2022
Variation in pre-operative insurance requirements for bariatric surgery
Gomez-Rexrode A, Chhabra K, Telem D, Chao G. Variation in pre-operative insurance requirements for bariatric surgery. Surgical Endoscopy 2022, 36: 8358-8363. PMID: 35513536, DOI: 10.1007/s00464-022-09293-9.Peer-Reviewed Original ResearchConceptsBariatric surgeryInsurance typePoisson regressionInsurance plan typeBariatric surgery programLife-saving interventionsCross-sectional assessmentPlan typeBackgroundFor patientsSecondary outcomesPrimary outcomeU.S. Census regionSurgery programMedicaid plansPatientsSurgeryWeight lossMedicaidNumber of monthsInsurance plansCommercial plansCensus regionGreater frequencyInsurance requirementsGreater numberLong-term comparative effectiveness of gastric bypass and sleeve gastrectomy on use of antireflux medication: a difference-in-differences analysis
Howard R, Yang J, Thumma J, Arterburn D, Ryan A, Chao G, Telem D, Dimick J. Long-term comparative effectiveness of gastric bypass and sleeve gastrectomy on use of antireflux medication: a difference-in-differences analysis. Surgery For Obesity And Related Diseases 2022, 18: 1033-1041. PMID: 35649735, DOI: 10.1016/j.soard.2022.04.016.Peer-Reviewed Original ResearchConceptsLong-term comparative effectivenessGERD medication useCommon bariatric operationGastric bypassMedication useSleeve gastrectomyAntireflux medicationComparative effectivenessBariatric surgeryBariatric operationsAntireflux medication useInpatient bariatric surgeryLong-term effectivenessGastroesophageal refluxRetrospective studyNational cohortGastrectomyTreatment decisionsMedicare beneficiariesPatientsSurgeryBypassMedicationsGreater reductionDifferential changesMedication Use for Obesity-Related Comorbidities After Sleeve Gastrectomy or Gastric Bypass
Howard R, Chao G, Yang J, Thumma J, Arterburn D, Telem D, Dimick J. Medication Use for Obesity-Related Comorbidities After Sleeve Gastrectomy or Gastric Bypass. JAMA Surgery 2022, 157: 248-256. PMID: 35019988, PMCID: PMC8756362, DOI: 10.1001/jamasurg.2021.6898.Peer-Reviewed Original ResearchConceptsTime of surgeryGastric bypassMedication discontinuationSleeve gastrectomyCumulative incidenceMedication useHyperlipidemia medicationsComorbidity resolutionLower incidenceCommon bariatric surgical proceduresLipid-lowering medication useComparative effectiveness research studyAdult Medicare beneficiariesDiabetes medication useAntihypertensive medication useLipid-lowering medicationsBariatric surgical proceduresSubset of patientsLong-term trialsAntihypertensive medicationsDiabetes medicationsLaparoscopic RouxBariatric surgeryPrimary outcomeMean age
2021
Comparative Safety of Sleeve Gastrectomy and Gastric Bypass Up to 5 Years After Surgery in Patients With Severe Obesity
Howard R, Chao G, Yang J, Thumma J, Chhabra K, Arterburn D, Ryan A, Telem D, Dimick J. Comparative Safety of Sleeve Gastrectomy and Gastric Bypass Up to 5 Years After Surgery in Patients With Severe Obesity. JAMA Surgery 2021, 156: 1160-1169. PMID: 34613354, PMCID: PMC8495604, DOI: 10.1001/jamasurg.2021.4981.Peer-Reviewed Original ResearchConceptsAdjusted hazard ratioSleeve gastrectomyGastric bypassRisk of mortalityCumulative incidenceLong-term riskBariatric surgerySurgical revisionComparative safetyMAIN OUTCOMEUnknown raceLower long-term riskHigher long-term riskUnderwent sleeve gastrectomyRetrospective cohort studyEmergency department useHealth care useLong-term safetyMedicare claims databaseTotal health care spendingCause hospitalizationLaparoscopic RouxCohort studyHazard ratioSecondary outcomes
2020
Bariatric Surgery in Medicare Patients
Chao G, Chhabra K, Yang J, Thumma J, Arterburn D, Ryan A, Telem D, Dimick J. Bariatric Surgery in Medicare Patients. Annals Of Surgery 2020, 276: 133-139. PMID: 33214440, PMCID: PMC8126578, DOI: 10.1097/sla.0000000000004526.Peer-Reviewed Original ResearchConceptsBariatric surgeryED utilizationHealthcare utilizationClinical safety outcomesMedicare Evidence DevelopmentBariatric surgery patientsTreatment effectsGastric bypassSurgery patientsMedicare cohortBariatric outcomesMedicare patientsHernia repairMedicare claimsSafety outcomesMedicare beneficiariesComparative effectivenessBypassSurgeryInstrumental variable analysisEvidence developmentReinterventionRehospitalizationComplicationsPatients