Patient race and the likelihood of undergoing bariatric surgery among patients seeking surgery

Fatima Cody Stanford, Daniel B. Jones, Benjamin E. Schneider, George L. Blackburn, Caroline M. Apovian, Donald T. Hess, Sarah Chiodi, Shirley Robert, Ashley C. Bourland, Christina C. Wee

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Ethnic minority adults have disproportionately higher rates of obesity than Caucasians but are less likely to undergo bariatric surgery. Recent data suggest that minorities might be less likely to seek surgery. Whether minorities who seek surgery are also less likely to proceed with surgery is unclear. Methods: We interviewed 651 patients who sought bariatric surgery at two academic medical centers to examine whether ethnic minorities are less likely to proceed with surgery than Caucasians and whether minorities who do proceed with surgery have higher illness burden than their counterparts. We collected patient demographics and abstracted clinical data from the medical records. We then conducted multivariable analyses to examine the association between race and the likelihood of proceeding with bariatric surgery within 1 year of initial interview and to compare the illness burden by race and ethnicity among those who underwent surgery. Results: Of our study sample, 66 % were Caucasian, 18 % were African-American, and 12 % were Hispanics. After adjustment for socioeconomic factors, there were no racial differences in who proceeded with bariatric surgery. Among those who proceeded with surgery, illness burden was comparable between minorities and Caucasian patients with the exception that African-Americans were underrepresented among those with reflux disease (0.4, 95 % CI 0.2–0.7) and depression (0.4, 0.2–0.7), and overrepresented among those with anemia (4.8, 2.4–9.6) than Caucasian patients. Conclusions: Race and ethnicity were not independently associated with likelihood of proceeding with bariatric surgery. Minorities who proceeded with surgery did not clearly have higher illness burden than Caucasian patients.

Original languageEnglish (US)
Pages (from-to)2794-2799
Number of pages6
JournalSurgical Endoscopy and Other Interventional Techniques
Volume29
Issue number9
DOIs
StatePublished - Sep 21 2015

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Bariatric Surgery
Cost of Illness
African Americans
Hispanic Americans
Medical Records
Anemia
Obesity
Demography
Interviews

Keywords

  • Bariatric surgery
  • Ethnic minorities
  • Insurance coverage
  • Obesity
  • Social class
  • Vulnerable populations

ASJC Scopus subject areas

  • Surgery

Cite this

Patient race and the likelihood of undergoing bariatric surgery among patients seeking surgery. / Stanford, Fatima Cody; Jones, Daniel B.; Schneider, Benjamin E.; Blackburn, George L.; Apovian, Caroline M.; Hess, Donald T.; Chiodi, Sarah; Robert, Shirley; Bourland, Ashley C.; Wee, Christina C.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 29, No. 9, 21.09.2015, p. 2794-2799.

Research output: Contribution to journalArticle

Stanford, FC, Jones, DB, Schneider, BE, Blackburn, GL, Apovian, CM, Hess, DT, Chiodi, S, Robert, S, Bourland, AC & Wee, CC 2015, 'Patient race and the likelihood of undergoing bariatric surgery among patients seeking surgery', Surgical Endoscopy and Other Interventional Techniques, vol. 29, no. 9, pp. 2794-2799. https://doi.org/10.1007/s00464-014-4014-8
Stanford, Fatima Cody ; Jones, Daniel B. ; Schneider, Benjamin E. ; Blackburn, George L. ; Apovian, Caroline M. ; Hess, Donald T. ; Chiodi, Sarah ; Robert, Shirley ; Bourland, Ashley C. ; Wee, Christina C. / Patient race and the likelihood of undergoing bariatric surgery among patients seeking surgery. In: Surgical Endoscopy and Other Interventional Techniques. 2015 ; Vol. 29, No. 9. pp. 2794-2799.
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abstract = "Background: Ethnic minority adults have disproportionately higher rates of obesity than Caucasians but are less likely to undergo bariatric surgery. Recent data suggest that minorities might be less likely to seek surgery. Whether minorities who seek surgery are also less likely to proceed with surgery is unclear. Methods: We interviewed 651 patients who sought bariatric surgery at two academic medical centers to examine whether ethnic minorities are less likely to proceed with surgery than Caucasians and whether minorities who do proceed with surgery have higher illness burden than their counterparts. We collected patient demographics and abstracted clinical data from the medical records. We then conducted multivariable analyses to examine the association between race and the likelihood of proceeding with bariatric surgery within 1 year of initial interview and to compare the illness burden by race and ethnicity among those who underwent surgery. Results: Of our study sample, 66 {\%} were Caucasian, 18 {\%} were African-American, and 12 {\%} were Hispanics. After adjustment for socioeconomic factors, there were no racial differences in who proceeded with bariatric surgery. Among those who proceeded with surgery, illness burden was comparable between minorities and Caucasian patients with the exception that African-Americans were underrepresented among those with reflux disease (0.4, 95 {\%} CI 0.2–0.7) and depression (0.4, 0.2–0.7), and overrepresented among those with anemia (4.8, 2.4–9.6) than Caucasian patients. Conclusions: Race and ethnicity were not independently associated with likelihood of proceeding with bariatric surgery. Minorities who proceeded with surgery did not clearly have higher illness burden than Caucasian patients.",
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AU - Stanford, Fatima Cody

AU - Jones, Daniel B.

AU - Schneider, Benjamin E.

AU - Blackburn, George L.

AU - Apovian, Caroline M.

AU - Hess, Donald T.

AU - Chiodi, Sarah

AU - Robert, Shirley

AU - Bourland, Ashley C.

AU - Wee, Christina C.

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N2 - Background: Ethnic minority adults have disproportionately higher rates of obesity than Caucasians but are less likely to undergo bariatric surgery. Recent data suggest that minorities might be less likely to seek surgery. Whether minorities who seek surgery are also less likely to proceed with surgery is unclear. Methods: We interviewed 651 patients who sought bariatric surgery at two academic medical centers to examine whether ethnic minorities are less likely to proceed with surgery than Caucasians and whether minorities who do proceed with surgery have higher illness burden than their counterparts. We collected patient demographics and abstracted clinical data from the medical records. We then conducted multivariable analyses to examine the association between race and the likelihood of proceeding with bariatric surgery within 1 year of initial interview and to compare the illness burden by race and ethnicity among those who underwent surgery. Results: Of our study sample, 66 % were Caucasian, 18 % were African-American, and 12 % were Hispanics. After adjustment for socioeconomic factors, there were no racial differences in who proceeded with bariatric surgery. Among those who proceeded with surgery, illness burden was comparable between minorities and Caucasian patients with the exception that African-Americans were underrepresented among those with reflux disease (0.4, 95 % CI 0.2–0.7) and depression (0.4, 0.2–0.7), and overrepresented among those with anemia (4.8, 2.4–9.6) than Caucasian patients. Conclusions: Race and ethnicity were not independently associated with likelihood of proceeding with bariatric surgery. Minorities who proceeded with surgery did not clearly have higher illness burden than Caucasian patients.

AB - Background: Ethnic minority adults have disproportionately higher rates of obesity than Caucasians but are less likely to undergo bariatric surgery. Recent data suggest that minorities might be less likely to seek surgery. Whether minorities who seek surgery are also less likely to proceed with surgery is unclear. Methods: We interviewed 651 patients who sought bariatric surgery at two academic medical centers to examine whether ethnic minorities are less likely to proceed with surgery than Caucasians and whether minorities who do proceed with surgery have higher illness burden than their counterparts. We collected patient demographics and abstracted clinical data from the medical records. We then conducted multivariable analyses to examine the association between race and the likelihood of proceeding with bariatric surgery within 1 year of initial interview and to compare the illness burden by race and ethnicity among those who underwent surgery. Results: Of our study sample, 66 % were Caucasian, 18 % were African-American, and 12 % were Hispanics. After adjustment for socioeconomic factors, there were no racial differences in who proceeded with bariatric surgery. Among those who proceeded with surgery, illness burden was comparable between minorities and Caucasian patients with the exception that African-Americans were underrepresented among those with reflux disease (0.4, 95 % CI 0.2–0.7) and depression (0.4, 0.2–0.7), and overrepresented among those with anemia (4.8, 2.4–9.6) than Caucasian patients. Conclusions: Race and ethnicity were not independently associated with likelihood of proceeding with bariatric surgery. Minorities who proceeded with surgery did not clearly have higher illness burden than Caucasian patients.

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KW - Social class

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