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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis
Colorectal Disease, Volume 20, No. 8, Year 2018
Notification
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Description
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien–Dindo Grades III–V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49–2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46–0.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease. © 2018 The Association of Coloproctology of Great Britain and Ireland.
Authors & Co-Authors
Blanco-Colino, R.
Unknown Affiliation
Lee, Seunghwa
Unknown Affiliation
Kamarajah, Sivesh K.
Unknown Affiliation
Chapman, Stephen J.
Unknown Affiliation
Drake, Thomas M.
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Pellino, Gianluca
Unknown Affiliation
Ngaage, Ledibabari Mildred
Unknown Affiliation
Bemelman, Willem Adrianus
Unknown Affiliation
McNamee, Lisa
Unknown Affiliation
Bhangu, Aneel Amir
Unknown Affiliation
Burke, Joshua Richard
Unknown Affiliation
Claireaux, Henry Adam
Unknown Affiliation
Fearnhead, Nicola S.
Unknown Affiliation
Fitzgerald, James Edward Frankland
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Gundogan, Buket
Unknown Affiliation
Harrison, Ewen Munro
Unknown Affiliation
Khatri, Chetan
Unknown Affiliation
Mohan, Midhun
Unknown Affiliation
Dion G. Morton, Dion Gregory M.
Unknown Affiliation
Pinkney, Thomas D.
Unknown Affiliation
Arezzo, Alberto A.
Unknown Affiliation
Morino, Mario
Unknown Affiliation
Spijkerman, Roy
Unknown Affiliation
van Elst, Tim R.
Unknown Affiliation
Stassen, Laurents P.S.
Unknown Affiliation
Baki, Bahadir Emre
Unknown Affiliation
Gallo, Gaetano
Unknown Affiliation
Domínguez-Rodríguez, Luis Manuel
Unknown Affiliation
Alconchel, Felipe
Unknown Affiliation
Jones, Conor Stephen
Unknown Affiliation
Olivier, James B.
Unknown Affiliation
MacDonald, Andrew
Unknown Affiliation
Doyle, Joseph P.
Unknown Affiliation
Bruno, Marco J.
Unknown Affiliation
Morandi, Vittorio
Unknown Affiliation
Magnoli, Matteo
Unknown Affiliation
Suppa, A.
Unknown Affiliation
Arcudi, Claudio
Unknown Affiliation
Saraceno, Federica
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Puccioni, Caterina
Unknown Affiliation
Ripa, Matteo
Unknown Affiliation
Anania, Gabriele
Unknown Affiliation
Castiglione, Fabiana
Unknown Affiliation
Sacco, Rosario
Unknown Affiliation
Bellio, Gabriele
Unknown Affiliation
Pantalone, Mattia Russel
Unknown Affiliation
De Nardi, P.
Unknown Affiliation
Licari, Leo
Unknown Affiliation
Staderini, Fabio
Unknown Affiliation
van der Pool, Anne Elisabeth Maria
Unknown Affiliation
Löwensteyn, Yvette Nicole
Unknown Affiliation
Geerlings, Mirjam I.
Unknown Affiliation
Hidalgo-Pujol, Marta
Unknown Affiliation
De la Portilla, Fernando De La
Unknown Affiliation
Rubio-Pérez, Inés
Unknown Affiliation
Çetinkaya, Merih
Unknown Affiliation
Yildirim, Reyyan
Unknown Affiliation
Kara, Bülent
Unknown Affiliation
Ayaz, Bushra
Unknown Affiliation
Uzun, Berna
Unknown Affiliation
Karabulut, Erdem
Unknown Affiliation
Smart, Neil J.
Unknown Affiliation
Longstaff, Lydia
Unknown Affiliation
Baker, Cara R.
Unknown Affiliation
Schofield, Ella
Unknown Affiliation
Jong, Nienke Beerlage De
Unknown Affiliation
Marsh, Laura C.
Unknown Affiliation
Cartwright, Eleanor
Unknown Affiliation
Wadanamby, Shavinthi W.
Unknown Affiliation
Mohamed, Usama Shaker
Unknown Affiliation
Kerin, Michael J.
Unknown Affiliation
Foschi, D. A.
Unknown Affiliation
Persiani, Roberto
Unknown Affiliation
de Manzini, Nicolò
Unknown Affiliation
Innocenti, Paolo F.
Unknown Affiliation
Rosati, Riccardo
Unknown Affiliation
Sartori, Alberto
Unknown Affiliation
Galleano, R.
Unknown Affiliation
Cianchi, Fabio
Unknown Affiliation
Wijnhoven, Bas P.L.
Unknown Affiliation
Wiezer, René M.J.
Unknown Affiliation
Consten, Esther Catharina Josephina
Unknown Affiliation
De Hingh, Ignace Hjt J.T.
Unknown Affiliation
Zimmerman, David D.E.
Unknown Affiliation
Durán-Muñoz-Cruzado, V.
Unknown Affiliation
Sanchez-Guillen, Luís
Unknown Affiliation
Millán-Scheiding, Mónica M.
Unknown Affiliation
Frasson, Matteo
Unknown Affiliation
Kara, Edna Oliveira
Unknown Affiliation
Guner, Ali
Unknown Affiliation
Akküçük, Seçkin
Unknown Affiliation
Gubbiotti, Francesca
Unknown Affiliation
Bökkerink, Guus M.J.
Unknown Affiliation
Kelly, Michael Denis
Unknown Affiliation
Hanrahan, Michael T.
Unknown Affiliation
Sethi, Rajiv K.
Unknown Affiliation
Suresh, Sukrit
Unknown Affiliation
Mushtaq, Jameel
Unknown Affiliation
Bolton, William S.
Unknown Affiliation
Morley, Rachael L.
Unknown Affiliation
Adams, Robert
Unknown Affiliation
Preece, Ryan A.
Unknown Affiliation
Amin, Humzah
Unknown Affiliation
Rafiq, Nasir Muhammad
Unknown Affiliation
Hayes, John D.B.
Unknown Affiliation
Dynes, Katie
Unknown Affiliation
Jull, Patrick
Unknown Affiliation
Hill, Arnold David Konrad
Unknown Affiliation
Kim, Shingyeom
Unknown Affiliation
Woin, Evelina
Unknown Affiliation
Ziff, Oliver
Unknown Affiliation
Nixon, Gemma
Unknown Affiliation
Patel, Tapan J.
Unknown Affiliation
Griffin, Emma J.
Unknown Affiliation
Davies, Justine Ina
Unknown Affiliation
Shafiq, Nusrat M.
Unknown Affiliation
Barai, Ishani
Unknown Affiliation
Liu, Shirley Yuk Wah
Unknown Affiliation
Attalla, Mark S.
Unknown Affiliation
Statistics
Citations: 46
Authors: 122
Identifiers
Doi:
10.1111/codi.14292
ISSN:
14628910
Research Areas
Cancer
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Approach
Quantitative
Systematic review