Reporting Results After Bariatric Surgery: Reproducibility of Predicted Body Mass Index
Background There is a controversy about the best way to report results after bariatric surgery. Several indices have been proposed over the years such as percentage of total weight loss (%TWL), percentage of excess weight loss (%EWL), and percentage of excess body mass index loss (%EBMIL). More rece...
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| Veröffentlicht in: | Obesity surgery 2012-04, Vol.22 (4), p.519-522 |
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| creator | Júnior, Wilson Salgado Campos, Camila Scalassara Nonino, Carla Barbosa |
| description | Background
There is a controversy about the best way to report results after bariatric surgery. Several indices have been proposed over the years such as percentage of total weight loss (%TWL), percentage of excess weight loss (%EWL), and percentage of excess body mass index loss (%EBMIL). More recently, it has been suggested to individualize the body mass index (BMI) goal to be achieved by the patients (predicted BMI—PBMI). The objective was to assess the reproducibility of this PBMI in our service.
Methods
In this retrospective study, we assessed the %TWL, %EWL, %EBMIL (with expected BMI of 25 kg/m
2
), and %EBMIL (with PBMI) over 4 years of observation in two groups of patients: BMI |
| doi_str_mv | 10.1007/s11695-011-0480-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_927691125</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2605472261</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-1a14a8b5f99270e5e9ba01663ba973687d1f7e4fe0a34fc465dff3a2c4e58dc83</originalsourceid><addsrcrecordid>eNp1kEFLHTEQx4O06Kv6AbxI6MXTtjPZ3Wy2NxXbChZFWzyGbDKRyL7d12QXfN_ePJ5aEHoahvnNf4YfY0cIXxCg-ZoQZVsXgFhApaCodtgCG1C5E-oDW0AroVCtKPfYp5QeAQRKIXbZnsBGSahhwe5vaTXGKQwP_JbS3E-Jn_qJIj8zMZgpBsvv5vhAcf0tA6s4utmGLvRhWvPR85tILtiJHD8b3Zr_Minxy8HR0wH76E2f6PCl7rM_3y9-n_8srq5_XJ6fXhW2bGAq0GBlVFf7thUNUE1tZwClLDvTNqVUjUPfUOUJTFl5W8naeV8aYSuqlbOq3Gcn29z82t-Z0qSXIVnqezPQOCedY2WLKOpMfn5HPo5zHPJzGcqMKFWVIdxCNo4pRfJ6FcPSxLVG0BvneutcZ-d641xvdo5fguduSe5t41VyBsQWSHk0ZJf_Lv8_9Rkudovq</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>926912384</pqid></control><display><type>article</type><title>Reporting Results After Bariatric Surgery: Reproducibility of Predicted Body Mass Index</title><source>MEDLINE</source><source>SpringerNature Complete Journals</source><creator>Júnior, Wilson Salgado ; Campos, Camila Scalassara ; Nonino, Carla Barbosa</creator><creatorcontrib>Júnior, Wilson Salgado ; Campos, Camila Scalassara ; Nonino, Carla Barbosa</creatorcontrib><description>Background
There is a controversy about the best way to report results after bariatric surgery. Several indices have been proposed over the years such as percentage of total weight loss (%TWL), percentage of excess weight loss (%EWL), and percentage of excess body mass index loss (%EBMIL). More recently, it has been suggested to individualize the body mass index (BMI) goal to be achieved by the patients (predicted BMI—PBMI). The objective was to assess the reproducibility of this PBMI in our service.
Methods
In this retrospective study, we assessed the %TWL, %EWL, %EBMIL (with expected BMI of 25 kg/m
2
), and %EBMIL (with PBMI) over 4 years of observation in two groups of patients: BMI <50 kg/m
2
and BMI ≥50 kg/m
2
.
Results
The medical records of 403 patients were studied. From 18 to 42 months after surgery, %TWL was higher in the superobese group, whereas %EWL was similar for the two groups. %EBMIL was higher in less obese patients up to 24 months and similar thereafter. In contrast, %EBMIL with PBMI was greater in the superobese group, although it never reached the 100% goal.
Conclusions
We conclude that %EBMIL results according to PBMI were not reproducible in our institution. There is a need to elaborate a new easy-to-obtain and reproducible index.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-011-0480-4</identifier><identifier>PMID: 21786050</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adult ; Bariatric Surgery - standards ; Body Mass Index ; Clinical outcomes ; Clinical Research ; Female ; Gastrointestinal surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Obesity ; Outcome Assessment (Health Care) ; Reproducibility of Results ; Retrospective Studies ; Surgery ; Weight control ; Weight Loss</subject><ispartof>Obesity surgery, 2012-04, Vol.22 (4), p.519-522</ispartof><rights>Springer Science + Business Media, LLC 2011</rights><rights>Springer Science + Business Media, LLC 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-1a14a8b5f99270e5e9ba01663ba973687d1f7e4fe0a34fc465dff3a2c4e58dc83</citedby><cites>FETCH-LOGICAL-c370t-1a14a8b5f99270e5e9ba01663ba973687d1f7e4fe0a34fc465dff3a2c4e58dc83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-011-0480-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-011-0480-4$$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/21786050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Júnior, Wilson Salgado</creatorcontrib><creatorcontrib>Campos, Camila Scalassara</creatorcontrib><creatorcontrib>Nonino, Carla Barbosa</creatorcontrib><title>Reporting Results After Bariatric Surgery: Reproducibility of Predicted Body Mass Index</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
There is a controversy about the best way to report results after bariatric surgery. Several indices have been proposed over the years such as percentage of total weight loss (%TWL), percentage of excess weight loss (%EWL), and percentage of excess body mass index loss (%EBMIL). More recently, it has been suggested to individualize the body mass index (BMI) goal to be achieved by the patients (predicted BMI—PBMI). The objective was to assess the reproducibility of this PBMI in our service.
Methods
In this retrospective study, we assessed the %TWL, %EWL, %EBMIL (with expected BMI of 25 kg/m
2
), and %EBMIL (with PBMI) over 4 years of observation in two groups of patients: BMI <50 kg/m
2
and BMI ≥50 kg/m
2
.
Results
The medical records of 403 patients were studied. From 18 to 42 months after surgery, %TWL was higher in the superobese group, whereas %EWL was similar for the two groups. %EBMIL was higher in less obese patients up to 24 months and similar thereafter. In contrast, %EBMIL with PBMI was greater in the superobese group, although it never reached the 100% goal.
Conclusions
We conclude that %EBMIL results according to PBMI were not reproducible in our institution. There is a need to elaborate a new easy-to-obtain and reproducible index.</description><subject>Adult</subject><subject>Bariatric Surgery - standards</subject><subject>Body Mass Index</subject><subject>Clinical outcomes</subject><subject>Clinical Research</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Outcome Assessment (Health Care)</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEFLHTEQx4O06Kv6AbxI6MXTtjPZ3Wy2NxXbChZFWzyGbDKRyL7d12QXfN_ePJ5aEHoahvnNf4YfY0cIXxCg-ZoQZVsXgFhApaCodtgCG1C5E-oDW0AroVCtKPfYp5QeAQRKIXbZnsBGSahhwe5vaTXGKQwP_JbS3E-Jn_qJIj8zMZgpBsvv5vhAcf0tA6s4utmGLvRhWvPR85tILtiJHD8b3Zr_Minxy8HR0wH76E2f6PCl7rM_3y9-n_8srq5_XJ6fXhW2bGAq0GBlVFf7thUNUE1tZwClLDvTNqVUjUPfUOUJTFl5W8naeV8aYSuqlbOq3Gcn29z82t-Z0qSXIVnqezPQOCedY2WLKOpMfn5HPo5zHPJzGcqMKFWVIdxCNo4pRfJ6FcPSxLVG0BvneutcZ-d641xvdo5fguduSe5t41VyBsQWSHk0ZJf_Lv8_9Rkudovq</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Júnior, Wilson Salgado</creator><creator>Campos, Camila Scalassara</creator><creator>Nonino, Carla Barbosa</creator><general>Springer-Verlag</general><general>Springer Nature B.V</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>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></search><sort><creationdate>20120401</creationdate><title>Reporting Results After Bariatric Surgery: Reproducibility of Predicted Body Mass Index</title><author>Júnior, Wilson Salgado ; Campos, Camila Scalassara ; Nonino, Carla Barbosa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-1a14a8b5f99270e5e9ba01663ba973687d1f7e4fe0a34fc465dff3a2c4e58dc83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Bariatric Surgery - standards</topic><topic>Body Mass Index</topic><topic>Clinical outcomes</topic><topic>Clinical Research</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Outcome Assessment (Health Care)</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Júnior, Wilson Salgado</creatorcontrib><creatorcontrib>Campos, Camila Scalassara</creatorcontrib><creatorcontrib>Nonino, Carla Barbosa</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>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>Júnior, Wilson Salgado</au><au>Campos, Camila Scalassara</au><au>Nonino, Carla Barbosa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reporting Results After Bariatric Surgery: Reproducibility of Predicted Body Mass Index</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>22</volume><issue>4</issue><spage>519</spage><epage>522</epage><pages>519-522</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
There is a controversy about the best way to report results after bariatric surgery. Several indices have been proposed over the years such as percentage of total weight loss (%TWL), percentage of excess weight loss (%EWL), and percentage of excess body mass index loss (%EBMIL). More recently, it has been suggested to individualize the body mass index (BMI) goal to be achieved by the patients (predicted BMI—PBMI). The objective was to assess the reproducibility of this PBMI in our service.
Methods
In this retrospective study, we assessed the %TWL, %EWL, %EBMIL (with expected BMI of 25 kg/m
2
), and %EBMIL (with PBMI) over 4 years of observation in two groups of patients: BMI <50 kg/m
2
and BMI ≥50 kg/m
2
.
Results
The medical records of 403 patients were studied. From 18 to 42 months after surgery, %TWL was higher in the superobese group, whereas %EWL was similar for the two groups. %EBMIL was higher in less obese patients up to 24 months and similar thereafter. In contrast, %EBMIL with PBMI was greater in the superobese group, although it never reached the 100% goal.
Conclusions
We conclude that %EBMIL results according to PBMI were not reproducible in our institution. There is a need to elaborate a new easy-to-obtain and reproducible index.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21786050</pmid><doi>10.1007/s11695-011-0480-4</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Complete Journals |
| subjects | Adult Bariatric Surgery - standards Body Mass Index Clinical outcomes Clinical Research Female Gastrointestinal surgery Humans Male Medicine Medicine & Public Health Obesity Outcome Assessment (Health Care) Reproducibility of Results Retrospective Studies Surgery Weight control Weight Loss |
| title | Reporting Results After Bariatric Surgery: Reproducibility of Predicted Body Mass Index |
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