S1661 The Gender Gap in Bariatric Surgery: Outcomes and Utilization of Healthcare Services

• Published in: The American journal of gastroenterology Vol. 118; no. 10S; pp. S1242 - S1243
• Main Authors: Pan, Chun-Wei, Dasu, Neethi, Truscello, David, Ibrahim, Muhammad Bilal
• Format: Journal Article
• Language: English
• Published: New York Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01-10-2023
• Subjects: Gastrointestinal surgery; Gender differences; Health services utilization; Infections; Laparoscopy; Length of stay; Mortality; Obesity; Pharmacists; Respiratory failure; Weight control
• ISSN: 0002-9270; 1572-0241
• DOI: 10.14309/01.ajg.0000956284.63978.4b

Primary outcomes were all-cause mortality, with secondary outcomes including postoperative bleeding, infection, wound complication, respiratory failure), and healthcare utilization (mean length of stay (LOS) and total hospital charge (TOTCHG)). For the LAGB group, women exhibited lower odds of mortality (aOR=0.57, P=0.02) with no significant difference in in-hospital complications. Hospital Outcomes in patient admitted for LGB, SG, and LAGB; male vs female LGB Male Female aOR P value Mortality 0.54% 0.11% 0.31 P< 0.001 Postoperative bleeding 1.33% 0.72% 0.54 P< 0.001 Wound complication 0.37% 0.17% 0.57 0.005 Respiratory failure 0.30% 0.17% 0.74 0.214 Postoperative infection 0.16% 0.11% 0.90 0.70 Length of stay 3.56 (95CI: 3.39-3.74) 2.38 (2.32-2.44) Adjusted Difference:-0.89 days P< 0.001 Total charge 84,906 (95CI: 81,527-88,284) 68,486 (95CI:66,702-70,270) Adjusted difference:-$12,708 P< 0.001 SG  Mortality 0.05% 0.01% 0.21 0.001  Postoperative bleeding 0.58% 0.34% 0.58 P< 0.001  Wound Complication 0.05% 0.01% 0.36 0.006  Respiratory Failure 0.14% 0.07% 0.59 0.01  Postoperative infection 0.01% 0.01% 1.17 0.84  Length of Stay 1.61 (1.55-1.66) 1.63 (95CI:1.58-1.68) Adjusted Difference:0.17 days 0.32  Total Charge $54,362 (53,186- 55,539) 50,746 (49,763-51,728) Adjusted difference:-$3490 0.001 LAGB  Mortality 2.80% 1.41% .57 0.02  Postoperative bleeding 0.90% 1.17% 1.30 0.46  Wound Complication 1.71% 1.27% .73 0.26  Respiratory Failure 1.71% 1.58% .99 0.97  Postoperative infection 0.63% 0.67% 1.05 0.91  Length of Stay 7.77 (95CI:7.13-8.42) 5.40 (95CI:5.10-5.71) Adjusted Difference:-2.21 days P< 0.001  Total Charge $132,945 (95CI:122,146-143,745) $100,176 (95CI:93,778-106,575) Adjusted difference:-$30822 P< 0.001 Author Notes *Presenter