Medical and financial risks associated with surgery in the elderly obese

Annals of Surgery

Volumn 256, Issue 1, 2012, Pages 79-86

  Silber, Jeffrey H ^a,b,c,d   Rosenbaum, Paul R ^c,d   Kelz, Rachel R ^b   Reinke, Caroline E ^b   Neuman, Mark D ^b,d   Ross, Richard N ^a   Even Shoshan, Orit ^a,d   David, Guy ^c,d   Saynisch, Philip A ^a   Kyle, Fabienne A ^a   Bratzler, Dale W ^e,f   Fleisher, Lee A ^b,d  

^a CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

^e Oklahoma Foundation for Medical Quality   (United States)

^f UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; BODY MASS; COLON RESECTION; COMORBIDITY; CONTROLLED STUDY; DECUBITUS; DIABETES MELLITUS; DISEASE SEVERITY; FEMALE; FINANCE; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH HAZARD; HIP SURGERY; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; HYPOTENSION; INTERNAL ORGAN DAMAGE; KIDNEY DYSFUNCTION; KNEE SURGERY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICARE; MORTALITY; NEUROLOGIC DISEASE; OBESITY; ORTHOPEDIC COMPLICATION; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; PYELONEPHRITIS; RACE; REIMBURSEMENT; RESPIRATORY TRACT DISEASE; SEPSIS; THORACOTOMY; URINARY TRACT INFECTION; VENOUS THROMBOEMBOLISM;

EID: 85028111995     PISSN: 00034932     EISSN: 15281140     Source Type: Journal    
DOI: 10.1097/SLA.0b013e31825375ef     Document Type: Article

References (50)

1. Centers for Disease Control and Prevention/National Center for Health Statistics. National Health and Nutrition Examination Survey. NHANES 2007-2008 Examination Files. Atlanta, GA. Available at: http://www.cdc.gov/nchs/nhanes/ nhanes2007-2008/exam07 08.htm. Accessed September 12, 2011.
2. Dindo D, Muller MK, Weber M, et al. Obesity in general elective surgery. Lancet. 2003;361:2032-2035.
3. Gendall KA, Raniga S, Kennedy R, et al. The impact of obesity on outcome after major colorectal surgery. Dis Colon Rectum. 2007;50:2223-2237.
4. Lee CT, Dunn RL, Chen BT, et al. Impact of body mass index on radical cystectomy.J Urol. 2004;172:1281-1285.
5. Bamgbade OA, Rutter TW, Nafiu OO, et al. Postoperative complications in obese and nonobese patients. World J Surg. 2006;31:556-560.
6. Flancbaum L, Choban PS. Surgical implications of obesity. Annu Rev Med. 1998;49:215-234.
7. Pasulka PS, Bistrian BR, Benotti PN, et al. The risks of surgery in obese patients. Ann Intern Med. 1986;104:540-546.
8. Epstein AM, Read JL, Hoefer M. The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures. Am J Public Health. 1987;77:993-997.
9. Mathur AK, Ghaferi AA, Sell K, et al. Influence of body mass index on complications and oncologic outcomes following hepatectomy for malignancy. J Gastrointest Surg. 2010;14:849-857.
10. Lynch RJ, Ranney DN, Shijie C, et al. Obesity, surgical site infection, and outcome following renal transplantation. Ann Surg. 2009;250:1014-1020.
11. Chang SS, Jacobs B, Wells N, et al. Increased body mass index predicts increased blood loss during radical cystectomy. J Urol. 2004;171:1077-1079.
12. Angrisani L, Lorenzo M, De Palma G, et al. Laparoscopic cholecystectomy in obese patients compared with nonobese patients. Surg Laparosc Endosc. 1995;5:197-201.
13. RockxMA, Fox SA, Stitt LW, et al. Is obesity a predictor of mortality,morbidity and readmission after cardiac surgery? Can J Surg. 2004;47:34-38.
14. Pikarsky AJ, Saida Y, Yamaguchi T, et al. Is obesity a high-risk factor for laparoscopic colorectal surgery? Surg Endosc. 2002;16:855-858.
15. Naylor JM, Harmer AR, Heard RC. Severe other joint disease and obesity independently influence recovery after joint replacement surgery: an observational study. Aust J Physiother. 2008;54:57-64.
16. Virani SS, Nambi V, Lee VV, et al. Obesity: an independent predictor of inhospital postoperative renal insufficiency among patients undergoing cardiac surgery? Tex Heart Inst J. 2009;36:540-545.
17. Glance LG, Wissler R, Mukamel DB, et al. Perioperative outcomes among patients with themodified metabolic syndrome who are undergoing noncardiac surgery. Anesthesiology. 2010;113:859-872.
18. Namba RS, Paxton L, Fithian DC, et al. Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty. 2005;20:46-50.
19. Merkow RP, Bilimoria KY, McCarter MD, et al. Effect of body mass index on short-termoutcomes after colectomy for cancer. J Am Coll Surg. 2009;208:53-61.
20. Suleiman LI, Ortega G, Ong'uti SK, et al. Does BMI affect perioperative complications following total knee and hip arthroplasty? J Surg Res. 2012;174:7-11.
21. Mullen JT, Moorman DW, Davenport DL. The obesity paradox: body mass index and outcomes in patients undergoing nonbariatric general surgery. Ann Surg. 2009;250:166-172.
22. Jain NB, Guller U, Pietrobon R, et al. Comorbidities increase complication rates in patients having arthroplasty. Clin Orthop Relat Res. 2005:232-238.
23. Silber JH, Rosenbaum PR, Even-Shoshan O, et al. Estimating anesthesia time using the Medicare claim: a validation study. Anesthesiology. 2011;115:322-333.
24. Silber JH, Rosenbaum PR, Trudeau ME, et al. Multivariate matching and bias reduction in the surgical outcomes study. Med Care. 2001;39:1048-1064.
25. Rosenbaum PR. Design of observational studies. New York, NY: Springer; 2010.
26. Silber JH, Rosenbaum PR, Polsky D, et al. Does ovarian cancer treatment and survival differ by the specialty providing chemotherapy? J Clin Oncol. 2007;25:1169-1175.
27. Silber JH, Rosenbaum PR, Trudeau ME, et al. Preoperative antibiotics and mortality in the elderly. Ann Surg. 2005;242:107-114.
28. Silber JH, Lorch SA,Rosenbaum PR, et al. Time to send the preemie home? Additional maturity at discharge and subsequent healthcare costs and outcomes. Health Serv Res. 2009;44:444-463.
29. Calle EE, Rodriguez C, Walker-Thurmond K, et al. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med. 2003;348:1625-1638.
30. Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43:122-131.
31. KnausWA,Wagner DP, Draper EA, et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest. 1991;100:1619-1636.
32. Rosenbaum PR, Ross RN, Silber JH. Minimum distance matched sampling with fine balance in an observational study of treatment for ovarian cancer. J Am Stat Assoc. 2007;102:75-83.
33. Rosenbaum PR, Rubin DB. Constructing a control group using multivariate matched sampling methods that incorporate the propensity score. Am Stat. 1985;39:33-38.
34. Hansen BB. The prognostic analogue of the propensity score. Biometrika. 2008;95:481-488.
35. Research Data Assistance Center. Available at: http://www.resdac.umn.edu. Accessed April 4, 2011.
36. Lave JR, Pashos CL, Anderson GF, et al. Costingmedical care: usingMedicare administrative data. Med Care. 1994;32:JS77-JS89.
37. Wilson LS, Lightwood JM. Pancreatic cancer: total costs and utilization of health services. J Surg Oncol. 1999;71:171-181.
38. Halpern NA, Pastores SM. Critical care medicine in the United States 2000-2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Crit Care Med. 2010;38:65-71.
39. Chatterjee A, Chen L, Goldenberg EA, et al. Opportunity cost in the evaluation of surgical innovations: a case study of laparoscopic versus open colectomy. Surg Endosc. 2010;24:1075-1079.
40. Bamezai A, Melnick G, Nawathe A. The cost of an emergency department visit and its relationship to emergency department volume. Ann Emerg Med. 2005;45:483-490.
41. Hollander M, Wolfe DA. Nonparametric Statistical Methods. 2nd ed. New York, NY: John Wiley & Sons; 1999.
42. Bishop YM, Fienberg SE, Holland PW. Analysis of square tables: symmetry and marginal homogeneity. In: Bishop YM, Fienberg SE, Holland PW, eds. Discrete Multivariate Analysis: Theory and Practice. Cambridge, MA: The MIT Press; 1975:281-286.
43. O'Brien PC, Fleming TR. A paired Prentice-Wilcoxon test for censored paired data. Biometrics. 1987;43:169-180.
44. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298:975-983.
45. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298:984-992.
46. Silber JH, Rosenbaum PR, Romano PS, et al. Hospital teaching intensity, patient race, and surgical outcomes. Arch Surg. 2009;144: 113-121.
47. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360:1418-1428.
48. Naylor M, Keating SA. Transitional care. Am J Nurs. 2008;108:58-63.
49. Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA. 1999;281:613-620.
50. Naylor MD, Brooten DA, Campbell RL, et al. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc. 2004;52:675-684.