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The Effects of Obesity and Bariatric Surgery on Rates of Upper Extremity Compression Neuropathies.
Khalid, Syed I; Maasarani, Samantha; Thomson, Kyle B; Pires, Giovanna R; Becerra, Adan; Adogwa, Owoicho; Mehta, Ankit I; Noland, Shelley S; Torquati, Alfonso.
Afiliación
  • Khalid SI; From the Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL.
  • Maasarani S; Department of General Surgery, Rush University Medical Center, Chicago, IL.
  • Thomson KB; Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH.
  • Pires GR; Chicago Medical School, Rosalind Franklin University, North Chicago, IL.
  • Becerra A; Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic Arizona, Phoenix, AZ.
  • Adogwa O; Department of Orthopedic Surgery, Mayo Clinic Arizona, Phoenix, AZ.
  • Mehta AI; Department of General Surgery, Rush University Medical Center, Chicago, IL.
  • Noland SS; Department of Neurosurgery, University of Texas Southwestern Medical School, Dallas, TX.
  • Torquati A; From the Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL.
Ann Surg Open ; 3(1): e146, 2022 Mar.
Article en En | MEDLINE | ID: mdl-37600109
Objectives: To estimate the effects of obesity on all types of upper extremity compression neuropathies (UECN) (carpal tunnel syndrome and other median nerve, radial nerve, and ulnar nerve compression neuropathies) and to assess whether bariatric surgery modifies these effects. Background: UECN are increasingly prevalent and decrease the quality of life of affected individuals. Studies suggest obesity as a risk factor for carpal tunnel syndrome, the most common type of UECN. Methods: A retrospective cohort study was conducted using the PearlDiver Mariner Database, an all-payor claims database containing claims for over 53 million patients from 2010 to 2019 in all 50 US states. Rates and odds of all types of UECN were compared between 1:1:1 exact matched cohorts of obese patients who were medically managed, obese patients who underwent bariatric surgery, and nonobese patients (111,967 patients in each cohort). Results: Compared with nonobese patients, patients with obesity were significantly more likely to develop any UECN (odds ratio [OR], 1.13; 95% confidence interval [CI], 1.09-1.18), carpal tunnel syndrome (OR, 1.15; 95% CI, 1.10-1.30), and 2 or more UECN (OR, 1.34; 95% CI, 1.20-1.48). Compared with obese patients who were managed medically, obese patients who underwent bariatric surgery were significantly less likely to develop any UECN (OR, 0.87; 95% CI, 0.84-0.91) and carpal tunnel syndrome (OR, 0.85; 95% CI, 0.81-0.89). Conclusions: Obese patients have higher odds of both single and concomitant UECN, specifically carpal tunnel syndrome, compared with nonobese patients. Bariatric surgery decreases the odds of developing UECN compared with obese patients not undergoing surgical intervention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: Ann Surg Open Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: Ann Surg Open Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos