Reference Values for Weight Loss During 1 Year After Sleeve Gastrectomy: a Multicenter Retrospective Study in Japan

Introduction This study aimed to provide reference values for the percentage total weight loss during 1 year after laparoscopic sleeve gastrectomy associated with primary response in Japan. Methods This multicenter retrospective study comprised 248 patients with severe obesity who underwent laparosc...

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Veröffentlicht in:Obesity surgery 2022-08, Vol.32 (8), p.2672-2681
Hauptverfasser: Yamaguchi, Tsuyoshi, Tani, Masaji, Kasama, Kazunori, Naitoh, Takeshi, Oshiro, Takashi, Inoue, Kentaro, Seki, Yosuke, Imoto, Hirofumi, Kaida, Sachiko, Matsubayashi, Jun
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container_issue 8
container_start_page 2672
container_title Obesity surgery
container_volume 32
creator Yamaguchi, Tsuyoshi
Tani, Masaji
Kasama, Kazunori
Naitoh, Takeshi
Oshiro, Takashi
Inoue, Kentaro
Seki, Yosuke
Imoto, Hirofumi
Kaida, Sachiko
Matsubayashi, Jun
description Introduction This study aimed to provide reference values for the percentage total weight loss during 1 year after laparoscopic sleeve gastrectomy associated with primary response in Japan. Methods This multicenter retrospective study comprised 248 patients with severe obesity who underwent laparoscopic sleeve gastrectomy at five institutions in Japan. A percentage total weight loss 
doi_str_mv 10.1007/s11695-022-06125-6
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Methods This multicenter retrospective study comprised 248 patients with severe obesity who underwent laparoscopic sleeve gastrectomy at five institutions in Japan. A percentage total weight loss &lt; 20% at 1 year was defined as primary non-response. Parsimonious predictive models were developed based on the results of multiple regression analyses. A receiver operating characteristic curve analysis was used to assess the discriminative performance for primary non-response. Results The median age, initial body mass index, and percentage total weight loss at 1 year were 41 years, 41.4 kg/m 2 , and 30.1%, respectively. There were 28 (11.3%) primary non-responders. For discriminating primary non-responders, the areas under the receiver operating characteristic curve of the parsimonious model and actual percentage of total weight loss at 3 months after laparoscopic sleeve gastrectomy were 0.846 and 0.803, respectively. Cutoffs for the predicted percentage total weight loss using the model and actual value of percentage total weight loss at 3 months attaining 80% sensitivity were 30% and 22%, and those attaining 98% specificity were 22% and 15%, respectively. Conclusions Reference values for the percentage total weight loss at 3 months were obtained using the predictive model and actual value of percentage total weight loss at 3 months. Patients at risk for primary non-response can be determined at 3 months with these values, which can help in considering earlier interventions. Graphical abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-022-06125-6</identifier><identifier>PMID: 35696050</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Body mass index ; Ethics ; Gastroesophageal reflux ; Gastrointestinal surgery ; Hypertension ; Laparoscopy ; Medicine ; Medicine &amp; Public Health ; Obesity ; Original Contributions ; Regression analysis ; Surgery ; Values ; Weight control</subject><ispartof>Obesity surgery, 2022-08, Vol.32 (8), p.2672-2681</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-882050884ba17be48d5b1e63b50652140407b521deedda7fdc669a093a9522d53</citedby><cites>FETCH-LOGICAL-c485t-882050884ba17be48d5b1e63b50652140407b521deedda7fdc669a093a9522d53</cites><orcidid>0000-0003-4104-6833 ; 0000-0002-5832-9381</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-022-06125-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-022-06125-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35696050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamaguchi, Tsuyoshi</creatorcontrib><creatorcontrib>Tani, Masaji</creatorcontrib><creatorcontrib>Kasama, Kazunori</creatorcontrib><creatorcontrib>Naitoh, Takeshi</creatorcontrib><creatorcontrib>Oshiro, Takashi</creatorcontrib><creatorcontrib>Inoue, Kentaro</creatorcontrib><creatorcontrib>Seki, Yosuke</creatorcontrib><creatorcontrib>Imoto, Hirofumi</creatorcontrib><creatorcontrib>Kaida, Sachiko</creatorcontrib><creatorcontrib>Matsubayashi, Jun</creatorcontrib><title>Reference Values for Weight Loss During 1 Year After Sleeve Gastrectomy: a Multicenter Retrospective Study in Japan</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Introduction This study aimed to provide reference values for the percentage total weight loss during 1 year after laparoscopic sleeve gastrectomy associated with primary response in Japan. Methods This multicenter retrospective study comprised 248 patients with severe obesity who underwent laparoscopic sleeve gastrectomy at five institutions in Japan. A percentage total weight loss &lt; 20% at 1 year was defined as primary non-response. Parsimonious predictive models were developed based on the results of multiple regression analyses. A receiver operating characteristic curve analysis was used to assess the discriminative performance for primary non-response. Results The median age, initial body mass index, and percentage total weight loss at 1 year were 41 years, 41.4 kg/m 2 , and 30.1%, respectively. There were 28 (11.3%) primary non-responders. For discriminating primary non-responders, the areas under the receiver operating characteristic curve of the parsimonious model and actual percentage of total weight loss at 3 months after laparoscopic sleeve gastrectomy were 0.846 and 0.803, respectively. Cutoffs for the predicted percentage total weight loss using the model and actual value of percentage total weight loss at 3 months attaining 80% sensitivity were 30% and 22%, and those attaining 98% specificity were 22% and 15%, respectively. Conclusions Reference values for the percentage total weight loss at 3 months were obtained using the predictive model and actual value of percentage total weight loss at 3 months. Patients at risk for primary non-response can be determined at 3 months with these values, which can help in considering earlier interventions. 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Tani, Masaji ; Kasama, Kazunori ; Naitoh, Takeshi ; Oshiro, Takashi ; Inoue, Kentaro ; Seki, Yosuke ; Imoto, Hirofumi ; Kaida, Sachiko ; Matsubayashi, Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-882050884ba17be48d5b1e63b50652140407b521deedda7fdc669a093a9522d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Body mass index</topic><topic>Ethics</topic><topic>Gastroesophageal reflux</topic><topic>Gastrointestinal surgery</topic><topic>Hypertension</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Obesity</topic><topic>Original Contributions</topic><topic>Regression analysis</topic><topic>Surgery</topic><topic>Values</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamaguchi, Tsuyoshi</creatorcontrib><creatorcontrib>Tani, Masaji</creatorcontrib><creatorcontrib>Kasama, Kazunori</creatorcontrib><creatorcontrib>Naitoh, Takeshi</creatorcontrib><creatorcontrib>Oshiro, Takashi</creatorcontrib><creatorcontrib>Inoue, Kentaro</creatorcontrib><creatorcontrib>Seki, Yosuke</creatorcontrib><creatorcontrib>Imoto, Hirofumi</creatorcontrib><creatorcontrib>Kaida, Sachiko</creatorcontrib><creatorcontrib>Matsubayashi, Jun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Methods This multicenter retrospective study comprised 248 patients with severe obesity who underwent laparoscopic sleeve gastrectomy at five institutions in Japan. A percentage total weight loss &lt; 20% at 1 year was defined as primary non-response. Parsimonious predictive models were developed based on the results of multiple regression analyses. A receiver operating characteristic curve analysis was used to assess the discriminative performance for primary non-response. Results The median age, initial body mass index, and percentage total weight loss at 1 year were 41 years, 41.4 kg/m 2 , and 30.1%, respectively. There were 28 (11.3%) primary non-responders. For discriminating primary non-responders, the areas under the receiver operating characteristic curve of the parsimonious model and actual percentage of total weight loss at 3 months after laparoscopic sleeve gastrectomy were 0.846 and 0.803, respectively. Cutoffs for the predicted percentage total weight loss using the model and actual value of percentage total weight loss at 3 months attaining 80% sensitivity were 30% and 22%, and those attaining 98% specificity were 22% and 15%, respectively. Conclusions Reference values for the percentage total weight loss at 3 months were obtained using the predictive model and actual value of percentage total weight loss at 3 months. Patients at risk for primary non-response can be determined at 3 months with these values, which can help in considering earlier interventions. Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35696050</pmid><doi>10.1007/s11695-022-06125-6</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4104-6833</orcidid><orcidid>https://orcid.org/0000-0002-5832-9381</orcidid></addata></record>
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subjects Body mass index
Ethics
Gastroesophageal reflux
Gastrointestinal surgery
Hypertension
Laparoscopy
Medicine
Medicine & Public Health
Obesity
Original Contributions
Regression analysis
Surgery
Values
Weight control
title Reference Values for Weight Loss During 1 Year After Sleeve Gastrectomy: a Multicenter Retrospective Study in Japan
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