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 |
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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 |
format | Article |
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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 < 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 & 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 < 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><subject>Body mass index</subject><subject>Ethics</subject><subject>Gastroesophageal reflux</subject><subject>Gastrointestinal surgery</subject><subject>Hypertension</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Original Contributions</subject><subject>Regression analysis</subject><subject>Surgery</subject><subject>Values</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1P3DAQhq2KqizQP8ABWeLSS9qxEzt2b6tt2RYtQlqgiJPlJBPIKpsE26m0_75elg-pB062NM-8nvFDyDGDrwwg_-YZk1okwHkCknGRyA9kwnJQCWRc7ZEJaAmJ0jzdJwferwA4k5x_IvupkLEkYEL8Emt02JVI_9h2RE_r3tFbbO4fAl303tMfo2u6e8roHVpHp3VAR69axL9I59YHh2Xo15vv1NKLsQ1Nid2WWGJwvR9isYngVRirDW06em4H2x2Rj7VtPX5-Pg_JzdnP69mvZHE5_z2bLpIyUyIkSvE4olJZYVleYKYqUTCUaSFACs4yyCAv4qVCrCqb11UppbagU6sF55VID8mXXe7g-se4WjDrxpfYtrbDfvSGy1xoxTSDiJ7-h6760XVxukipXHNI5ZbiO6qMu3mHtRlcs7ZuYxiYrRKzU2KiEvOkxMjYdPIcPRZrrF5bXhxEIN0Bftj-NLq3t9-J_Qc0TZWW</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Yamaguchi, Tsuyoshi</creator><creator>Tani, Masaji</creator><creator>Kasama, Kazunori</creator><creator>Naitoh, Takeshi</creator><creator>Oshiro, Takashi</creator><creator>Inoue, Kentaro</creator><creator>Seki, Yosuke</creator><creator>Imoto, Hirofumi</creator><creator>Kaida, Sachiko</creator><creator>Matsubayashi, Jun</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4104-6833</orcidid><orcidid>https://orcid.org/0000-0002-5832-9381</orcidid></search><sort><creationdate>20220801</creationdate><title>Reference Values for Weight Loss During 1 Year After Sleeve Gastrectomy: a Multicenter Retrospective Study in Japan</title><author>Yamaguchi, Tsuyoshi ; 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 & 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 & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</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>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamaguchi, Tsuyoshi</au><au>Tani, Masaji</au><au>Kasama, Kazunori</au><au>Naitoh, Takeshi</au><au>Oshiro, Takashi</au><au>Inoue, Kentaro</au><au>Seki, Yosuke</au><au>Imoto, Hirofumi</au><au>Kaida, Sachiko</au><au>Matsubayashi, Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reference Values for Weight Loss During 1 Year After Sleeve Gastrectomy: a Multicenter Retrospective Study in Japan</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>32</volume><issue>8</issue><spage>2672</spage><epage>2681</epage><pages>2672-2681</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>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 < 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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