Table 1. Baseline Characteristics of the Bariatric Surgery Patients and Matched Nonsurgical Patients.
Laparoscopic Banding | Gastric Bypass | Laparoscopic Sleeve Gastrectomy | Total | |||||
---|---|---|---|---|---|---|---|---|
Surgical Patients (n = 3635) |
Nonsurgical Patients (n = 10 905) |
Surgical Patients (n = 1388) |
Nonsurgical Patients (n = 4164) |
Surgical Patients (n = 3362) |
Nonsurgical Patients (n = 10 086) |
Surgical Patients (n = 8385) |
Nonsurgical Patients (n = 25 155) |
|
Duration of follow-up, median (IQR) [range], y | 6.2 (4.3-8.5)a
[0.6-11] |
5.7 (3.7-8.2)a
[0.1-11] |
5.5 (3.0-6.7)a
[0.1-10.7] |
4.8 (2.6-6.6)a
[0.1-10.7] |
3.2 (2.2-4.1)a
[0.1-5.6] |
3.0 (2.0-4.0)a
[0.1-5.6] |
4.3 (2.8-6.6) [0.1-11] |
4.0 (2.6-6.2) [0.1-11] |
Age, median (IQR), y | 45 (35-53) | 45 (35-53) | 48 (39-55) | 48 (39-55) | 47 (37-55) | 47 (38-55) | 46 (37-54) | 46 (37-54) |
Sex, No. (%) | ||||||||
Men | 1197 (32.9) | 3591 (32.9) | 448 (32.3) | 1344 (32.3) | 1250 (37.2) | 3750 (37.2) | 2895 (34.5) | 8685 (34.5) |
Women | 2438 (67.1) | 7314 (67.1) | 940 (67.7) | 2820 (67.7) | 2112 (62.8) | 6336 (62.8) | 5490 (65.5) | 16 470 (65.5) |
SES, No. (%)b,c | ||||||||
Low | 847 (23.4)a | 4283 (39.4)a | 376 (27.2)a | 1680 (40.5)a | 986 (29.4)a | 4128 (41.0)a | 2209 (26.4)a | 10 091 (40.2)a |
Medium | 1705 (47.2)a | 4103 (37.7)a | 610 (44.1)a | 1538 (37.0)a | 1397 (41.6)a | 3759 (37.4)a | 3712 (44.4)a | 9400 (37.5)a |
High | 1064 (29.4)a | 2484 (22.9)a | 397 (28.7)a | 934 (22.5)a | 972 (29.0)a | 2174 (21.6)a | 2433 (29.1)a | 5592 (22.3)a |
Population sector, No. (%)b | ||||||||
Jewish | 3166 (87.1)a | 7470 (68.5)a | 1092 (78.7)a | 2763 (66.4)a | 2521 (75.0)a | 6569 (65.1)a | 6779 (80.8) | 16 802 (66.8) |
Non-Jewish | 469 (12.9) | 3435 (31.5) | 296 (21.3) | 1401 (33.6) | 841 (25.0)a | 3517 (34.9)a | 1606 (19.2) | 8353 (33.2) |
Immigrant status, No. (%) | ||||||||
Born in Israel | 2642 (72.7)a | 8275 (75.9)a | 1037 (74.7) | 3118 (74.9) | 2643 (78.6) | 7786 (77.2) | 6322 (75.4) | 19 179 (76.2) |
Immigrant | 993 (27.3) | 2630 (24.1) | 351 (25.3) | 1046 (25.1) | 719 (21.4) | 2300 (22.8) | 2063 (24.6) | 5976 (23.8) |
Diabetes, No. (%) | ||||||||
Diagnosisd | 767 (21.1) | 2301 (21.1) | 524 (37.8) | 1572 (37.8) | 1100 (32.7) | 3300 (32.7) | 2391 (28.5) | 7173 (28.5) |
Duration, median (IQR), y | 3.6 (1.3-6.4) | 4.0 (1.9-6.5) | 6.2 (2.7-9.0) | 5.0 (2.3-7.5) | 5.9 (1.9-9.5) | 5.4 (2.3-8.9) | 4.9 (1.8-8.5) | 4.7 (2.2-7.9) |
Hyperlipidemia, No. (%)d | 1673 (46.0)a | 4669 (42.8)a | 843 (60.7)a | 2246 (53.9)a | 1916 (57.0)a | 5334 (52.9)a | 4432 (52.9)a | 12 249 (48.7)a |
Hypertension, No. (%)d | 1400 (38.5)a | 4424 (40.6)a | 712 (51.3)a | 1960 (47.1)a | 1609 (47.9)a | 4280 (42.4)a | 3721 (44.4)a | 10 664 (42.4)a |
CVD diagnosis, No. (%)d | 341 (9.4) | 966 (8.9) | 210 (15.1)a | 507 (12.2)a | 439 (13.1) | 1193 (11.8) | 990 (11.8)a | 2666 (10.6)a |
Myocardial infarction | 115 (3.2) | 328 (3.0) | 68 (4.9) | 179 (4.3) | 135 (4.0) | 388 (3.8) | 318 (3.8) | 895 (3.6) |
Unstable angina | 88 (2.4) | 219 (2.0) | 53 (3.8) | 128 (3.1) | 127 (3.8) | 287 (2.8) | 268 (3.2)a | 634 (2.5)a |
Angioplasty | 97 (2.7) | 260 (2.4) | 64 (4.6) | 157 (3.8) | 160 (4.8) | 356 (3.5) | 321 (3.8)a | 773 (3.1)a |
Coronary artery bypass graft | 28 (0.8) | 105 (1.0) | 15 (1.1) | 61 (1.5) | 35 (1.0) | 122 (1.2) | 78 (0.9) | 288 (1.1) |
Stable angina | 102 (2.8) | 258 (2.4) | 68 (4.9)a | 149 (3.6)a | 119 (3.5) | 349 (3.5) | 289 (3.4) | 756 (3.0) |
Ischemic stroke | 93 (2.6) | 281 (2.6) | 46 (3.3) | 134 (3.2) | 109 (3.2) | 346 (3.4) | 248 (3.0) | 761 (3.0) |
Lower leg amputation, No. (%)sd | 14 (0.4) | 27 (0.2) | 6 (0.4) | 23 (0.6) | 17 (0.5) | 47 (0.5) | 37 (0.4) | 97 (0.4) |
Body mass index, No. (%) | ||||||||
>30-35 | 208 (5.7) | 624 (5.7) | 102 (7.3) | 306 (7.3) | 153 (4.6) | 459 (4.6) | 463 (5.5) | 1389 (5.5) |
>35-40 | 1179 (32.4) | 3537 (32.4) | 474 (34.1) | 1422 (34.1) | 1289 (38.3) | 3867 (38.3) | 2942 (35.1) | 8826 (35.1) |
>40-45 | 1555 (42.8) | 4665 (42.8) | 529 (38.1) | 1587 (38.1) | 1334 (39.7) | 4002 (39.7) | 3418 (40.8) | 10 254 (40.8) |
>45-50 | 470 (12.9) | 1410 (12.9) | 190 (13.7) | 570 (13.7) | 408 (12.1) | 1224 (12.1) | 1068 (12.7) | 3204 (12.7) |
>50 | 223 (6.1) | 669 (6.1) | 93 (6.7) | 279 (6.7) | 178 (5.3) | 534 (5.3) | 494 (5.9) | 1482 (5.9) |
Median (IQR) | 40.6 (38.8-43.7) |
40.8 (37.1-43.8) |
40.6 (38.4-44.0) |
40.5 (37.0-43.7) |
40.5 (38.3-43.5) |
40.4 (36.8-43.2) |
40.6 (38.5-43.7) |
40.5 (37.0-43.5) |
Smoking status, No. (%)e | ||||||||
Nonsmoker | 1755 (58.0)a | 6067 (68.4)a | 807 (59.3)a | 2849 (70.3)a | 1967 (58.5)a | 6652 (66.1)a | 4529 (58.5)a | 15 568 (67.7)a |
Former | 470 (15.5)a | 926 (10.4)a | 281 (20.6)a | 505 (12.5)a | 702 (20.9)a | 1434 (14.2)a | 1453 (18.8)a | 2865 (12.5)a |
Current | 800 (26.4)a | 1881 (21.2)a | 274 (20.1)a | 700 (17.3)a | 691 (20.6)a | 1981 (19.7)a | 1765 (22.8)a | 4562 (19.8)a |
HbA1c, median (IQR), %f | 6.2 (5.7-7.3)a | 6.2 (5.7-7.3)a | 6.4 (5.8-7.9) | 6.7 (5.9-7.9) | 6.2 (5.7-7.2)a | 6.4 (5.8-7.5)a | 6.2 (5.7-7.4)a | 6.4 (5.8-7.5)a |
Glucose, median (IQR), mg/dLg | 98.0 (88.0-116.0) |
97.0 (88.0-113.0) |
105.0 (91.0-136.0)a |
103.0 (91.0-131.0)a |
102.0 (92.0-126.0)a |
101.0 (90.0-121.0)a |
101.0 (90.0-122.0)a |
99.0 (89.0-119.0)a |
Total cholesterol, mean (SD), mg/dLh | 194.0 (37.1)a | 190.4 (36.4)a | 189.8 (38.4)a | 187.1 (37.5)a | 186.7 (37.6)a | 184.7 (36.8)a | 190.4 (37.7)a | 187.5 (36.8)a |
HDL-C, mean (SD), mg/dLi | 45.9 (11.8)a | 45.1 (11.2)a | 46.2 (12.1)a | 45.2 (11.1)a | 44.3 (11.1) | 44.6 (11.0) | 45.3 (11.6)a | 44.9 (11.1)a |
LDL-C, mean (SD), mg/dLj | 115.0 (32.0)a | 113.0 (30.9)a | 112.0 (33.0)a | 109.0 (31.0)a | 109.0 (32.0) | 109.0 (32.0) | 112.0 (32.0)a | 110.6 (31.4)a |
Triglycerides, median (IQR), mg/dLk | 148.0 (107.0-207.0)a |
141.0 (104.0-195.0)a |
149.0 (106.0-205.0) |
145.0 (106.0-199.0) |
151.0 (109.0-210.0)a |
144.0 (106.0-196.0)a |
149.0 (108.0-208.0)a |
143.0 (105.0-196.0)a |
Pharmaceutical treatment, No. (%) | ||||||||
Oral hypoglycemics | 571 (15.7) | 1762 (16.2) | 422 (30.4) | 1188 (28.5) | 879 (26.1) | 2480 (24.6) | 1872 (22.3) | 5430 (21.6) |
Injectable therapy for blood glucose loweringl | 163 (4.5) | 467 (4.3) | 229 (16.5)a | 338 (8.1)a | 389 (11.6)a | 845 (8.4)a | 781 (9.3)a | 1650 (6.6)a |
β-Blocking agents | 614 (16.9) | 1921 (17.6) | 286 (20.6) | 871 (20.9) | 679 (20.2)a | 1807 (17.9)a | 1579 (18.8) | 4599 (18.3) |
Calcium channel blockers | 412 (11.3) | 1220 (11.2) | 233 (16.8)a | 580 (13.9)a | 482 (14.3)a | 1219 (12.1)a | 1127 (13.4)a | 3019 (12.0)a |
Agents acting on the renin-angiotensin system | 920 (25.3) | 2858 (26.2) | 517 (37.2) | 1464 (35.2) | 1174 (34.9)a | 3216 (31.9)a | 2611 (31.1)a | 7538 (30.0)a |
Lipid-modifying agents | 1094 (30.1)a | 3093 (28.4)a | 605 (43.6)a | 1654 (39.7)a | 1337 (39.8)a | 3794 (37.6)a | 3036 (36.2)a | 8541 (34.0)a |
Abbreviations: HbA1c, glycated hemoglobin; HDL-C, high-density lipoprotein cholesterol; IQR, interquartile range; LDL-C, low-density lipoprotein cholesterol; SES, socioeconomic status.
SI conversion factors: To convert glucose to mmol/L, multiply values by 0.0555, to convert cholesterol to mmol/L, multiply values by 0.0259, to convert triglyceride values to mmol/L, multiply by 0.0113.
Indicates a significant P value of <.05.
Variable was determined at the clinic level in accordance with the designation of each individual’s primary care clinic based on census designations from the Israel Bureau of Statistics.
Data on socioeconomic status, representing tertiles of Clalit Health Service patients, were missing for 31 of the surgical patients and for 72 of the nonsurgical patients (103 in total).
Any time before index date.
Data on smoking status were missing for 638 of the surgical patients and for 2160 of the nonsurgical patients (2798 in total).
Data on HbA1c level were missing for 63 of the surgical patients with diabetes at index date and for 364 of the nonsurgical patients with diabetes at index date (427 in total).
Data on glucose level were missing for 73 of the surgical patients and for 2053 of the nonsurgical patients (2126 in total).
Data on total-C were missing for 128 of the surgical patients and for 2148 of the nonsurgical patients (2276 in total).
Data on HDL-C were missing for 164 of the surgical patients and for 2348 of the nonsurgical patients (2512 in total).
Data on LDL-C were missing for 325 of the surgical patients and for 2806 of the nonsurgical patients (3131 in total).
Data on triglycerides were missing for 144 of the surgical patients and for 2219 of the nonsurgical patients (2363 in total).
Insulins and noninsulin.