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The Effect of Insurance Status on Pre- and Post-operative Bariatric Surgery Outcomes

Authors
  • Hayes, Sharon1
  • Napolitano, Melissa A.2
  • Lent, Michelle R.3
  • Wood, G. Craig4
  • Gerhard, Glenn S.5
  • Irving, Brian A.4
  • Argyropoulos, George4
  • Foster, Gary D.3
  • Still, Christopher D.4
  • 1 Keiser University, Department of Psychology, 10330 South Federal Highway, Port Saint Lucie, FL, 34952, USA , Port Saint Lucie (United States)
  • 2 Milken Institute School of Public Health, The George Washington University, Department of Prevention and Community Health and Exercise and Nutrition Sciences, 950 New Hampshire Ave., Third Fl, Washington, D.C., 20052, USA , Washington, D.C. (United States)
  • 3 Temple University, Center for Obesity Research and Education, 3223 N. Broad Street, Suite 175, Philadelphia, PA, 19140, USA , Philadelphia (United States)
  • 4 Geisinger Medical Center, Geisinger Obesity Research Institute, 100 North Academy Avenue, Danville, PA, 17822, USA , Danville (United States)
  • 5 Penn State Hershey Institute for Personalized Medicine, 500 University Drive, Hershey, PA, 17033, USA , Hershey (United States)
Type
Published Article
Journal
Obesity Surgery
Publisher
Springer-Verlag
Publication Date
Nov 06, 2014
Volume
25
Issue
1
Pages
191–194
Identifiers
DOI: 10.1007/s11695-014-1478-5
Source
Springer Nature
Keywords
License
Yellow

Abstract

BackgroundThis study compared pre- and post-surgical data and outcomes among gastric bypass patients based on the type of insurance (Medicaid, Medicare, or private).MethodsData were examined from 2553 consecutive RYGB patients at a rural ASMBS Center of Excellence.ResultsParticipants were primarily female (80.5 %), Caucasian (97.1 %), and middle-aged (45.9 years). Medicaid patients’ BMI at consultation was significantly higher than the other two groups (p < 0.001). Time to surgery was significantly longer for Medicaid (13.2 %) and Medicare (7.1 %) patients compared with privately insured patients (p < 0.001). Pre-surgical weight loss and post-surgical percent of excess weight loss nadir did not differ among the groups. Type 2 diabetes remission rates were comparable across insurance groups.ConclusionsMedicaid patients, although demographically different from their privately insured and Medicare counterparts, will benefit from surgery with comparable weight loss results and overall diabetes remission rates.

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