0
Invited Critique |

Possible Lack of Survival Advantage for One Group:  Comment on “Predictors of Long-term Mortality After Bariatric Surgery Performed in Veterans Affairs Medical Centers”

Clifford W. Deveney, MD
Arch Surg. 2009;144(10):920. doi:10.1001/archsurg.2009.135.
Text Size: A A A
Published online

Extract

In their article, “Predictors of Long-term Mortality After Bariatric Surgery Performed in Veterans Affairs Medical Centers,” Arterburn et al make several salient conclusions. The first and most important point is that the postoperative mortality rate between 30 days and 1 year is higher than the 30-day postoperative mortality rate. The second point is that patients with a BMI greater than 50 and a diagnostic cost group score of greater than 2 were at increased risk for mortality at any point up to the year in which they were studied and that 25% of these patients died within the first 3.5 years of follow-up. In their unadjusted data, the authors found that male sex, older age, and higher American Society of Anesthesiologists classification also correlated with a higher risk of death in the first year after gastric bypass. These data are important because they correlate with data of other series that concern risk of death during the first year after gastric bypass.13 The mortality rate in this series, which is slightly higher than the national average, reflects many of the factors that contribute to increased mortality (ie, male, older, increased comorbidities).

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();