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AuthorAlsaed, Omar Suhail
AuthorAl-Allaf, Abdul Wahab
AuthorElgenaied, Isra
AuthorJebril, Rawand Abdelnaser
AuthorSasi, Sreethish
AuthorAhmed, Ashraf Omer
AuthorBoussarsar, Rabab
AuthorIbrahim, Mohamed Izham Mohamed
AuthorAbdulmomen, Ibrahim
AuthorElhag, Wahiba
AuthorAlemadi, Samar A.Al Razaq
Available date2023-03-28T11:02:17Z
Publication Date2021-11-01
Publication NameObesity Surgery
Identifierhttp://dx.doi.org/10.1007/s11695-021-05655-9
CitationAlsaed, O.S., Al-Allaf, AW., Elgenaied, I. et al. Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up. OBES SURG 31, 4853–4860 (2021). https://doi.org/10.1007/s11695-021-05655-9
ISSN09608923
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85113892955&origin=inward
URIhttp://hdl.handle.net/10576/41400
AbstractPurpose: Bariatric surgeries are common procedures due to the high prevalence of obesity. This study aimed to investigate whether bariatric surgery increases fracture risk. Material and Methods: It was a case-controlled study. Patients who underwent bariatric surgery during 2011 and 2012 were matched for age (± 5 years) and gender to patients on medical weight management during the same period with a ratio of 1:2. The index date was defined as the date of bariatric surgery for both groups. The subject’s electronic medical records were reviewed retrospectively to identify fractures documented by radiology during January 2020. Results: Randomly selected 403 cases were matched to 806 controls with a median age of 36.0 years (IQR 14.0) and 37.0 years (IQR 14.0), respectively. Seventy per cent of the cohort were females. Eighty per cent received sleeve gastrectomy, and the remaining (17%) underwent gastric bypass. The mean duration of follow-up was 8.6 years. The fracture rate was higher in the surgical group as compared to the controls (9.4% vs 3.5%) with a crude odds ratio of 2.71 (95% CI 1.69–4.36). The median duration for time to fracture was 4.17 years for the surgical group and 6.09 years for controls (p-value = 0.097). The most common site of fractures was feet, followed by hands. Apart from a few wrist fractures, there was no typical osteoporotic sites fracture. Conclusion: Subjects who underwent bariatric procedures had more non-typical osteoporotic site fractures affecting mainly feet and hands, and fractures tend to occur earlier as compared to controls. Graphical abstract: [Figure not available: see fulltext.]
SponsorOpen access funding provided by the Qatar National Library.
Languageen
PublisherSpringer
SubjectBariatric surgery
Fracture
Malabsorption
Obesity
Osteoporosis
TitleIncreased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
TypeArticle
Pagination4853-4860
Issue Number11
Volume Number31
dc.accessType Open Access


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