Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up

<h2>Purpose</h2> <p>Bariatric surgeries are common procedures due to the high prevalence of obesity. This study aimed to investigate whether bariatric surgery increases fracture risk.</p> <h2>Material and Methods</h2> <p>It was a case-controlled study. Patie...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Omar Suhail Alsaed (14151861) (author)
مؤلفون آخرون: Abdul-Wahab Al-Allaf (14151864) (author), Isra Elgenaied (14151867) (author), Rawand Abdelnaser Jebril (14151870) (author), Sreethish Sasi (14151873) (author), Ashraf Omer Ahmed (14151876) (author), Rabab Boussarsar (14151879) (author), Mohamed Izham Mohamed Ibrahim (10221287) (author), Ibrahim Abdulmomen (14151882) (author), Wahiba Elhag (5245547) (author), Samar A. Al Razaq Alemadi (14151885) (author)
منشور في: 2022
الموضوعات:
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author Omar Suhail Alsaed (14151861)
author2 Abdul-Wahab Al-Allaf (14151864)
Isra Elgenaied (14151867)
Rawand Abdelnaser Jebril (14151870)
Sreethish Sasi (14151873)
Ashraf Omer Ahmed (14151876)
Rabab Boussarsar (14151879)
Mohamed Izham Mohamed Ibrahim (10221287)
Ibrahim Abdulmomen (14151882)
Wahiba Elhag (5245547)
Samar A. Al Razaq Alemadi (14151885)
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Omar Suhail Alsaed (14151861)
Abdul-Wahab Al-Allaf (14151864)
Isra Elgenaied (14151867)
Rawand Abdelnaser Jebril (14151870)
Sreethish Sasi (14151873)
Ashraf Omer Ahmed (14151876)
Rabab Boussarsar (14151879)
Mohamed Izham Mohamed Ibrahim (10221287)
Ibrahim Abdulmomen (14151882)
Wahiba Elhag (5245547)
Samar A. Al Razaq Alemadi (14151885)
author_role author
dc.creator.none.fl_str_mv Omar Suhail Alsaed (14151861)
Abdul-Wahab Al-Allaf (14151864)
Isra Elgenaied (14151867)
Rawand Abdelnaser Jebril (14151870)
Sreethish Sasi (14151873)
Ashraf Omer Ahmed (14151876)
Rabab Boussarsar (14151879)
Mohamed Izham Mohamed Ibrahim (10221287)
Ibrahim Abdulmomen (14151882)
Wahiba Elhag (5245547)
Samar A. Al Razaq Alemadi (14151885)
dc.date.none.fl_str_mv 2022-11-22T21:14:56Z
dc.identifier.none.fl_str_mv 10.1007/s11695-021-05655-9
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Increased_Fracture_Risk_After_Bariatric_Surgery_a_Case-Controlled_Study_with_a_Long-Term_Follow-Up/21597627
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Medical biochemistry and metabolomics
Nutrition and dietetics
Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Surgery
dc.title.none.fl_str_mv Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h2>Purpose</h2> <p>Bariatric surgeries are common procedures due to the high prevalence of obesity. This study aimed to investigate whether bariatric surgery increases fracture risk.</p> <h2>Material and Methods</h2> <p>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.</p> <h2>Results</h2> <p>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.</p> <h2>Conclusion</h2> <p>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.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-021-05655-9" target="_blank">http://dx.doi.org/10.1007/s11695-021-05655-9</a></p>
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identifier_str_mv 10.1007/s11695-021-05655-9
network_acronym_str Manara2
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spelling Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-UpOmar Suhail Alsaed (14151861)Abdul-Wahab Al-Allaf (14151864)Isra Elgenaied (14151867)Rawand Abdelnaser Jebril (14151870)Sreethish Sasi (14151873)Ashraf Omer Ahmed (14151876)Rabab Boussarsar (14151879)Mohamed Izham Mohamed Ibrahim (10221287)Ibrahim Abdulmomen (14151882)Wahiba Elhag (5245547)Samar A. Al Razaq Alemadi (14151885)Medical biochemistry and metabolomicsNutrition and dieteticsNutrition and DieteticsEndocrinology, Diabetes and MetabolismSurgery<h2>Purpose</h2> <p>Bariatric surgeries are common procedures due to the high prevalence of obesity. This study aimed to investigate whether bariatric surgery increases fracture risk.</p> <h2>Material and Methods</h2> <p>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.</p> <h2>Results</h2> <p>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.</p> <h2>Conclusion</h2> <p>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.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-021-05655-9" target="_blank">http://dx.doi.org/10.1007/s11695-021-05655-9</a></p>2022-11-22T21:14:56ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11695-021-05655-9https://figshare.com/articles/journal_contribution/Increased_Fracture_Risk_After_Bariatric_Surgery_a_Case-Controlled_Study_with_a_Long-Term_Follow-Up/21597627CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215976272022-11-22T21:14:56Z
spellingShingle Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
Omar Suhail Alsaed (14151861)
Medical biochemistry and metabolomics
Nutrition and dietetics
Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Surgery
status_str publishedVersion
title Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
title_full Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
title_fullStr Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
title_full_unstemmed Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
title_short Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
title_sort Increased Fracture Risk After Bariatric Surgery: a Case-Controlled Study with a Long-Term Follow-Up
topic Medical biochemistry and metabolomics
Nutrition and dietetics
Nutrition and Dietetics
Endocrinology, Diabetes and Metabolism
Surgery