The efficacy of bariatric surgery performed in the public sector for obese patients with comorbid conditions

Objective: To determine the efficacy of bariatric surgery in the public sector for the treatment of complicated obesity. Design, setting and participants: A longitudinal observational study of obese participants with comorbid conditions, aged 21–73 years, who underwent publicly funded bariatric surg...

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Bibliographic Details
Published in:Medical journal of Australia 2014-08, Vol.201 (4), p.218-222
Main Authors: Lukas, Natalie, Franklin, Janet, Lee, Crystal M Y, Taylor, Craig J, Martin, David J, Kormas, Nic, Caterson, Ian D, Markovic, Tania P
Format: Article
Language:English
Subjects:
Adult
Aged
Bariatric Surgery - methods
Body Mass Index
Diabetes Mellitus, Type 2 - complications
Dyslipidemias - complications
Endocrine system diseases
Female
Follow-Up Studies
Gastroplasty - methods
Humans
Hypertension - complications
Longitudinal Studies
Male
Middle Aged
Nutritional and metabolic diseases
Obesity, Morbid - complications
Obesity, Morbid - surgery
Practice Guidelines as Topic
Risk Factors
Surgical procedures, operative
Treatment Outcome
Weight Loss
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Summary:Objective: To determine the efficacy of bariatric surgery in the public sector for the treatment of complicated obesity. Design, setting and participants: A longitudinal observational study of obese participants with comorbid conditions, aged 21–73 years, who underwent publicly funded bariatric surgery. Data were extracted from clinical databases (1 October 2009 to 1 September 2013) and recorded at seven time points. Participants are from an ongoing public obesity program. Main outcome measures: Postoperative weight loss and partial or full resolution of: type 2 diabetes mellitus (T2DM), hypertension (HTN), dyslipidaemia and obstructive sleep apnoea (OSA). Results: The 65 participants in the cohort lost a mean weight of 22.6 kg (SD, 9.5 kg) by 3 months, 34.2.kg (SD, 20.1 kg) by 12 months and 39.9 kg (SD, 31.4 kg) by 24 months (P 
ISSN:0025-729X
1326-5377
DOI:10.5694/mja13.00046