Table 3. Description of Additional Outcomes.
Laparoscopic Banding | Gastric Bypass | Sleeve Gastrectomy | Total | |||||
---|---|---|---|---|---|---|---|---|
Surgical Patients | Nonsurgical Patients | Surgical Patients | Nonsurgical Patients | Surgical Patients | Nonsurgical Patients | Surgical Patients | Nonsurgical Patients | |
No. at risk | 3635 | 10 905 | 1388 | 4164 | 3362 | 10 086 | 8385 | 25 155 |
Follow-up, median (IQR), y | 6.2 (4.3-8.5) | 5.7 (3.7-8.2) | 5.5 (3.0-6.7) | 4.8 (2.6-6.6) | 3.2 (2.2-4.1) | 3.0 (2.0-4.0) | 4.3 (2.8-6.6) | 4.0 (2.6-6.2) |
BMI | ||||||||
Last measurement, median (IQR)a | 32.5 (28.3-37.2)b | 39.8 (35.6-44.1)b | 30.9 (27.3-35.5)b | 39.3 (35.4-43.4)b | 29.8 (26.6-33.3)b | 39.3 (35.6-43.1)b | 31.0 (27.3-35.4)b | 39.6 (35.6-43.6)b |
Reduction from baseline, mean (SD) | 8.1 (6.3)b | 1.2 (6.3)b | 9.4 (5.6)b | 1.4 (6.3)b | 10.6 (4.9)b | 1.3 (5.8)b | 9.3 (5.8)b | 1.2 (6.1)b |
Individuals with ≥20% reduction, No. (%) | 1702 (48.2)b | 854 (8.2)b | 829 (60.9)b | 287 (7.3)b | 2278 (70.8)b | 645 (7.1)b | 4809 (59.3)b | 1786 (7.6)b |
Diabetes | ||||||||
New diagnosis, No. (%)c | 11 (0.3)b | 236 (2.2)b | 2 (0.1)b | 89 (2.1)b | 6 (0.2)b | 196 (1.9)b | 19 (0.2)b | 521 (2.1)b |
Control, median (IQR), HbA1c %d | 5.7 (5.4-6.1)b | 6.1 (5.6-7.0)b | 5.8 (5.4-6.4)b | 6.3 (5.7-7.6)b | 5.6 (5.3-6.0)b | 6.3 (5.7-7.4)b | 5.7 (5.3-6.1)b | 6.2 (5.7-7.3)b |
Remission, No. (%)e | 89 (14.7)b | 70 (3.6)b | 84 (19.3)b | 64 (4.8)b | 280 (31.9)b | 179 (6.4)b | 453 (23.6)b | 313 (5.1)b |
Hypertension | ||||||||
New diagnosis, No. (%)f | 199 (5.5)b | 1163 (10.7)b | 34 (2.4)b | 344 (8.3)b | 32 (1.0)b | 531 (5.3)b | 265 (3.2)b | 2038 (8.1)b |
SBP, mean (SD), mm Hgg | 121.7 (14.3)b | 126.4 (14.0)b | 121.2 (14.4)b | 126.8 (13.7)b | 120.5 (13.5)b | 126.6 (13.7)b | 121.2 (14.0)b | 126.5 (13.8)b |
DBP, mean (SD), mm Hgh | 74.2 (9.4)b | 76.3 (9.3)b | 73.6 (9.3)b | 76.0 (9.1)b | 73.7 (9.1)b | 76.5 (9.2)b | 73.9 (9.3)b | 76.3 (9.2)b |
SBP/DBP ≤130/80 mm Hg, No. (%)i | 2521 (69.4)b | 6502 (59.6)b | 987 (71.1)b | 2456 (59.0)b | 2354 (70.0)b | 5675 (56.3)b | 5862 (69.9)b | 14 633 (58.2)b |
Hyperlipidemia | ||||||||
New diagnosis, No. (%)j | 412 (11.3)b | 1940 (17.8)b | 63 (4.5)b | 482 (11.6)b | 95 (2.8)b | 678 (6.7)b | 570 (6.8)b | 3100 (12.3)b |
Total cholesterol, median (IQR), mg/dLk | 192 (168-217)b |
188 (166-213)b |
187 (163-212)b |
185 (161-209)b |
184 (161-209)b |
182 (159-207)b |
188 (164-213)b |
185 (162-210)b |
HDL-C, mean (SD), mg/dLl | 45.9 (11.8)b | 45.1 (11.2)b | 46.2 (12.1)b | 45.2 (11.1)b | 44.3 (11.1) | 44.6 (11.0) | 45.3 (11.6)b | 44.9 (11.1)b |
LDL-C, mean (SD), mg/dLm | 115.1 (31.8)* | 113.2 (30.9)b | 111.5 (33.3)b | 109.0 (31.3)b | 108.8 (32.4) | 108.5 (31.8) | 111.9 (32.4)b | 110.6 (31.4)b |
Triglycerides, median (IQR), mg/dLn | 147.5 (107.0-207.0)b |
141.0 (104.0-195.0)b |
149.0 (106.0-205.0) |
145.0 (106.0-199.0) |
151.0 (109.0-210.0)b |
144.0 (106.0-196.0)b |
149.0 (108.0-208.0)b |
143.0 (105.0-196.0)b |
MACE, No. (%)o | 132 (3.6) | 408 (3.7) | 55 (4.0) | 163 (3.9) | 96 (2.9) | 268 (2.7) | 283 (3.4) | 839 (3.3) |
Laboratory tests suggestive of nutritional status | ||||||||
Hemoglobin, mean (SD), g/Lp | 13.5 (1.4)b | 13.4 (1.5)b | 13.4 (1.4)b | 13.3 (1.5)b | 13.5 (1.4)b | 13.4 (1.5)b | 13.5 (1.4)b | 13.4 (1.5)b |
Albumin, median (IQR), g/dLq | 4.1 (3.9-4.3) | 4.1 (3.9-4.3) | 4.1 (3.9-4.3) | 4.1 (3.9-4.3) | 4.2 (4.0-4.4) | 4.2 (4.0-4.3) | 4.1 (3.9-4.3) | 4.2 (3.9-4.3) |
Pharmaceutical treatment, No. (%)r | ||||||||
Oral hypoglycemics | 713 (19.6)b | 3367 (30.9)b | 378 (27.2)b | 1628 (39.1)b | 628 (18.7)b | 3138 (31.1)b | 1719 (20.5)b | 8133 (32.3)b |
Insulin or GLP-1 | 197 (5.4)b | 1023 (9.4)b | 167 (12.0) | 502 (12.1) | 249 (7.4)b | 975 (9.7)b | 613 (7.3)b | 2500 (9.9)b |
β-Blocking agents | 761 (20.9)b | 2828 (25.9)b | 319 (23.0)b | 1109 (26.6)b | 602 (17.9)b | 1981 (19.6)b | 1682 (20.1)b | 5918 (23.5)b |
Calcium channel blockers | 548 (15.1)b | 2049 (18.8)b | 228 (16.4)b | 782 (18.8)b | 430 (12.8)b | 1409 (14.0)b | 1206 (14.4)b | 4240 (16.9)b |
Agents acting on the renin-angiotensin system | 1169 (32.2)b | 4546 (41.7)b | 527 (38.0)b | 1870 (44.9)b | 1052 (31.3)b | 3732 (37.0)b | 2748 (32.8)b | 10 148 (40.3)b |
Lipid-modifying agent | 1457 (40.1)b | 4910 (45.0)b | 557 (40.1)b | 2048 (49.2)b | 1058 (31.5)b | 3943 (39.1)b | 3072 (36.6)b | 10 901 (43.3)b |
Hospital admissionss | ||||||||
No. (%) hospitalized for any reason | 1890 (52.0)b | 4720 (43.3)b | 692 (49.9)b | 1675 (40.2)b | 1041 (31.0) | 2948 (29.2) | 3623 (43.2)b | 9343 (37.1)b |
No. of total hospitalizations, median (IQR) | 2 (1-3) | 2 (1-3) | 2 (1-3) | 1 (1-3) | 1 (1-2) | 1 (1-2) | 1 (1-2)b | 1 (1-3)b |
No. (%) hospitalized for hypoglycemia | 9 (0.2) | 48 (0.4) | 11 (0.8)b | 17 (0.4)b | 13 (0.4) | 27 (0.3) | 33 (0.4) | 92 (0.4) |
Nonbariatric reoperations, No. (%)t | ||||||||
Intestinal obstruction (without mention of hernia) | 41 (1.1)b | 55 (0.5)b | 32 (2.3)b | 13 (0.3)b | 13 (0.4)b | 17 (0.2)b | 86 (1.0)b | 85 (0.3)b |
Hernia of abdominal cavity | 285 (7.8)b | 368 (3.4)b | 159 (11.5)b | 123 (3.0)b | 265 (7.9)b | 176 (1.7)b | 709 (8.5)b | 667 (2.7)b |
Gastric ulcer | 33 (0.9)b | 35 (0.3)b | 10 (0.7)b | 12 (0.3)b | 9 (0.3)b | 6 (0.1)b | 52 (0.6)b | 53 (0.2)b |
Esophageal stricture | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
Abbreviations: BMI, body mass index; DBP, diastolic blood pressure; HbA1c, glycated hemoglobin; GLP-1, glucagon-like peptide 1; HDL-C, high-density lipoprotein cholesterol; IQR, interquartile range; LB, laparoscopic banding; LDL-C, low-density lipoprotein cholesterol; MACE, major adverse cardiac event; SBP, systolic blood pressure.
The last BMI taken during the follow-up period. Data were missing for 275 surgical patients and 1799 nonsurgical patients.
Indicates a significant P value of <.05.
A new diagnosis of diabetes recorded during the follow-up period among patients with no history of diabetes (y/n), based on an algorithm which incorporates relevant ICD-9 diagnostic codes, HbA1c levels, glucose levels, and diabetes medications.
The last HbA1c level taken during the follow-up period (%). Data were missing for 83 surgical patients with diabetes and 279 nonsurgical patients with diabetes.
Last HbA1c level taken in the last year of the follow-up period that was equal to or less than 6.0%, and no diabetes medication was prescribed in the last year of the follow-up period (y/n). HbA1c measurement in the last year of follow-up was missing for 473 surgical patients with diabetes and for 1090 nonsurgical patients with diabetes.
New diagnosis of hypertension recorded during the follow-up period among patients with no history of hypertension (y/n), based on any documentation in the hospital or community setting.
The last SBP level recorded during the follow-up period. Data were missing for 50 surgical patients with hypertension and 253 nonsurgical patients with hypertension.
The last DBP level recorded during the follow-up period. Data were missing for 50 surgical patients with hypertension and 253 for nonsurgical patients with hypertension.
The last blood pressure measurement recorded in the follow-up period. Data were missing for 50 surgical patients with hypertension and 253 nonsurgical patients with hypertension.
A new diagnosis of hyperlipidermia during follow-up period among patients with no history of hyperlipidemia (y/n), based on any documentation in the hospital or community setting.
Last total-C level taken during the follow-up period. Data were missing for 17 surgical patients with hyperlipidemia and 244 nonsurgical patients with hyperlipidemia.
Last HDL-C level taken during the follow-up period. Data were missing for 19 surgical patients with hyperlipidemia and 268 nonsurgical patients with hyperlipidemia.
Last LDL-C level taken during the follow-up period. Data were missing for 138 surgical patients with hyperlipidemia and 637 nonsurgical patients with hyperlipidemia.
Last triglycerides level taken during the follow-up period. Data were missing for 18 surgical patients with hyperlipidemia and 257 nonsurgical patients with hyperlipidemia.
At least 1 episode of MACE (myocardial infarction, unstable angina, angioplasty, or coronary artery bypass graft) in hospital records during the follow-up period (y/n).
Last hemoglobin level taken during the follow-up period (mmol/mol). Data were missing for 973 surgical patients and 5753 nonsurgical patients.
Last albumin level taken during the follow-up period (mmol/mol). Data were missing for 65 surgical patients and 2008 nonsurgical patients.
At least 1 prescription of medication type recorded in last year of follow-up (y/n).
Number of patients hospitalized at least once after 30 d from index date up to end of the follow-up period.
Nonbariatric reoperations that occurred during the follow-up period, taken from hospital records.