considerations in a national context.
Obes. Surg. 33, 2375-2383 (2023)
Background: Due to Covid-19, elective medical procedures were partly postponed to reduce the burden on the medical system. The impact of these effects in bariatric surgery and their individual consequences remain unknown. Materials/Methods: In a retrospective monocentric analysis, all bariatric patients at our centre between 01/2020 and 12/2021 were investigated. All patients with postponed surgery due to pandemic were analysed regarding weight change and metabolic parameters. In addition, we performed a nationwide cohort study of all bariatric patients in 2020 using billing data provided by the Federal Statistical Office. Population adjusted procedure rates of 2020 were compared to 2018/2019. Results: Seventy-four patients (42.5%) out of 174 scheduled for bariatric surgery were postponed due to pandemic-related limitations, and 47 (63.5%) patients waited longer than 3 months. Mean postponement was 147.7 days. Apart from outliers (6.8% of all patients), mean weight (+0.9 kg) and body mass index (+0.3 kg/m2) remained stable. HbA1c increased significantly in patients with a postponement longer than 6 months (p = 0.024) and in diabetic patients (+0.18% vs −0.11 in non-diabetic, p = 0.042). In the Germany-wide cohort, the overall reduction of bariatric procedures in the first lockdown (04-06/2020) was −13.4% (p = 0.589). In the second lockdown (10-12/2020), there was no nationwide detectable reduction (+3.5%, p = 0.843) but inter-state differences. There was a catch-up in the interim months (+24.9%, p = 0.002). Conclusion: For future lockdowns or other healthcare bottleneck circumstances, the impact of postponement in bariatric patients has to be addressed and prioritization of vulnerable patients (e.g. diabetics) should be considered. Graphical Abstract: [Figure not available: see fulltext.]
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Bariatric Surgery ; Covid-19 Pandemic ; Surgical Postponement In Diabetic Patients ; Weight/bmi Change; Conventional Medical Therapy
ISSN (print) / ISBN
0960-8923
e-ISSN
1708-0428
Journal
Obesity Surgery
Quellenangaben
Volume: 33,
Issue: 8,
Pages: 2375-2383
Publisher
Springer
Publishing Place
One New York Plaza, Suite 4600, New York, Ny, United States
Non-patent literature
Publications
Reviewing status
Peer reviewed
Institute(s)
Helmholtz Institute for Metabolism, Obesity and Vascular Research (HI-MAG)