30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries.

Singhal, Rishi, Ludwig, Christian, Rudge, Gavin, Gkoutos, Georgios V, Tahrani, Abd A, Mahawar, Kamal, Pędziwiatr, Michał, Major, Piotr, Zarzycki, Piotr, Pantelis, Athanasios, Lapatsanis, Dimitris P, Stravodimos, Georgios, Matthys, Chris, Focquet, Marc, Vleeschouwers, Wouter, Spaventa, Antonio G, Zerrweck, Carlos, Vitiello, Antonio, Berardi, Giovanna, Musella, Mario, Sanchez-Meza, Alberto, Cantu, Felipe J, Mora, Fernando, Cantu, Marco A, Katakwar, Abhishek, Reddy, D Nageshwar, Elmaleh, Haitham, Hassan, Mohammad, Elghandour, Abdelrahman, Elbanna, Mohey, Osman, Ahmed, Khan, Athar, Layani, Laurent, Kiran, Nalini, Velikorechin, Andrey, Solovyeva, Maria, Melali, Hamid, Shahabi, Shahab, Agrawal, Ashish, Shrivastava, Apoorv, Sharma, Ankur, Narwaria, Bhavya, Narwaria, Mahendra, Raziel, Asnat, Sakran, Nasser, Susmallian, Sergio, Karagöz, Levent, Akbaba, Murat, Pişkin, Salih Zeki, Balta, Ahmet Ziya, Senol, Zafer, Manno, Emilio, Iovino, Michele Giuseppe, Osman, Ahmed, Qassem, Mohamed, Arana-Garza, Sebastián, Povoas, Heitor P, Vilas-Boas, Marcos Leão, Naumann, David, Super, Jonathan, Li, Alan, Ammori, Basil J, Balamoun, Hany, Salman, Mohammed, Nasta, Amrit Manik, Goel, Ramen, Sánchez-Aguilar, Hugo, Herrera, Miguel F, Abou-Mrad, Adel, Cloix, Lucie, Mazzini, Guilherme Silva, Kristem, Leonardo, Lazaro, Andre, Campos, Jose, Bernardo, Joaquín, González, Jesús, Trindade, Carlos, Viveiros, Octávio, Ribeiro, Rui, Goitein, David, Hazzan, David, Segev, Lior, Beck, Tamar, Reyes, Hernán, Monterrubio, Jerónimo, García, Paulina, Benois, Marine, Kassir, Radwan, Contine, Alessandro, Elshafei, Moustafa, Aktas, Sueleyman, Weiner, Sylvia, Heidsieck, Till, Level, Luis, Pinango, Silvia, Ortega, Patricia Martinez, Moncada, Rafael, Valenti, Victor, Vlahović, Ivan, Boras, Zdenko, Liagre, Arnaud, Martini, Francesco, Juglard, Gildas, Motwani, Manish, Saggu, Sukhvinder Singh, Al Moman, Hazem, López, Luis Adolfo Aceves, Cortez, María Angelina Contreras, Zavala, Rodrigo Aceves, D'Haese, Christine, Kempeneers, Ivo, Himpens, Jacques, Lazzati, Andrea, Paolino, Luca, Bathaei, Sarah, Bedirli, Abdulkadir, Yavuz, Aydın, Büyükkasap, Çağrı, Özaydın, Safa, Kwiatkowski, Andrzej, Bartosiak, Katarzyna, Walędziak, Maciej, Santonicola, Antonella, Angrisani, Luigi, Iovino, Paola, Palma, Rossella, Iossa, Angelo, Boru, Cristian Eugeniu, De Angelis, Francesco, Silecchia, Gianfranco, Hussain, Abdulzahra, Balchandra, Srivinasan, Coltell, Izaskun Balciscueta, Pérez, Javier Lorenzo, Bohra, Ashok, Awan, Altaf K, Madhok, Brijesh, Leeder, Paul C, Awad, Sherif, Al-Khyatt, Waleed, Shoma, Ashraf, Elghadban, Hosam, Ghareeb, Sameh, Mathews, Bryan, Kurian, Marina, Larentzakis, Andreas, Vrakopoulou, Gavriella Zoi, Albanopoulos, Konstantinos, Bozdag, Ahemt, Lale, Azmi, Kirkil, Cuneyt, Dincer, Mursid, Bashir, Ahmad, Haddad, Ashraf, Hijleh, Leen Abu, Zilberstein, Bruno, de Marchi, Danilo Dallago, Souza, Willy Petrini, Brodén, Carl Magnus, Gislason, Hjörtur, Shah, Kamran, Ambrosi, Antonio, Pavone, Giovanna, Tartaglia, Nicola, Kona, S Lakshmi Kumari, Kalyan, K, Perez, Cesar Ernesto Guevara, Botero, Miguel Alberto Forero, Covic, Adrian, Timofte, Daniel, Maxim, Madalina, Faraj, Dashti, Tseng, Larissa, Liem, Ronald, Ören, Gürdal, Dilektasli, Evren, Yalcin, Ilker, AlMukhtar, Hudhaifa, Al Hadad, Mohammed, Mohan, Rasmi, Arora, Naresh, Bedi, Digvijaysingh, Rives-Lange, Claire, Chevallier, Jean-Marc, Poghosyan, Tigran, Sebbag, Hugues, Zinaï, Lamia, Khaldi, Saadi, Mauchien, Charles, Mazza, Davide, Dinescu, Georgiana, Rea, Bernardo, Pérez-Galaz, Fernando, Zavala, Luis, Besa, Anais, Curell, Anna, Balibrea, Jose M, Vaz, Carlos, Galindo, Luis, Silva, Nelson, Caballero, José Luis Estrada, Sebastian, Sergio Ortiz, Marchesini, João Caetano Dallegrave, da Fonseca Pereira, Ricardo Arcanjo, Sobottka, Wagner Herbert, Fiolo, Felipe Eduardo, Turchi, Matias, Coelho, Antonio Claudio Jamel, Zacaron, Andre Luis, Barbosa, André, Quinino, Reynaldo, Menaldi, Gabriel, Paleari, Nicolás, Martinez-Duartez, Pedro, de Aragon Ramírez de Esparza, Gabriel Martínez, Esteban, Valentin Sierra, Torres, Antonio, Garcia-Galocha, Jose Luis, Josa, Miguel, Pacheco-Garcia, Jose Manuel, Mayo-Ossorio, Maria Angeles, Chowbey, Pradeep, Soni, Vandana, de Vasconcelos Cunha, Hercio Azevedo, Castilho, Michel Victor, Ferreira, Rafael Meneguzzi Alves, Barreiro, Thiago Alvim, Charalabopoulos, Alexandros, Sdralis, Elias, Davakis, Spyridon, Bomans, Benoit, Dapri, Giovanni, Van Belle, Koenraad, Takieddine, Mazen, Vaneukem, Pol, Karaca, Esma Seda Akalın, Karaca, Fatih Can, Sumer, Aziz, Peksen, Caghan, Savas, Osman Anil, Chousleb, Elias, Elmokayed, Fahad, Fakhereldin, Islam, Aboshanab, Hany Mohamed, Swelium, Talal, Gudal, Ahmad, Gamloo, Lamees, Ugale, Ayushka, Ugale, Surendra, Boeker, Clara, Reetz, Christian, Hakami, Ibrahim Ali, Mall, Julian, Alexandrou, Andreas, Baili, Efstratia, Bodnar, Zsolt, Maleckas, Almantas, Gudaityte, Rita, Guldogan, Cem Emir, Gundogdu, Emre, Ozmen, Mehmet Mahir, Thakkar, Deepti, Dukkipati, Nandakishore, Shah, Poonam Shashank, Shah, Shashank Subhashchandra, Shah, Simran Shashank, Adil, Md Tanveer, Jambulingam, Periyathambi, Mamidanna, Ravikrishna, Whitelaw, Douglas, Adil, Md Tanveer, Jain, Vigyan, Veetil, Deepa Kizhakke, Wadhawan, Randeep, Torres, Antonio, Torres, Max, Tinoco, Tabata, Leclercq, Wouter, Romeijn, Marleen, van de Pas, Kelly, Alkhazraji, Ali K, Taha, Safwan A, Ustun, Murat, Yigit, Taner, Inam, Aatif, Burhanulhaq, Muhammad, Pazouki, Abdolreza, Eghbali, Foolad, Kermansaravi, Mohammad, Jazi, Amir Hosein Davarpanah, Mahmoudieh, Mohsen, Mogharehabed, Neda, Tsiotos, Gregory, Stamou, Konstantinos, Barrera Rodriguez, Francisco J, Rojas Navarro, Marco A, Torres, Omar MOhamed, Martinez, Sergio Lopez, Tamez, Elda Rocio Maltos, Millan Cornejo, Gustavo A, Flores, Jose Eduardo Garcia, Mohammed, Diya Aldeen, Elfawal, Mohamad Hayssam, Shabbir, Asim, Guowei, Kim, So, Jimmy By, Kaplan, Elif Tuğçe, Kaplan, Mehmet, Kaplan, Tuğba, Pham, DangTuan, Rana, Gurteshwar, Kappus, Mojdeh, Gadani, Riddish, Kahitan, Manish, Pokharel, Koshish, Osborne, Alan, Pournaras, Dimitri, Hewes, James, Napolitano, Errichetta, Chiappetta, Sonja, Bottino, Vincenzo, Dorado, Evelyn, Schoettler, Axel, Gaertner, Daniel, Fedtke, Katharina, Aguilar-Espinosa, Francisco, Aceves-Lozano, Saul, Balani, Alessandro, Nagliati, Carlo, Pennisi, Damiano, Rizzi, Andrea, Frattini, Francesco, Foschi, Diego, Benuzzi, Laura, Parikh, Chirag, Shah, Harshil, Pinotti, Enrico, Montuori, Mauro, Borrelli, Vincenzo, Dargent, Jerome, Copaescu, Catalin A, Hutopila, Ionut, Smeu, Bogdan, Witteman, Bart, Hazebroek, Eric, Deden, Laura, Heusschen, Laura, Okkema, Sietske, Aufenacker, Theo, den Hengst, Willem, Vening, Wouter, van der Burgh, Yonta, Ghazal, Ahmad, Ibrahim, Hamza, Niazi, Mourad, Alkhaffaf, Bilal, Altarawni, Mohammad, Cesana, Giovanni Carlo, Anselmino, Marco, Uccelli, Matteo, Olmi, Stefano, Stier, Christine, Akmanlar, Tahsin, Sonnenberg, Thomas, Schieferbein, Uwe, Marcolini, Alejandro, Awruch, Diego, Vicentin, Marco, de Souza Bastos, Eduardo Lemos, Gregorio, Samuel Azenha, Ahuja, Anmol, Mittal, Tarun, Bolckmans, Roel, Wiggins, Tom, Baratte, Clément, Wisnewsky, Judith Aron, Genser, Laurent, Chong, Lynn, Taylor, Lillian, Ward, Salena, Chong, Lynn, Taylor, Lillian, Hi, Michael W, Heneghan, Helen, Fearon, Naomi, Plamper, Andreas, Rheinwalt, Karl, Heneghan, Helen, Geoghegan, Justin, Ng, Kin Cheung, Fearon, Naomi, Kaseja, Krzysztof, Kotowski, Maciej, Samarkandy, Tarig A, Leyva-Alvizo, Adolfo, Corzo-Culebro, Lourdes, Wang, Cunchuan, Yang, Wah, Dong, Zhiyong, Riera, Manel, Jain, Rajesh, Hamed, Hosam, Said, Mohammed, Zarzar, Katia, Garcia, Manuel, Türkçapar, Ahmet Gökhan, Şen, Ozan, Baldini, Edoardo, Conti, Luigi, Wietzycoski, Cacio, Lopes, Eduardo, Pintar, Tadeja, Salobir, Jure, Aydin, Cengiz, Atici, Semra Demirli, Ergin, Anıl, Ciyiltepe, Huseyin, Bozkurt, Mehmet Abdussamet, Kizilkaya, Mehmet Celal, Onalan, Nezihe Berrin Dodur, Zuber, Mariana Nabila Binti Ahmad, Wong, Wei Jin, Garcia, Amador, Vidal, Laura, Beisani, Marc, Pasquier, Jorge, Vilallonga, Ramon, Sharma, Sharad, Parmar, Chetan, Lee, Lyndcie, Sufi, Pratik, Sinan, Hüseyin and Saydam, Mehmet (2021) 30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries. Obesity surgery, 31 (10). pp. 4272-4288. ISSN 1708-0428. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

Full text not available from this repository.
Official URL: http://link.springer.com/journal/11695

Abstract

BACKGROUND

There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates.

METHODS

We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020.

RESULTS

Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country.

CONCLUSIONS

BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: QW Microbiology. Immunology
QZ Pathology. Oncology
WD Diseases and disorders of systemic, metabolic or environmental origin > WD250 Metabolic diseases
WI Digestive system. Gastroenterology
WK Endocrine system. Endocrinology
WO Surgery
Divisions: Planned IP Care > General Surgery
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Depositing User: Jamie Edgar
Date Deposited: 04 Oct 2021 13:50
Last Modified: 04 Oct 2021 13:50
URI: http://www.repository.uhblibrary.co.uk/id/eprint/4688

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