{"id":2462,"date":"2021-06-14T00:00:00","date_gmt":"2021-06-14T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/early-postoperative-follow-up-reduces-risk-of-late-severe-nutritional-complications-after-roux-en-y-gastric-bypass-a-population-based-study\/"},"modified":"2023-06-14T19:20:26","modified_gmt":"2023-06-14T23:20:26","slug":"early-postoperative-follow-up-reduces-risk-of-late-severe-nutritional-complications-after-roux-en-y-gastric-bypass-a-population-based-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/early-postoperative-follow-up-reduces-risk-of-late-severe-nutritional-complications-after-roux-en-y-gastric-bypass-a-population-based-study\/","title":{"rendered":"Early postoperative follow-up reduces risk of late severe nutritional complications after Roux-En-Y gastric bypass: a population based study"},"content":{"rendered":"<p><strong>Background <\/strong>&#x2014; Severe nutritional complications can occur following Roux-en-Y gastric bypass (RYGB). Adherence to follow-up visits can reduce the risk of many bariatric surgery complications, but whether this applies to severe nutritional complications is unknown.<\/p>\n<p><strong>Objectives <\/strong>&#x2014; Determine the association between adherence to follow-up visits after RYGB and risk of severe nutritional complications.<\/p>\n<p><strong>Setting <\/strong>&#x2014; Multicenter publicly-funded Ontario Bariatric Network.<\/p>\n<p><strong>Methods <\/strong>&#x2014; Retrospective cohort study of Ontario adults participating in the Ontario Bariatric Registry who underwent RYGB between January 1, 2009, and December 31, 2015. The primary outcome was a severe nutritional complication (hospital admission with malnutrition or nutrient deficiency) occurring 1 year or more after RYGB. The primary exposure was adherence to postoperative follow-up visits, occurring at 3, 6, and 12 months postoperatively, and categorized as perfect (3 visits), partial (1&#x2013;2 visits), or none. Cox proportional hazards modeling quantified the association between adherence to follow-up visits and the primary outcome using hazard ratios (HR).<\/p>\n<p><strong>Results <\/strong>&#x2014; In total, 9105 adults (84% female, age 44.7 &#xb1; 10.3 yr) met study criteria. Mean preoperative body mass index (BMI) was 48.6 kg\/m2. First year follow-up attendance was: 51.7% perfect, 31.6% partial, and 16.7% none. Median time in the study was 3.4 years. Severe nutritional complications occurred in 1.1% of patients. Compared with perfect follow-up, patients with no follow-up (HR 3.09, 95% CI 1.74&#x2013;5.50) and partial follow-up (HR 1.94, 95% CI 1.25&#x2013;3.03) had an increased risk of severe nutritional complications.<\/p>\n<p><strong>Conclusion <\/strong>&#x2014; Adherence to follow-up visits during the first year after RYGB is independently associated with reduction in the risk of subsequent severe nutritional complications.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Severe nutritional complications can occur following Roux-en-Y gastric bypass (RYGB). Adherence to follow-up visits can reduce the risk of many bariatric surgery complications, but whether this applies to severe nutritional complications is unknown. Objectives &#x2014; Determine the association between adherence to follow-up visits after RYGB and risk of severe nutritional complications. Setting &#x2014; [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2462","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Bielawska B, Ouellette-Kuntz H, Zevin B, Anvari M, Patel SV. <em>Surg Obes Relat Dis<\/em>. 2021; 17(10):1740-50. Epub 2021 Jun 14.","source_url":"https:\/\/doi.org\/10.1016\/j.soard.2021.05.035","ices_scientist":[1306,1376],"site":[6736],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"E722FEBD-CEAF-4A26-B01A-0978DC902ADD","sitecore_item_name":"Early-postoperative-follow-up-reduces-risk-of-late-severe-nutritional-complications-after-Roux-En-Y","sitecore_field_values":"{\n  \"Title\": \"Early postoperative follow-up reduces risk of late severe nutritional complications after Roux-En-Y gastric bypass: a population based study\",\n  \"Short title\": \"Early postoperative follow-up reduces\",\n  \"Summary\": \"This study aimed to determine the association between adherence to follow-up visits after  Roux-en-Y gastric bypass and risk of severe nutritional complications.\",\n  \"Citation\": \"<p>Bielawska B, Ouellette-Kuntz H, Zevin B, Anvari M, Patel SV. <em>Surg Obes Relat Dis<\/em>. 2021; 17(10):1740-50. Epub 2021 Jun 14. DOI: <a href=\"https:\/\/doi.org\/10.1016\/j.soard.2021.05.035\" title=\"Opens external link\">https:\/\/doi.org\/10.1016\/j.soard.2021.05.035<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background <\/strong>&mdash; Severe nutritional complications can occur following Roux-en-Y gastric bypass (RYGB). Adherence to follow-up visits can reduce the risk of many bariatric surgery complications, but whether this applies to severe nutritional complications is unknown.<\/p>n<p><strong>Objectives <\/strong>&mdash; Determine the association between adherence to follow-up visits after RYGB and risk of severe nutritional complications.<\/p>n<p><strong>Setting <\/strong>&mdash; Multicenter publicly-funded Ontario Bariatric Network.<\/p>n<p><strong>Methods <\/strong>&mdash; Retrospective cohort study of Ontario adults participating in the Ontario Bariatric Registry who underwent RYGB between January 1, 2009, and December 31, 2015. The primary outcome was a severe nutritional complication (hospital admission with malnutrition or nutrient deficiency) occurring 1 year or more after RYGB. The primary exposure was adherence to postoperative follow-up visits, occurring at 3, 6, and 12 months postoperatively, and categorized as perfect (3 visits), partial (1&ndash;2 visits), or none. Cox proportional hazards modeling quantified the association between adherence to follow-up visits and the primary outcome using hazard ratios (HR).<\/p>n<p><strong>Results <\/strong>&mdash; In total, 9105 adults (84% female, age 44.7 &plusmn; 10.3 yr) met study criteria. Mean preoperative body mass index (BMI) was 48.6 kg\/m2. First year follow-up attendance was: 51.7% perfect, 31.6% partial, and 16.7% none. Median time in the study was 3.4 years. Severe nutritional complications occurred in 1.1% of patients. Compared with perfect follow-up, patients with no follow-up (HR 3.09, 95% CI 1.74&ndash;5.50) and partial follow-up (HR 1.94, 95% CI 1.25&ndash;3.03) had an increased risk of severe nutritional complications.<\/p>n<p><strong>Conclusion <\/strong>&mdash; Adherence to follow-up visits during the first year after RYGB is independently associated with reduction in the risk of subsequent severe nutritional complications.<\/p>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{5A12C65D-3CDA-413E-BC94-C1D778156CE6}\",\n  \"ICES Scientists\": \"{CA404CB0-5C07-487C-B0DC-C26676DB1445}|{4691B7EB-74E3-4E39-B997-17A2A8B30B08}\",\n  \"Posted Date\": \"20210614T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2021\/June\/Early-postoperative-follow-up-reduces-risk-of-late-severe-nutritional-complications-after-Roux-En-Y"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Early postoperative follow-up reduces risk of late severe nutritional complications after Roux-En-Y gastric bypass: a population based study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Severe nutritional complications can occur following Roux-en-Y gastric bypass (RYGB). 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