Body Mass Index Significantly Impacts Outcomes of Colorectal Surgery
There are limited data regarding the association between body mass index (BMI) and colorectal surgery outcomes. We sought to evaluate the effect of BMI on short-term surgical outcomes in colon and rectal surgery patients in the United States. The American College of Surgeons National Surgery Quality...
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| Veröffentlicht in: | The American surgeon 2016-10, Vol.82 (10), p.930-935 |
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| creator | Alizadeh, Reza Fazl Moghadamyeghaneh, Zhobin Whealon, Matthew D. Hanna, Mark H. Mills, Steven D. Pigazzi, Alessio Stamos, Michael J. Carmichael, Joseph C. |
| description | There are limited data regarding the association between body mass index (BMI) and colorectal surgery outcomes. We sought to evaluate the effect of BMI on short-term surgical outcomes in colon and rectal surgery patients in the United States. The American College of Surgeons National Surgery Quality Improvement Project database was used to identify all patients who underwent colon or rectal resection from 2005 to 2013. Multivariate regression analysis was used to assess the independent effect of BMI on outcomes. A total of 206,360 patients underwent colorectal resection during the study period. Of these, 3.2 per cent of patients were underweight (BMI < 18.5), 23.8 per cent patients were normal weight (18.5 ≤, BMI < 25), 26.5 per cent were overweight (25 ≤, BMI < 30), 25.2 per cent were obese (30 ≤, BMI < 40), and 5.3 per cent were morbidly obese (BMI ≥ 40). Underweight patients had longer length of stay (confidence interval: 2.70–3.49, P < 0.001) and higher mortality (adjusted odds ratio: 1.45, P < 0.01) compared with patients with a normal BMI. Morbidly obese patients had the highest overall morbidity rate compared with normal BMI patients (adjusted odds ratio: 1.53, confidence interval: 1.42–1.64, P < 0.01). BMI is associated with outcomes in colon and rectal surgery patients. Underweight and morbidly obese patients have a significantly increased risk of postsurgical complications compared with those with normal BMI. |
| doi_str_mv | 10.1177/000313481608201015 |
| format | Article |
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We sought to evaluate the effect of BMI on short-term surgical outcomes in colon and rectal surgery patients in the United States. The American College of Surgeons National Surgery Quality Improvement Project database was used to identify all patients who underwent colon or rectal resection from 2005 to 2013. Multivariate regression analysis was used to assess the independent effect of BMI on outcomes. A total of 206,360 patients underwent colorectal resection during the study period. Of these, 3.2 per cent of patients were underweight (BMI < 18.5), 23.8 per cent patients were normal weight (18.5 ≤, BMI < 25), 26.5 per cent were overweight (25 ≤, BMI < 30), 25.2 per cent were obese (30 ≤, BMI < 40), and 5.3 per cent were morbidly obese (BMI ≥ 40). Underweight patients had longer length of stay (confidence interval: 2.70–3.49, P < 0.001) and higher mortality (adjusted odds ratio: 1.45, P < 0.01) compared with patients with a normal BMI. Morbidly obese patients had the highest overall morbidity rate compared with normal BMI patients (adjusted odds ratio: 1.53, confidence interval: 1.42–1.64, P < 0.01). BMI is associated with outcomes in colon and rectal surgery patients. Underweight and morbidly obese patients have a significantly increased risk of postsurgical complications compared with those with normal BMI.]]></description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481608201015</identifier><identifier>PMID: 27779976</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Body Mass Index ; Body Weight ; California ; Cause of Death ; Colorectal Surgery - adverse effects ; Colorectal Surgery - methods ; Colorectal Surgery - mortality ; Confidence Intervals ; Databases, Factual ; Female ; Health risk assessment ; Hospital Mortality ; Humans ; Length of Stay ; Male ; Middle Aged ; Mortality ; Multivariate Analysis ; Obesity ; Obesity - complications ; Obesity, Morbid - complications ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Prognosis ; Retrospective Studies ; Risk Assessment ; Studies ; Surgical outcomes ; Treatment Outcome</subject><ispartof>The American surgeon, 2016-10, Vol.82 (10), p.930-935</ispartof><rights>2016 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Oct 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-29ecfa04085f654c3cf40e321440c637bfbae2d8ad21f0a3039086abf8b0b0ad3</citedby><cites>FETCH-LOGICAL-c448t-29ecfa04085f654c3cf40e321440c637bfbae2d8ad21f0a3039086abf8b0b0ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313481608201015$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313481608201015$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27779976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alizadeh, Reza Fazl</creatorcontrib><creatorcontrib>Moghadamyeghaneh, Zhobin</creatorcontrib><creatorcontrib>Whealon, Matthew D.</creatorcontrib><creatorcontrib>Hanna, Mark H.</creatorcontrib><creatorcontrib>Mills, Steven D.</creatorcontrib><creatorcontrib>Pigazzi, Alessio</creatorcontrib><creatorcontrib>Stamos, Michael J.</creatorcontrib><creatorcontrib>Carmichael, Joseph C.</creatorcontrib><title>Body Mass Index Significantly Impacts Outcomes of Colorectal Surgery</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description><![CDATA[There are limited data regarding the association between body mass index (BMI) and colorectal surgery outcomes. We sought to evaluate the effect of BMI on short-term surgical outcomes in colon and rectal surgery patients in the United States. The American College of Surgeons National Surgery Quality Improvement Project database was used to identify all patients who underwent colon or rectal resection from 2005 to 2013. Multivariate regression analysis was used to assess the independent effect of BMI on outcomes. A total of 206,360 patients underwent colorectal resection during the study period. Of these, 3.2 per cent of patients were underweight (BMI < 18.5), 23.8 per cent patients were normal weight (18.5 ≤, BMI < 25), 26.5 per cent were overweight (25 ≤, BMI < 30), 25.2 per cent were obese (30 ≤, BMI < 40), and 5.3 per cent were morbidly obese (BMI ≥ 40). Underweight patients had longer length of stay (confidence interval: 2.70–3.49, P < 0.001) and higher mortality (adjusted odds ratio: 1.45, P < 0.01) compared with patients with a normal BMI. Morbidly obese patients had the highest overall morbidity rate compared with normal BMI patients (adjusted odds ratio: 1.53, confidence interval: 1.42–1.64, P < 0.01). BMI is associated with outcomes in colon and rectal surgery patients. Underweight and morbidly obese patients have a significantly increased risk of postsurgical complications compared with those with normal BMI.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>California</subject><subject>Cause of Death</subject><subject>Colorectal Surgery - adverse effects</subject><subject>Colorectal Surgery - methods</subject><subject>Colorectal Surgery - mortality</subject><subject>Confidence Intervals</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity, Morbid - complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Studies</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqN0c9LwzAUB_AgipvTf8CDFLx4qXv50SY96vw1mOwwPZc0TUZH28ykBfvf27IpogiewoPP-z7yHkLnGK4x5nwKABRTJnAMggAGHB2gMY6iKEwEoYdoPIBwECN04v2mL1kc4WM0IpzzJOHxGN3d2rwLnqX3wbzO9XuwKtZ1YQol66bsgnm1larxwbJtlK20D6wJZra0TqtGlsGqdWvtulN0ZGTp9dn-naDXh_uX2VO4WD7OZzeLUDEmmpAkWhkJDERk4ogpqgwDTQlmDFRMeWYyqUkuZE6wAUmBJiBimRmRQQYypxN0tcvdOvvWat-kVeGVLktZa9v6FIuEU05EAv-gNIq5IDHp6eUPurGtq_uPDIpC0i-Z94rslHLWe6dNunVFJV2XYkiHc6S_z9E3Xeyj26zS-VfL5_57MN0BL9f629y_Iz8AzE-QPg</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Alizadeh, Reza Fazl</creator><creator>Moghadamyeghaneh, Zhobin</creator><creator>Whealon, Matthew D.</creator><creator>Hanna, Mark H.</creator><creator>Mills, Steven D.</creator><creator>Pigazzi, Alessio</creator><creator>Stamos, Michael J.</creator><creator>Carmichael, Joseph C.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>201610</creationdate><title>Body Mass Index Significantly Impacts Outcomes of Colorectal Surgery</title><author>Alizadeh, Reza Fazl ; Moghadamyeghaneh, Zhobin ; Whealon, Matthew D. ; Hanna, Mark H. ; Mills, Steven D. ; Pigazzi, Alessio ; Stamos, Michael J. ; Carmichael, Joseph C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-29ecfa04085f654c3cf40e321440c637bfbae2d8ad21f0a3039086abf8b0b0ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>California</topic><topic>Cause of Death</topic><topic>Colorectal Surgery - adverse effects</topic><topic>Colorectal Surgery - methods</topic><topic>Colorectal Surgery - mortality</topic><topic>Confidence Intervals</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multivariate Analysis</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity, Morbid - complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Studies</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alizadeh, Reza Fazl</creatorcontrib><creatorcontrib>Moghadamyeghaneh, Zhobin</creatorcontrib><creatorcontrib>Whealon, Matthew D.</creatorcontrib><creatorcontrib>Hanna, Mark H.</creatorcontrib><creatorcontrib>Mills, Steven D.</creatorcontrib><creatorcontrib>Pigazzi, Alessio</creatorcontrib><creatorcontrib>Stamos, Michael J.</creatorcontrib><creatorcontrib>Carmichael, Joseph C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alizadeh, Reza Fazl</au><au>Moghadamyeghaneh, Zhobin</au><au>Whealon, Matthew D.</au><au>Hanna, Mark H.</au><au>Mills, Steven D.</au><au>Pigazzi, Alessio</au><au>Stamos, Michael J.</au><au>Carmichael, Joseph C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body Mass Index Significantly Impacts Outcomes of Colorectal Surgery</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2016-10</date><risdate>2016</risdate><volume>82</volume><issue>10</issue><spage>930</spage><epage>935</epage><pages>930-935</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract><![CDATA[There are limited data regarding the association between body mass index (BMI) and colorectal surgery outcomes. We sought to evaluate the effect of BMI on short-term surgical outcomes in colon and rectal surgery patients in the United States. The American College of Surgeons National Surgery Quality Improvement Project database was used to identify all patients who underwent colon or rectal resection from 2005 to 2013. Multivariate regression analysis was used to assess the independent effect of BMI on outcomes. A total of 206,360 patients underwent colorectal resection during the study period. Of these, 3.2 per cent of patients were underweight (BMI < 18.5), 23.8 per cent patients were normal weight (18.5 ≤, BMI < 25), 26.5 per cent were overweight (25 ≤, BMI < 30), 25.2 per cent were obese (30 ≤, BMI < 40), and 5.3 per cent were morbidly obese (BMI ≥ 40). Underweight patients had longer length of stay (confidence interval: 2.70–3.49, P < 0.001) and higher mortality (adjusted odds ratio: 1.45, P < 0.01) compared with patients with a normal BMI. Morbidly obese patients had the highest overall morbidity rate compared with normal BMI patients (adjusted odds ratio: 1.53, confidence interval: 1.42–1.64, P < 0.01). BMI is associated with outcomes in colon and rectal surgery patients. Underweight and morbidly obese patients have a significantly increased risk of postsurgical complications compared with those with normal BMI.]]></abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27779976</pmid><doi>10.1177/000313481608201015</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Body Mass Index Body Weight California Cause of Death Colorectal Surgery - adverse effects Colorectal Surgery - methods Colorectal Surgery - mortality Confidence Intervals Databases, Factual Female Health risk assessment Hospital Mortality Humans Length of Stay Male Middle Aged Mortality Multivariate Analysis Obesity Obesity - complications Obesity, Morbid - complications Postoperative Complications - epidemiology Postoperative Complications - physiopathology Prognosis Retrospective Studies Risk Assessment Studies Surgical outcomes Treatment Outcome |
| title | Body Mass Index Significantly Impacts Outcomes of Colorectal Surgery |
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