First‐year weight loss following gastric band surgery predicts long‐term outcomes

Introduction: Catheter ablation of atrial fibrillation (AF) is an established therapeutic rhythm approach in symptomatic patients. Obesity is a dominant driver of AF recurrence after ablation. Weight reduction strategies lower general AF burden and as such may be critical to long-term success rates after ablation. Hypothesis: Long-term outcomes after AF ablation will be better in obese patients with sustained weight loss. Methods: All patients that underwent an index ablation with a BMI recorded and >30 kg/m 2 and at least 3 years of follow-up were included (n=407). The group was separated and compared by weight trends over the 3 years (1. Lost >3% of index weight, n=141; 2. Maintained index weight ±3%, n=147; 3. Gained >3% of index weight at 3 years, n=119). Long-term outcomes included AF recurrence and a composite defined as major adverse clinical events, MACE (stroke/TIA, heart failure (HF) hospitalization, and death). Results: The average age was 63.6±10.4 years, 59.3% were male and 51.7% had paroxysmal AF. AF comorbidities include: hypertension (79.5%), heart failure (36.0%), sleep apnea (35.2%), diabetes (28.9%), and stroke/TIA (5.9%). Those that maintained their weight (HR: 1.45, p=0.05) and those that gained weight (HR 1.54, p=0.07) were more likely to have AF recurrence compared to those that lost weight. Similarly, MACE increased from 18.4% in those that lost weight at 3 years compared to 18.6% (HR 1.32, p=0.29) in those that maintained their weight and 26.5% in those that gained weight (HR 2.01, p=0.02). A small group of patients (n=5), lost >3% then gained it back and ultimately increased their weight by 3%. This group had the highest rates of AF recurrence (100%). Conclusion: Maintained weight loss is a critical component in reducing AF recurrence rates after index catheter ablation in obese patients. Sustained weight loss also results in a reduction in AF-related comorbidities and mortality.

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Treatment of Severe Gynecomastia After Massive Weight Loss: Analysis of Long-Term Outcomes Measured with the Italian Version of the BODY-Q

Aesthetic Plastic Surgery ◽

10.1007/s00266-018-1232-9 ◽

2018 ◽

Vol 42 (6) ◽

pp. 1506-1518 ◽

Cited By ~ 4

Author(s):

M. Barone ◽

A. Cogliandro ◽

E. Tsangaris ◽

R. Salzillo ◽

M. Morelli Coppola ◽

...

Keyword(s):

Weight Loss ◽

Massive Weight Loss ◽

The Body ◽

Long Term Outcomes ◽

Italian Version ◽

Loss Analysis

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How “DUP” and “EE” Predict the Dynamic OD Syndromes in the Long - Termcourse of Schizophrenia?

European Psychiatry ◽

10.1016/s0924-9338(09)70584-x ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

A. Cechnicki ◽

R. Polczyk ◽

A. Bielańska

Keyword(s):

Repeated Measures ◽

First Episode ◽

First Year ◽

List Type ◽

Type Number ◽

Long Term Outcomes ◽

Course Of Illness ◽

Negative Syndrome

Objective:The study in Krakow investigated the way in which EE and DUP correlated with long term outcomes of the treatment and the course of illness.Subjects and methods:58 out of 80 DSM III schizophrenia diagnosed patients took part in 1, 3, 7 and 12 follow-up. The Follow-Up Chart, BPRS, and CFI were used. As the outcome criteria only dynamic of symptoms were included. The dynamic of the symptoms and the relation between DUP and EE were analyzed by repeated measures of ANOVA.Results:1.General, positive and negative syndromes decreased rapidly after the first hospitalization, and increased slightly between 7 and 12 yrs. (ps < 0.001). The negative syndrome decreased less rapidly during the first year.2.The dynamic of general and positive syndrome were modified by the DUP and by EE. In long DUP (general syndrome: p = 0.028; positive syndrome: p = 0.001) the dynamic was worse. High EE subjects had more severe syndromes at the admission. After the first hospitalization their results became as good as in the case of low EE (general syndrome: p = 0.004; positive syndrome: p = 0.044).3.The dynamic of negative syndrome was neither modified by DUP (p = 0.896) or by EE (p = 0.309).Conclusion:The dynamic of general and positive syndromes were modified by DUP during 12 years follow-up and by EE only in acute state in the first episode. The dynamic of negative syndrome was not modified by DUP and EE.

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Predictors of Good Long-Term Renal Outcomes in Lupus Nephritis: Results from a Single Lupus Cohort

BioMed Research International ◽

10.1155/2017/5312960 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

William A. Fung ◽

Jiandong Su ◽

Zahi Touma

Keyword(s):

Clinical Trials ◽

Lupus Nephritis ◽

Positive Predictive Value ◽

Descriptive Statistics ◽

First Year ◽

Receiver Operator Characteristic ◽

Long Term Outcomes ◽

Trade Off ◽

Renal Outcomes

This study aims to elucidate the predictive capabilities of proteinuria, serum creatinine (Cr), and urine RBCs (uRBCs) with respect to long-term renal outcomes in lupus nephritis (LN) in patients followed in clinic. Methods. A retrospective analysis was performed on patients with LN. We evaluated the ability of proteinuria, serum Cr, and uRBCs at 12 months to predict good long-term renal outcomes defined as serum Cr ≤ 100 mmol/L and kidney transplant/dialysis-free at the 7th year. Receiver operator characteristic curves were generated for proteinuria, serum Cr, and uRBCs to study their ability to predict good long-term outcomes and to identify their best cut-off. Descriptive statistics studied the pattern of change of proteinuria and serum Cr. Results. Proteinuria of 0.6 g/d and Cr of 83 mmol/L performed independently moderately well in predicting good long-term renal outcomes while uRBC was less accurate. Combining serum Cr to proteinuria gave a small increase in positive predictive value with a trade-off in sensitivity. Proteinuria changed within the first year whereas serum Cr changed until the 7th year. Conclusions. Both proteinuria and Cr predict good long-term renal outcomes in LN. Proteinuria’s ability to change faster at 12 months makes it a favorable endpoint for clinical trials and research studies.

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Clinical characteristics vary between women and men in 67,524 patients with moderate obesity preoperative for laparoscopic adjustable gastric band (LAGB)

Advances in Obesity Weight Management & Control ◽

10.15406/aowmc.2020.10.00316 ◽

2020 ◽

Vol 10 (4) ◽

pp. 111-115

Author(s):

Christopher Bashian ◽

Jandie Schwartz ◽

Luke Perry ◽

Gus J Slotman

Keyword(s):

Mental Health ◽

Clinical Characteristics ◽

Gastric Band ◽

Laparoscopic Adjustable Gastric Band ◽

Adjustable Gastric Band ◽

Abdominal Hernia ◽

Clinical Knowledge ◽

Long Term Outcomes ◽

Clinical Conditions

Background: As of 2018, LAGB represents <2% of weight loss operations, but with excellent long-term outcomes in selected patients. Thus, every clinical insight can help in selecting LAGB patients and planning surgery. While more women than men undergo bariatric surgery, differences between the sexes in obesity-related clinical conditions pre-operatively among patients seeking LAGB have not been investigated. The objective of this study was to identify variations in obesity-related co-morbidities among women and men who chose laparoscopic adjustable gastric band (LAGB). Methods: Pre-operative data on 53,292 women and 14,222 men undergoing LAGB were examined retrospectively from the Surgical Review Corporation’s Bariatric Outcomes Longitudinal Database (BOLD). Results: Women were more frequently African American and on Medicaid while men were more frequently Caucasian insured with Medicare. Men were older, heavier, and used alcohol, tobacco, and illicit substances more frequently. Men had higher rates of cardiovascular and pulmonary disease, diabetes, gout, impaired functional status, abdominal hernia, and liver disease. Women had higher rates of asthma, cholelithiasis, urinary incontinence, panniculitis, and mental health. Conclusion: Pre-operative characteristics of LAGB patients vary by sex. This clinical knowledge may aid physicians and surgeons in facilitating anticipatory management of patients with moderate obesity

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Long-term outcomes among Medicare patients readmitted in the first year of hemodialysis: a retrospective cohort study

BMC Nephrology ◽

10.1186/s12882-019-1473-0 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Katherine H. Ross ◽

Bernard G. Jaar ◽

Janice P. Lea ◽

Tahsin Masud ◽

Rachel E. Patzer ◽

...

Keyword(s):

Cohort Study ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

First Year ◽

Long Term Outcomes ◽

Medicare Patients

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Long-Term Outcomes of Roux-en-Y Gastric Bypass Conversion of Failed Laparoscopic Gastric Band

Obesity Surgery ◽

10.1007/s11695-016-2529-x ◽

2017 ◽

Vol 27 (6) ◽

pp. 1401-1408 ◽

Cited By ~ 14

Author(s):

Hanaa N Dakour Aridi ◽

Mohammad-Rachad Wehbe ◽

Ghassan Shamseddine ◽

Ramzi S Alami ◽

Bassem Y Safadi

Keyword(s):

Gastric Bypass ◽

Gastric Band ◽

Long Term Outcomes ◽

Laparoscopic Gastric Band

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Foregut Issues After Bariatric Surgery

Foregut: The Journal of the American Foregut Society ◽

10.1177/26345161211067499 ◽

2022 ◽

pp. 263451612110674

Author(s):

Fareed Cheema ◽

Aurora D. Pryor

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Postoperative Complications ◽

Weight Loss Surgery ◽

Long Term Outcomes ◽

Operative Complications ◽

Complications After Bariatric Surgery ◽

Broad Scale ◽

Post Operative Complications

Weight loss surgery has overall been shown to be very safe and effective. However, long-term outcomes data has allowed codification of post-operative complications specific to the type of weight loss surgery performed. This review focuses specifically on foregut-related postoperative complications after weight loss surgery, most of which are not discussed on a broad scale in the literature yet whose prevalence continues to rise. Clinicians should maintain a broad differential when treating patients with complications after bariatric surgery in order to perform a thorough and precise workup to identify the diagnosis and guide management.

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How “DUP” and “ee” Predict the Dynamic OD Syndromes in the Long - Termcourse of Schizophrenia?

European Psychiatry ◽

10.1016/s0924-9338(09)71355-0 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

A. Cechnicki ◽

R. Polczyk ◽

A. Bielańska

Keyword(s):

Repeated Measures ◽

First Episode ◽

First Year ◽

List Type ◽

Type Number ◽

Long Term Outcomes ◽

Course Of Illness ◽

Negative Syndrome

Objective:The study in Krakow investigated the way in which EE and DUP correlated with long term outcomes of the treatment and the course of illness.Subjects and methods:58 out of 80 DSM III schizophrenia diagnosed patients took part in 1, 3, 7 and 12 follow-up. the Follow-Up Chart, BPRS, and CFI were used. as the outcome criteria only dynamic of symptoms were included. the dynamic of the symptoms and the relation between DUP and EE were analyzed by repeated measures of ANOVA.Results:1.General, positive and negative syndromes decreased rapidly after the first hospitalization, and increased slightly between 7 and 12 yrs. (ps < 0.001). the negative syndrome decreased less rapidly during the first year.2.The dynamic of general and positive syndrome were modified by the DUP and by EE. in long DUP (general syndrome: p = 0.028; positive syndrome: p = 0.001) the dynamic was worse. High EE subjects had more severe syndromes at the admission. after the first hospitalization their results became as good as in the case of low EE (general syndrome: p = 0.004; positive syndrome: p = 0.044).3.The dynamic of negative syndrome was neither modified by DUP (p = 0.896) or by EE (p = 0.309).Conclusion:The dynamic of general and positive syndromes were modified by DUP during 12 years follow-up and by EE only in acute state in the first episode. the dynamic of negative syndrome was not modified by DUP and EE.

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