Challenges of obesity in today's surgical healthcare

Article Anesthesiology

Impact of body mass index on surgical case durations in an academic medical center

John S. McNeil et al.

Summary: This study aims to explore the relationship between patient BMI and operating room duration. The analysis of a retrospective cohort reveals that patients with higher BMI tend to spend more time in the operating room, primarily due to longer anesthesia time.

JOURNAL OF CLINICAL ANESTHESIA (2023)

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Article Critical Care Medicine

The impact of obesity on polytraumatized patients with operatively treated fractures

Aissam Elmhiregh et al.

Summary: This study aimed to evaluate the effect of obesity on outcomes following operative treatment of fractures in obese polytrauma patients. The results showed that obesity was associated with increased hospital and ICU length of stay, as well as higher rates of ICU admission and mechanical ventilation. This highlights the importance of optimizing trauma care for obese polytrauma patients.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2022)

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Review Endocrinology & Metabolism

Association of weight status and the risks of diabetes in adults: a systematic review and meta-analysis of prospective cohort studies

Hong-jie Yu et al.

Summary: The association between underweight and type 2 diabetes mellitus (T2DM), as well as the relationship between weight status and prediabetes, has not been systematically reviewed. This study found that overweight/obesity is associated with an increased risk of prediabetes/T2DM, while underweight is a protective factor against T2DM in non-Asians. The risk of T2DM in overweight/obese individuals varies with age, region, and assessment methods.

INTERNATIONAL JOURNAL OF OBESITY (2022)

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Article Anesthesiology

Reduction of Nonoperative Time Using the Induction Room, Parallel Processing, and Sugammadex: A Randomized Clinical Trial

Roland Kaddoum et al.

Summary: Nonoperative time (NOT) is a crucial factor in the operating room that can greatly impact efficiency and satisfaction. Parallel processing and the use of sugammadex can effectively reduce NOT and improve surgeon satisfaction.

ANESTHESIA AND ANALGESIA (2022)

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Article Surgery

Indications, trends, and perioperative outcomes of minimally invasive and open liver surgery in non-obese and obese patients: An international multicentre propensity score matched retrospective cohort study of 9963 patients

Giuseppe Zimmitti et al.

Summary: This study compared the outcomes of obese and non-obese patients undergoing MILS and OLS, and found that MILS was associated with better perioperative results in both groups. The adoption of MILS in obese patients increased gradually over time.

INTERNATIONAL JOURNAL OF SURGERY (2022)

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Article Multidisciplinary Sciences

Association of body mass index with health care expenditures in the United States by age and sex

Zachary J. Ward et al.

Summary: This study estimated health care expenditures associated with excess weight, finding a J-shaped curve of costs by BMI, with significant increases in medical expenses for obesity and severe obesity. The findings emphasize the importance of promoting a healthy weight and preventing extreme weight gain to reduce healthcare costs across a broad range of ages and BMI levels.

PLOS ONE (2021)

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Review Cardiac & Cardiovascular Systems