Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans
Bariatric surgical procedures have been associated with increased risk of unhealthy alcohol use, but no previous research has evaluated the long-term alcohol-related risks after laparoscopic sleeve gastrectomy (LSG), currently the most used bariatric procedure. No US-based study has compared long-te...
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| creator | Maciejewski, Matthew L Smith, Valerie A Berkowitz, Theodore S Z Arterburn, David E Mitchell, James E Olsen, Maren K Liu, Chuan-Fen Livingston, Edward H Funk, Luke M Adeyemo, Adenike Bradley, Katharine A |
| description | Bariatric surgical procedures have been associated with increased risk of unhealthy alcohol use, but no previous research has evaluated the long-term alcohol-related risks after laparoscopic sleeve gastrectomy (LSG), currently the most used bariatric procedure. No US-based study has compared long-term alcohol-related outcomes between patients who have undergone Roux-en-Y gastric bypass (RYGB) and those who have not.
To evaluate the changes over time in alcohol use and unhealthy alcohol use from 2 years before to 8 years after a bariatric surgical procedure among individuals with or without preoperative unhealthy alcohol use.
This retrospective cohort study analyzed electronic health record (EHR) data on military veterans who underwent a bariatric surgical procedure at any of the bariatric centers in the US Department of Veterans Affairs (VA) health system between October 1, 2008, and September 30, 2016. Surgical patients without unhealthy alcohol use at baseline were matched using sequential stratification to nonsurgical control patients without unhealthy alcohol use at baseline, and surgical patients with unhealthy alcohol use at baseline were matched to nonsurgical patients with unhealthy alcohol use at baseline. Data were analyzed in February 2020.
LSG (n = 1684) and RYGB (n = 924).
Mean alcohol use, unhealthy alcohol use, and no alcohol use were estimated using scores from the validated 3-item Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), which had been documented in the VA EHR. Alcohol outcomes were estimated with mixed-effects models.
A total of 2608 surgical patients were included in the final cohort (1964 male [75.3%] and 644 female [24.7%] veterans. Mean (SD) age of surgical patients was 53.0 (9.9) years and 53.6 (9.9) years for the matched nonsurgical patients. Among patients without baseline unhealthy alcohol use, 1539 patients who underwent an LSG were matched to 14 555 nonsurgical control patients and 854 patients who underwent an RYGB were matched to 8038 nonsurgical control patients. In patients without baseline unhealthy alcohol use, the mean AUDIT-C scores and the probability of unhealthy alcohol use both increased significantly 3 to 8 years after an LSG or an RYGB, compared with control patients. Eight years after an LSG, the probability of unhealthy alcohol use was higher in surgical vs control patients (7.9% [95% CI, 6.4-9.5] vs 4.5% [95% CI, 4.1-4.9]; difference, 3.4% [95% CI, 1.8-5.0])). Similarly, 8 years after an |
| doi_str_mv | 10.1001/jamanetworkopen.2020.28117 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7753905</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2667884086</sourcerecordid><originalsourceid>FETCH-LOGICAL-a473t-5c64f2414f0445757ef9d4c5a2a13873e57204d00e407b96293f0073909237d23</originalsourceid><addsrcrecordid>eNpdkVtLAzEQhYMoKtW_IEGfWye3za4PQi3eQFDQ6mOI2Ww3dZvUZFfx37v1hvo0M8yZMwc-hPYJjAgAOZzrhfa2fQ3xKSytH1GgMKI5IXINbVMh-ZDlINZ_9VtoN6U5QC8krMjEJtpijPEs59k2KscpBeN064LHocInOvZDdAbfdnHmjG7wTQzGll20CT-4tsaTWvtZPziPp762umnrNzxuTKhDg6fJ4vEi-Bme3uJ729qofdpBG5Vukt39qgM0PTu9m1wMr67PLyfjq6HmkrVDYTJeUU54BZwLKaStipIboakmLJfMCkmBlwCWg3wsMlqwCkCyAgrKZEnZAB1_-i67x4UtjfVt1I1aRrfQ8U0F7dTfjXe1moUXJaXoXURvcPBlEMNzZ1Or5qGLvs-saJbJPOeQZ73q6FNlYkgp2urnAwG1gqT-QVIrSOoDUn-89zvjz-k3EvYOnC-Stg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2667884086</pqid></control><display><type>article</type><title>Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Maciejewski, Matthew L ; Smith, Valerie A ; Berkowitz, Theodore S Z ; Arterburn, David E ; Mitchell, James E ; Olsen, Maren K ; Liu, Chuan-Fen ; Livingston, Edward H ; Funk, Luke M ; Adeyemo, Adenike ; Bradley, Katharine A</creator><creatorcontrib>Maciejewski, Matthew L ; Smith, Valerie A ; Berkowitz, Theodore S Z ; Arterburn, David E ; Mitchell, James E ; Olsen, Maren K ; Liu, Chuan-Fen ; Livingston, Edward H ; Funk, Luke M ; Adeyemo, Adenike ; Bradley, Katharine A</creatorcontrib><description>Bariatric surgical procedures have been associated with increased risk of unhealthy alcohol use, but no previous research has evaluated the long-term alcohol-related risks after laparoscopic sleeve gastrectomy (LSG), currently the most used bariatric procedure. No US-based study has compared long-term alcohol-related outcomes between patients who have undergone Roux-en-Y gastric bypass (RYGB) and those who have not.
To evaluate the changes over time in alcohol use and unhealthy alcohol use from 2 years before to 8 years after a bariatric surgical procedure among individuals with or without preoperative unhealthy alcohol use.
This retrospective cohort study analyzed electronic health record (EHR) data on military veterans who underwent a bariatric surgical procedure at any of the bariatric centers in the US Department of Veterans Affairs (VA) health system between October 1, 2008, and September 30, 2016. Surgical patients without unhealthy alcohol use at baseline were matched using sequential stratification to nonsurgical control patients without unhealthy alcohol use at baseline, and surgical patients with unhealthy alcohol use at baseline were matched to nonsurgical patients with unhealthy alcohol use at baseline. Data were analyzed in February 2020.
LSG (n = 1684) and RYGB (n = 924).
Mean alcohol use, unhealthy alcohol use, and no alcohol use were estimated using scores from the validated 3-item Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), which had been documented in the VA EHR. Alcohol outcomes were estimated with mixed-effects models.
A total of 2608 surgical patients were included in the final cohort (1964 male [75.3%] and 644 female [24.7%] veterans. Mean (SD) age of surgical patients was 53.0 (9.9) years and 53.6 (9.9) years for the matched nonsurgical patients. Among patients without baseline unhealthy alcohol use, 1539 patients who underwent an LSG were matched to 14 555 nonsurgical control patients and 854 patients who underwent an RYGB were matched to 8038 nonsurgical control patients. In patients without baseline unhealthy alcohol use, the mean AUDIT-C scores and the probability of unhealthy alcohol use both increased significantly 3 to 8 years after an LSG or an RYGB, compared with control patients. Eight years after an LSG, the probability of unhealthy alcohol use was higher in surgical vs control patients (7.9% [95% CI, 6.4-9.5] vs 4.5% [95% CI, 4.1-4.9]; difference, 3.4% [95% CI, 1.8-5.0])). Similarly, 8 years after an RYGB, the probability of unhealthy alcohol use was higher in surgical vs control patients (9.2% [95% CI, 8.0-10.3] vs 4.4% [95% CI, 4.1-4.6]; difference, 4.8% [95% CI, 3.6-5.9]). The probability of no alcohol use also decreased significantly 5 to 8 years after both procedures for surgical vs control patients. Among patients with unhealthy alcohol use at baseline, prevalence of unhealthy alcohol use was higher for patients who underwent an RYGB than matched controls.
In this multi-site cohort study of predominantly male patients, among those who did not have unhealthy alcohol use in the 2 years before bariatric surgery, the probability of developing unhealthy alcohol use increased significantly 3-8 years after bariatric procedures compared with matched controls during follow-up.</description><identifier>ISSN: 2574-3805</identifier><identifier>EISSN: 2574-3805</identifier><identifier>DOI: 10.1001/jamanetworkopen.2020.28117</identifier><identifier>PMID: 33346846</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Alcohol use ; Alcoholism - epidemiology ; Alcoholism - etiology ; Bariatric Surgery - psychology ; Electronic health records ; Female ; Gastrointestinal surgery ; Humans ; Male ; Middle Aged ; Obesity - psychology ; Obesity - surgery ; Online Only ; Original Investigation ; Postoperative Complications - epidemiology ; Postoperative Complications - psychology ; Retrospective Studies ; Surgery ; United States - epidemiology ; Veterans ; Veterans - psychology ; Veterans - statistics & numerical data</subject><ispartof>JAMA network open, 2020-12, Vol.3 (12), p.e2028117</ispartof><rights>2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2020 Maciejewski ML et al. .</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a473t-5c64f2414f0445757ef9d4c5a2a13873e57204d00e407b96293f0073909237d23</citedby><cites>FETCH-LOGICAL-a473t-5c64f2414f0445757ef9d4c5a2a13873e57204d00e407b96293f0073909237d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33346846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maciejewski, Matthew L</creatorcontrib><creatorcontrib>Smith, Valerie A</creatorcontrib><creatorcontrib>Berkowitz, Theodore S Z</creatorcontrib><creatorcontrib>Arterburn, David E</creatorcontrib><creatorcontrib>Mitchell, James E</creatorcontrib><creatorcontrib>Olsen, Maren K</creatorcontrib><creatorcontrib>Liu, Chuan-Fen</creatorcontrib><creatorcontrib>Livingston, Edward H</creatorcontrib><creatorcontrib>Funk, Luke M</creatorcontrib><creatorcontrib>Adeyemo, Adenike</creatorcontrib><creatorcontrib>Bradley, Katharine A</creatorcontrib><title>Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans</title><title>JAMA network open</title><addtitle>JAMA Netw Open</addtitle><description>Bariatric surgical procedures have been associated with increased risk of unhealthy alcohol use, but no previous research has evaluated the long-term alcohol-related risks after laparoscopic sleeve gastrectomy (LSG), currently the most used bariatric procedure. No US-based study has compared long-term alcohol-related outcomes between patients who have undergone Roux-en-Y gastric bypass (RYGB) and those who have not.
To evaluate the changes over time in alcohol use and unhealthy alcohol use from 2 years before to 8 years after a bariatric surgical procedure among individuals with or without preoperative unhealthy alcohol use.
This retrospective cohort study analyzed electronic health record (EHR) data on military veterans who underwent a bariatric surgical procedure at any of the bariatric centers in the US Department of Veterans Affairs (VA) health system between October 1, 2008, and September 30, 2016. Surgical patients without unhealthy alcohol use at baseline were matched using sequential stratification to nonsurgical control patients without unhealthy alcohol use at baseline, and surgical patients with unhealthy alcohol use at baseline were matched to nonsurgical patients with unhealthy alcohol use at baseline. Data were analyzed in February 2020.
LSG (n = 1684) and RYGB (n = 924).
Mean alcohol use, unhealthy alcohol use, and no alcohol use were estimated using scores from the validated 3-item Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), which had been documented in the VA EHR. Alcohol outcomes were estimated with mixed-effects models.
A total of 2608 surgical patients were included in the final cohort (1964 male [75.3%] and 644 female [24.7%] veterans. Mean (SD) age of surgical patients was 53.0 (9.9) years and 53.6 (9.9) years for the matched nonsurgical patients. Among patients without baseline unhealthy alcohol use, 1539 patients who underwent an LSG were matched to 14 555 nonsurgical control patients and 854 patients who underwent an RYGB were matched to 8038 nonsurgical control patients. In patients without baseline unhealthy alcohol use, the mean AUDIT-C scores and the probability of unhealthy alcohol use both increased significantly 3 to 8 years after an LSG or an RYGB, compared with control patients. Eight years after an LSG, the probability of unhealthy alcohol use was higher in surgical vs control patients (7.9% [95% CI, 6.4-9.5] vs 4.5% [95% CI, 4.1-4.9]; difference, 3.4% [95% CI, 1.8-5.0])). Similarly, 8 years after an RYGB, the probability of unhealthy alcohol use was higher in surgical vs control patients (9.2% [95% CI, 8.0-10.3] vs 4.4% [95% CI, 4.1-4.6]; difference, 4.8% [95% CI, 3.6-5.9]). The probability of no alcohol use also decreased significantly 5 to 8 years after both procedures for surgical vs control patients. Among patients with unhealthy alcohol use at baseline, prevalence of unhealthy alcohol use was higher for patients who underwent an RYGB than matched controls.
In this multi-site cohort study of predominantly male patients, among those who did not have unhealthy alcohol use in the 2 years before bariatric surgery, the probability of developing unhealthy alcohol use increased significantly 3-8 years after bariatric procedures compared with matched controls during follow-up.</description><subject>Alcohol use</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - etiology</subject><subject>Bariatric Surgery - psychology</subject><subject>Electronic health records</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - psychology</subject><subject>Obesity - surgery</subject><subject>Online Only</subject><subject>Original Investigation</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - psychology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>United States - epidemiology</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><subject>Veterans - statistics & numerical data</subject><issn>2574-3805</issn><issn>2574-3805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkVtLAzEQhYMoKtW_IEGfWye3za4PQi3eQFDQ6mOI2Ww3dZvUZFfx37v1hvo0M8yZMwc-hPYJjAgAOZzrhfa2fQ3xKSytH1GgMKI5IXINbVMh-ZDlINZ_9VtoN6U5QC8krMjEJtpijPEs59k2KscpBeN064LHocInOvZDdAbfdnHmjG7wTQzGll20CT-4tsaTWvtZPziPp762umnrNzxuTKhDg6fJ4vEi-Bme3uJ729qofdpBG5Vukt39qgM0PTu9m1wMr67PLyfjq6HmkrVDYTJeUU54BZwLKaStipIboakmLJfMCkmBlwCWg3wsMlqwCkCyAgrKZEnZAB1_-i67x4UtjfVt1I1aRrfQ8U0F7dTfjXe1moUXJaXoXURvcPBlEMNzZ1Or5qGLvs-saJbJPOeQZ73q6FNlYkgp2urnAwG1gqT-QVIrSOoDUn-89zvjz-k3EvYOnC-Stg</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Maciejewski, Matthew L</creator><creator>Smith, Valerie A</creator><creator>Berkowitz, Theodore S Z</creator><creator>Arterburn, David E</creator><creator>Mitchell, James E</creator><creator>Olsen, Maren K</creator><creator>Liu, Chuan-Fen</creator><creator>Livingston, Edward H</creator><creator>Funk, Luke M</creator><creator>Adeyemo, Adenike</creator><creator>Bradley, Katharine A</creator><general>American Medical Association</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>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans</title><author>Maciejewski, Matthew L ; Smith, Valerie A ; Berkowitz, Theodore S Z ; Arterburn, David E ; Mitchell, James E ; Olsen, Maren K ; Liu, Chuan-Fen ; Livingston, Edward H ; Funk, Luke M ; Adeyemo, Adenike ; Bradley, Katharine A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a473t-5c64f2414f0445757ef9d4c5a2a13873e57204d00e407b96293f0073909237d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alcohol use</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism - etiology</topic><topic>Bariatric Surgery - psychology</topic><topic>Electronic health records</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - psychology</topic><topic>Obesity - surgery</topic><topic>Online Only</topic><topic>Original Investigation</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - psychology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>United States - epidemiology</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><topic>Veterans - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maciejewski, Matthew L</creatorcontrib><creatorcontrib>Smith, Valerie A</creatorcontrib><creatorcontrib>Berkowitz, Theodore S Z</creatorcontrib><creatorcontrib>Arterburn, David E</creatorcontrib><creatorcontrib>Mitchell, James E</creatorcontrib><creatorcontrib>Olsen, Maren K</creatorcontrib><creatorcontrib>Liu, Chuan-Fen</creatorcontrib><creatorcontrib>Livingston, Edward H</creatorcontrib><creatorcontrib>Funk, Luke M</creatorcontrib><creatorcontrib>Adeyemo, Adenike</creatorcontrib><creatorcontrib>Bradley, Katharine A</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>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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</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>Publicly Available Content 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>PubMed Central (Full Participant titles)</collection><jtitle>JAMA network open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maciejewski, Matthew L</au><au>Smith, Valerie A</au><au>Berkowitz, Theodore S Z</au><au>Arterburn, David E</au><au>Mitchell, James E</au><au>Olsen, Maren K</au><au>Liu, Chuan-Fen</au><au>Livingston, Edward H</au><au>Funk, Luke M</au><au>Adeyemo, Adenike</au><au>Bradley, Katharine A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans</atitle><jtitle>JAMA network open</jtitle><addtitle>JAMA Netw Open</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>3</volume><issue>12</issue><spage>e2028117</spage><pages>e2028117-</pages><issn>2574-3805</issn><eissn>2574-3805</eissn><abstract>Bariatric surgical procedures have been associated with increased risk of unhealthy alcohol use, but no previous research has evaluated the long-term alcohol-related risks after laparoscopic sleeve gastrectomy (LSG), currently the most used bariatric procedure. No US-based study has compared long-term alcohol-related outcomes between patients who have undergone Roux-en-Y gastric bypass (RYGB) and those who have not.
To evaluate the changes over time in alcohol use and unhealthy alcohol use from 2 years before to 8 years after a bariatric surgical procedure among individuals with or without preoperative unhealthy alcohol use.
This retrospective cohort study analyzed electronic health record (EHR) data on military veterans who underwent a bariatric surgical procedure at any of the bariatric centers in the US Department of Veterans Affairs (VA) health system between October 1, 2008, and September 30, 2016. Surgical patients without unhealthy alcohol use at baseline were matched using sequential stratification to nonsurgical control patients without unhealthy alcohol use at baseline, and surgical patients with unhealthy alcohol use at baseline were matched to nonsurgical patients with unhealthy alcohol use at baseline. Data were analyzed in February 2020.
LSG (n = 1684) and RYGB (n = 924).
Mean alcohol use, unhealthy alcohol use, and no alcohol use were estimated using scores from the validated 3-item Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), which had been documented in the VA EHR. Alcohol outcomes were estimated with mixed-effects models.
A total of 2608 surgical patients were included in the final cohort (1964 male [75.3%] and 644 female [24.7%] veterans. Mean (SD) age of surgical patients was 53.0 (9.9) years and 53.6 (9.9) years for the matched nonsurgical patients. Among patients without baseline unhealthy alcohol use, 1539 patients who underwent an LSG were matched to 14 555 nonsurgical control patients and 854 patients who underwent an RYGB were matched to 8038 nonsurgical control patients. In patients without baseline unhealthy alcohol use, the mean AUDIT-C scores and the probability of unhealthy alcohol use both increased significantly 3 to 8 years after an LSG or an RYGB, compared with control patients. Eight years after an LSG, the probability of unhealthy alcohol use was higher in surgical vs control patients (7.9% [95% CI, 6.4-9.5] vs 4.5% [95% CI, 4.1-4.9]; difference, 3.4% [95% CI, 1.8-5.0])). Similarly, 8 years after an RYGB, the probability of unhealthy alcohol use was higher in surgical vs control patients (9.2% [95% CI, 8.0-10.3] vs 4.4% [95% CI, 4.1-4.6]; difference, 4.8% [95% CI, 3.6-5.9]). The probability of no alcohol use also decreased significantly 5 to 8 years after both procedures for surgical vs control patients. Among patients with unhealthy alcohol use at baseline, prevalence of unhealthy alcohol use was higher for patients who underwent an RYGB than matched controls.
In this multi-site cohort study of predominantly male patients, among those who did not have unhealthy alcohol use in the 2 years before bariatric surgery, the probability of developing unhealthy alcohol use increased significantly 3-8 years after bariatric procedures compared with matched controls during follow-up.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>33346846</pmid><doi>10.1001/jamanetworkopen.2020.28117</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Alcohol use Alcoholism - epidemiology Alcoholism - etiology Bariatric Surgery - psychology Electronic health records Female Gastrointestinal surgery Humans Male Middle Aged Obesity - psychology Obesity - surgery Online Only Original Investigation Postoperative Complications - epidemiology Postoperative Complications - psychology Retrospective Studies Surgery United States - epidemiology Veterans Veterans - psychology Veterans - statistics & numerical data |
| title | Association of Bariatric Surgical Procedures With Changes in Unhealthy Alcohol Use Among US Veterans |
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