Author Interviews, JAMA, Surgical Research, Weight Research / 15.01.2020
Procedures and Hospitalizations Common After Bariatric Procedures
MedicalResearch.com Interview with:
[caption id="attachment_52800" align="alignleft" width="200"] Dr. Courcoulas[/caption]
Anita P. Courcoulas MD, MPH, FACS
Anthony M. Harrison MD Chair and
Professor of Surgery
Chief, MIS Bariatric & General Surgery
University of Pittsburgh Medical Center
MedicalResearch.com: What is the background for this study?
Response: Fewer published studies in bariatric surgery address long term adverse outcomes or problems that can occur after different operations. In addition, a lack of standardized reporting of potential adverse events limits the understanding of these issues.
This paper results from one of the largest studies of bariatric surgery ever undertaken and includes both gastric bypass and gastric sleeve, the 2 most common operations performed in the U.S. and worldwide at the current time. This study leverages large data sets from the electronic health record linked to insurance claims and death indices. This is real-world data coming from a population-based cohort of 33,560 adults at 10 sites in 4 clinical data research networks throughout the U.S., so it may be different from data that accrues from a longitudinal observational study or randomized trial. Patients and other important stakeholders in bariatric surgery were critical to the design, conduct, and dissemination of results from this study.
Dr. Courcoulas[/caption]
Anita P. Courcoulas MD, MPH, FACS
Anthony M. Harrison MD Chair and
Professor of Surgery
Chief, MIS Bariatric & General Surgery
University of Pittsburgh Medical Center
MedicalResearch.com: What is the background for this study?
Response: Fewer published studies in bariatric surgery address long term adverse outcomes or problems that can occur after different operations. In addition, a lack of standardized reporting of potential adverse events limits the understanding of these issues.
This paper results from one of the largest studies of bariatric surgery ever undertaken and includes both gastric bypass and gastric sleeve, the 2 most common operations performed in the U.S. and worldwide at the current time. This study leverages large data sets from the electronic health record linked to insurance claims and death indices. This is real-world data coming from a population-based cohort of 33,560 adults at 10 sites in 4 clinical data research networks throughout the U.S., so it may be different from data that accrues from a longitudinal observational study or randomized trial. Patients and other important stakeholders in bariatric surgery were critical to the design, conduct, and dissemination of results from this study.
Dr. Diaz[/caption]
Lucia Diaz, M.D., is chief of pediatric dermatology, dermatology residency associate program director and assistant professor of medicine and pediatrics at Dell Medical School. She is also co-director of the dermatology-rheumatology combined clinic at Dell Children’s Medical Center.
[caption id="attachment_52796" align="alignleft" width="150"]
Dr. Jaquez[/caption]
Sasha Jaquez, Ph.D. is a pediatric psychologist at Dell Children's Medical School/Dell Children's Medical Center and specializes in seeing children with chronic medical illness, including skin disorders.
[caption id="attachment_52791" align="alignleft" width="294"]
Dr. Breyer[/caption]
Benjamin N. Breyer MD, MAS, FACS
Associate Professor
Departments of Urology and Epidemiology and Biostatistics
University of California, San Francisco
Vice-Chair of Urology
Chief of Urology, Zuckerberg San Francisco General Hospital and Trauma Center
Director, UCSF Male Genitourinary Reconstruction and Trauma Surgery Fellowship
MedicalResearch.com: What is the background for this study?
Response: There has been a large increase in upright scooter usage among adults as a mode of transportation. It's convenient for commuters and may encourage greater use of public transit leading to less car traffic in cities.
Dr. Marra[/caption]
Alexandre R. Marra, MD PhD
Iowa Infection Prevention Research Group
University of Iowa Carver College of Medicine
Division of Medical Practice, Hospital Israelita Albert Einstein
São Paulo, Brazil
MedicalResearch.com: What is the background for this study?
Response: This is a comprehensive systematic literature review evaluating the burden of C. difficile infections in the U.S healthcare system. The literature has diverse studies with variable outcomes. Thus, we only included incidence estimates derived from multicenter studies. In our meta-analysis to calculate incidence, data were pooled only with denominators using the same unit (patient-days) to avoid comparisons with different denominators. For length of stay (LOS), we only included studies that used advanced statistical methods (e.g., propensity score matching).
Dr. Kistler[/caption]
Professor Peter M Kistler MBBS, PhD, FRACP
Head of Clinical Electrophysiology Research
Baker Heart and Diabetes Institute
Head of Electrophysiology at The Alfred hospital
Professor of Medicine
University of Melbourne.
MedicalResearch.com: What is the background for this study?
Response: There is a well known association between alcohol intake and atrial fibrillation form population based studies which demonstrate that for every 1 standard drink the incidence of AFib increases by 8%.
This is the first randomised study to determine of alcohol reduction/abstinence leads to a reduction in AFib episodes and time to recurrence.
