Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients

<h3>Abstract</h3><p dir="ltr">Systematic review/meta-analysis of cumulative incidences of venous thromboembolic events (VTE) after metabolic and bariatric surgery (MBS). Electronic databases were searched for original studies. Proportional meta-analysis assessed cumulativ...

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Main Author: Walid El Ansari (93732) (author)
Other Authors: Ayman El-Menyar (440103) (author), Kareem El-Ansari (14058057) (author), Abdulla Al-Ansari (14150583) (author), Merilyn Lock (9440240) (author)
Published: 2024
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_version_ 1864513509781405696
author Walid El Ansari (93732)
author2 Ayman El-Menyar (440103)
Kareem El-Ansari (14058057)
Abdulla Al-Ansari (14150583)
Merilyn Lock (9440240)
author2_role author
author
author
author
author_facet Walid El Ansari (93732)
Ayman El-Menyar (440103)
Kareem El-Ansari (14058057)
Abdulla Al-Ansari (14150583)
Merilyn Lock (9440240)
author_role author
dc.creator.none.fl_str_mv Walid El Ansari (93732)
Ayman El-Menyar (440103)
Kareem El-Ansari (14058057)
Abdulla Al-Ansari (14150583)
Merilyn Lock (9440240)
dc.date.none.fl_str_mv 2024-04-11T09:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s11695-024-07184-7
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Cumulative_Incidence_of_Venous_Thromboembolic_Events_In-Hospital_and_at_1_3_6_and_12_Months_After_Metabolic_and_Bariatric_Surgery_Systematic_Review_of_87_Studies_and_Meta-analysis_of_2_731_797_Patients/26421610
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Systematic review
Meta-analysis
Morbid obesity
Bariatric surgery
Venous thromboembolism
Incidence Laparoscopic procedure
Open surgery
dc.title.none.fl_str_mv Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Abstract</h3><p dir="ltr">Systematic review/meta-analysis of cumulative incidences of venous thromboembolic events (VTE) after metabolic and bariatric surgery (MBS). Electronic databases were searched for original studies. Proportional meta-analysis assessed cumulative VTE incidences. (PROSPERO ID:CRD42020184529). A total of 3066 records, and 87 studies were included (N patients = 4,991,683). Pooled in-hospital VTE of mainly laparoscopic studies = 0.15% (95% CI = 0.13–0.18%); pooled cumulative incidence increased to 0.50% (95% CI = 0.33–0.70%); 0.51% (95% CI = 0.38–0.65%); 0.72% (95% CI = 0.13–1.52%); 0.78% (95% CI = 0–3.49%) at 30 days and 3, 6, and 12 months, respectively. Studies using predominantly open approach exhibited higher incidence than laparoscopic studies. Within the first month, 60% of VTE occurred after discharge. North American and earlier studies had higher incidence than non-North American and more recent studies. This study is the first to generate detailed estimates of the incidence and patterns of VTE after MBS over time. The incidence of VTE after MBS is low. Improved estimates and time variations of VTE require longer-term designs, non-aggregated reporting of characteristics, and must consider many factors and the use of data registries. Extended surveillance of VTE after MBS is required.</p><h2>Other Information</h2><p dir="ltr">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="https://dx.doi.org/10.1007/s11695-024-07184-7" target="_blank">https://dx.doi.org/10.1007/s11695-024-07184-7</a></p>
eu_rights_str_mv openAccess
id Manara2_ede8dac79a802cf3627d7b8f40db9182
identifier_str_mv 10.1007/s11695-024-07184-7
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/26421610
publishDate 2024
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rights_invalid_str_mv CC BY 4.0
spelling Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 PatientsWalid El Ansari (93732)Ayman El-Menyar (440103)Kareem El-Ansari (14058057)Abdulla Al-Ansari (14150583)Merilyn Lock (9440240)Biomedical and clinical sciencesClinical sciencesMedical biochemistry and metabolomicsHealth sciencesEpidemiologySystematic reviewMeta-analysisMorbid obesityBariatric surgeryVenous thromboembolismIncidence Laparoscopic procedureOpen surgery<h3>Abstract</h3><p dir="ltr">Systematic review/meta-analysis of cumulative incidences of venous thromboembolic events (VTE) after metabolic and bariatric surgery (MBS). Electronic databases were searched for original studies. Proportional meta-analysis assessed cumulative VTE incidences. (PROSPERO ID:CRD42020184529). A total of 3066 records, and 87 studies were included (N patients = 4,991,683). Pooled in-hospital VTE of mainly laparoscopic studies = 0.15% (95% CI = 0.13–0.18%); pooled cumulative incidence increased to 0.50% (95% CI = 0.33–0.70%); 0.51% (95% CI = 0.38–0.65%); 0.72% (95% CI = 0.13–1.52%); 0.78% (95% CI = 0–3.49%) at 30 days and 3, 6, and 12 months, respectively. Studies using predominantly open approach exhibited higher incidence than laparoscopic studies. Within the first month, 60% of VTE occurred after discharge. North American and earlier studies had higher incidence than non-North American and more recent studies. This study is the first to generate detailed estimates of the incidence and patterns of VTE after MBS over time. The incidence of VTE after MBS is low. Improved estimates and time variations of VTE require longer-term designs, non-aggregated reporting of characteristics, and must consider many factors and the use of data registries. Extended surveillance of VTE after MBS is required.</p><h2>Other Information</h2><p dir="ltr">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="https://dx.doi.org/10.1007/s11695-024-07184-7" target="_blank">https://dx.doi.org/10.1007/s11695-024-07184-7</a></p>2024-04-11T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11695-024-07184-7https://figshare.com/articles/journal_contribution/Cumulative_Incidence_of_Venous_Thromboembolic_Events_In-Hospital_and_at_1_3_6_and_12_Months_After_Metabolic_and_Bariatric_Surgery_Systematic_Review_of_87_Studies_and_Meta-analysis_of_2_731_797_Patients/26421610CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/264216102024-04-11T09:00:00Z
spellingShingle Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
Walid El Ansari (93732)
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Systematic review
Meta-analysis
Morbid obesity
Bariatric surgery
Venous thromboembolism
Incidence Laparoscopic procedure
Open surgery
status_str publishedVersion
title Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
title_full Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
title_fullStr Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
title_full_unstemmed Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
title_short Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
title_sort Cumulative Incidence of Venous Thromboembolic Events In-Hospital, and at 1, 3, 6, and 12 Months After Metabolic and Bariatric Surgery: Systematic Review of 87 Studies and Meta-analysis of 2,731,797 Patients
topic Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Systematic review
Meta-analysis
Morbid obesity
Bariatric surgery
Venous thromboembolism
Incidence Laparoscopic procedure
Open surgery