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Vu LN, Nghia NQ, Tuan TM, Phuong TH, Vo HL, Viet KN, Giang TB. Measuring Health-Related Quality of Life in Vietnamese Patients After Kidney Transplantation. Front Surg 2021; 8:646629. [PMID: 34490335 PMCID: PMC8418059 DOI: 10.3389/fsurg.2021.646629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Accepted: 07/15/2021] [Indexed: 11/13/2022] Open
Abstract
Objectives: To consider that the health-related quality of life (HRQOL) has become an inherent part of the patient outcomes in the care and treatment after kidney transplantation (KT). This study aimed to measure HRQOL among a representative sample size of patients after KT by using both the Short Form 36 (SF-36) and the Kidney Disease Quality of Life 36 (KDQOL-36). Methods and Results: Data of this cross-sectional design were collected in the Organ Transplant Center, Viet Duc University Hospital (Hanoi, Vietnam) from January 2020 to March 2020 and included the patients aged 18 years or over after KT at 6 months, 1 year, and 3 years postoperatively. HRQOL was evaluated through face-to-face interviews by means of the SF-36 and KDQOL-36 measurement tools. According to the SF-36, the overall mean score of HRQOL was 69.13 ± 15.55 and the two domains were the highest scores of "Mental Health" (81.23 ± 14.28) and "General Health" (80.06 ± 14.81). When measuring with the KDQOL-36, the overall mean score was 68.67 ± 13.75 and was the highest in the domain "Symptoms and Problems of Kidney Disease" (87.06 ± 16.00). Both instruments had good reliability for those after KT. The reliability of the SF-36 was high with Cronbach's coefficients α = 0.90. There were positive relationships between the dimensions measured by the KDQOL-36 and SF-36 (correlation coefficient: 0.03-0.69). Similarly, the domains of the SF-36 also had positive correlations with the KDQOL-36 (correlation coefficient: 0.18-0.51). The correlation coefficient between overall HRQOL scores of the SF-36 and KDQOL-36 was 0.62, indicating a strong correlation between the SF-36 and KDQOL-36. Conclusions: There were slight fluctuations in the HRQOL score in domains in the 3-year follow-up stages, suggesting not having clear change. The mean SF-36 score was consistent with the mean KDQOL-36 score. High reliability and strong correlation were found between two instruments of the SF-36 and KDQOL-36. This study provides the reliability and constructs validity in the combination of two sets of the SF-36 and KDQOL-36 scales for the assessment of HRQOL among post-KT patients, thereby assisting physicians and health professionals in the clinical decision-making, assessment of therapeutic efficacy, and understanding of treatment risk.
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Affiliation(s)
- Le Nguyen Vu
- Organ Transplantation Center, Viet Duc University Hospital, Hanoi, Vietnam
| | - Nguyen Quang Nghia
- Organ Transplantation Center, Viet Duc University Hospital, Hanoi, Vietnam
| | - Tran Minh Tuan
- Organ Transplantation Center, Viet Duc University Hospital, Hanoi, Vietnam
| | - Tran Ha Phuong
- Organ Transplantation Center, Viet Duc University Hospital, Hanoi, Vietnam
| | - Hoang-Long Vo
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.,Department of Scientific Research and International Cooperation, Hanoi Medical University Hospital, Hanoi, Vietnam
| | - Khai Ninh Viet
- Organ Transplantation Center, Viet Duc University Hospital, Hanoi, Vietnam
| | - Tran Binh Giang
- Organ Transplantation Center, Viet Duc University Hospital, Hanoi, Vietnam
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Hanh BM, Long KQ, Anh LP, Hung DQ, Duc DT, Viet PT, Hung TT, Ha NH, Giang TB, Hung DD, Du HG, Thanh DX, Cuong LQ. Respiratory complications after surgery in Vietnam: National estimates of the economic burden. Lancet Reg Health West Pac 2021; 10:100125. [PMID: 34327342 PMCID: PMC8315662 DOI: 10.1016/j.lanwpc.2021.100125] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 02/05/2021] [Accepted: 02/22/2021] [Indexed: 12/29/2022]
Abstract
Background Estimating the cost of postoperative respiratory complications is crucial in developing appropriate strategies to mitigate the global and national economic burden. However, systematic analysis of the economic burden in low- and middle-income countries is lacking. Methods We used the nationwide database of the Vietnam Social Insurance agency and extracted data from January 2017 to September 2018. The data contain 1 241 893 surgical patients undergoing one of seven types of surgery. Propensity score matching method was used to match cases with and without complications. We used generalized gamma regressions to estimate the direct medical costs; logistic regressions to evaluate the impact of postoperative respiratory complications on re-hospitalization and outpatient visits. Findings Postoperative respiratory complications increased the odds of re-hospitalization and outpatient visits by 3·49 times (95% CI: 3·35–3·64) and 1·39 times (95% CI: 1·34–1·45) among surgical patients, respectively. The mean incremental cost associated with postoperative respiratory complications occurring within 30 days of the index admission was 1053·3 USD (95% CI: 940·7–1165·8) per procedure, which was equivalent to 41% of the GDP per capita of Vietnam in 2018. We estimated the national annual incremental cost due to respiratory complications occurring within 30 days after surgery was 13·87 million USD. Pneumonia contributed the greatest part of the annual cost burden of postoperative respiratory complications. Interpretation The economic burden of postoperative respiratory complications is substantial at both individual and national levels. Postoperative respiratory complications also increase the odds of re-hospitalization and outpatient visits and increase the length of hospital stay among surgical patients. Funding The authors did not receive any funds for conducting this study
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Affiliation(s)
- Bui My Hanh
- Hanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.,Hanoi Medical University Hospital, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam
| | - Khuong Quynh Long
- Hanoi University of Public Health, 1A Duc Thang, North Tu Liem, Hanoi, 100000, Vietnam
| | - Le Phuong Anh
- Brandeis University, 415 South Street, Waltham, MA, 02453, USA
| | - Doan Quoc Hung
- Hanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.,Hanoi Medical University Hospital, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.,Viet Duc Hospital, 33 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam
| | - Duong Tuan Duc
- Vietnam Social Insurance, 7 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam
| | - Pham Thanh Viet
- Cho Ray Hospital, 201B Nguyen Chi Thanh, District 5, Ho Chi Minh City, 70000, Vietnam
| | - Tran Tien Hung
- Vietnam Social Insurance, 7 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam
| | - Nguyen Hong Ha
- Hanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.,Viet Duc Hospital, 33 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam
| | - Tran Binh Giang
- Viet Duc Hospital, 33 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam
| | - Duong Duc Hung
- Bach Mai Hospital, 33 Giai Phong, Dong Da, Hanoi, 100000, Vietnam
| | - Hoang Gia Du
- Bach Mai Hospital, 33 Giai Phong, Dong Da, Hanoi, 100000, Vietnam
| | - Dao Xuan Thanh
- Hanoi Medical University Hospital, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam
| | - Le Quang Cuong
- Hanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam
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3
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Hanh BM, Cuong LQ, Son NT, Duc DT, Hung TT, Hung DD, Giang TB, Hiep NH, Xuyen HTH, Nga NT, Chu DT. Determination of Risk Factors for Venous Thromboembolism by an Adapted Caprini Scoring System in Surgical Patients. J Pers Med 2019; 9:jpm9030036. [PMID: 31319527 PMCID: PMC6789529 DOI: 10.3390/jpm9030036] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 07/02/2019] [Accepted: 07/16/2019] [Indexed: 11/26/2022] Open
Abstract
Venous thromboembolism (VTE) is a frequent preventable complication among surgical patients. Precise risk assessment is a necessary step for providing appropriate thromboprophylaxis and reducing mortality as well as morbidity caused by VTE. We carried out this work to define the rate of VTE postoperatively, following a Caprini score, and to determine VTE risk factors through a modified Caprini risk scoring system. This multicenter, observational, cohort study involved 2,790,027 patients who underwent surgery in four Vietnamese hospitals from 01/2017 to 12/2018. All patients who were evaluated before surgery by using a Caprini risk assessment model (RAM) and monitored within 90 days after surgery. The endpoint of the study was ultrasound-confirmed VTE. Our data showed that the 90-day postoperative VTE was found in 3068 patients. Most of VTE (46.97%) cases were found in the highest risk group (Caprini score > 5). A total of 37.19% were observed in the high risk group, while the rest (15.84%) were from low to moderate risk groups. The likelihood of occurring VTE was heightened 2.83 times for patients with a Caprini score of 3–4, 4.83 times for a Caprini score of 5–6, 8.84 times for a score of 7–8, and 11.42 times for a score of >8, comparing to ones with a score of 0 to 2 (all p values < 0.05). Thus, the frequency of postoperative VTE rises substantially, according to the advanced Caprini score. Further categorizing patients among the highest risk group need delivering more appropriate thromboprophylaxis.
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Affiliation(s)
- Bui My Hanh
- Tuberculosis and Lung Disease Department, Hanoi Medical University, Hanoi 100000, Vietnam
| | - Le Quang Cuong
- Department of Neurology, Hanoi Medical University, Hanoi 100000, Vietnam
| | | | - Duong Tuan Duc
- Center for Health Insurance and Multilateral Payment in The Northern Region, Viet Nam Social Security, Hanoi 100000, Vietnam
| | - Tran Tien Hung
- Center for Health Insurance and Multilateral Payment in The Northern Region, Viet Nam Social Security, Hanoi 100000, Vietnam
| | - Duong Duc Hung
- Department of General Administration, Bach Mai Hospital, Hanoi 100000, Vietnam
| | | | - Nguyen Hoang Hiep
- Tuberculosis and Lung Disease Department, Hanoi Medical University, Hanoi 100000, Vietnam
| | - Hoang Thi Hong Xuyen
- Tuberculosis and Lung Disease Department, Hanoi Medical University, Hanoi 100000, Vietnam
| | - Nguyen Thi Nga
- Institute for Research and Development, Duy Tan University, 03 QuangTrung, Danang 550000, Vietnam
| | - Dinh-Toi Chu
- Faculty of Biology, Hanoi National University of Education, Hanoi Vietnam 100000, Vietnam.
- School of Odonto Stomatology, Hanoi Medical University, Hanoi Vietnam 100000, Vietnam.
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Slade CA, Bosco JJ, Binh Giang T, Kruse E, Stirling RG, Cameron PU, Hore-Lacy F, Sutherland MF, Barnes SL, Holdsworth S, Ojaimi S, Unglik GA, De Luca J, Patel M, McComish J, Spriggs K, Tran Y, Auyeung P, Nicholls K, O'Hehir RE, Hodgkin PD, Douglass JA, Bryant VL, van Zelm MC. Delayed Diagnosis and Complications of Predominantly Antibody Deficiencies in a Cohort of Australian Adults. Front Immunol 2018; 9:694. [PMID: 29867917 PMCID: PMC5960671 DOI: 10.3389/fimmu.2018.00694] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 03/21/2018] [Indexed: 01/04/2023] Open
Abstract
Background Predominantly antibody deficiencies (PADs) are the most common type of primary immunodeficiency in adults. PADs frequently pass undetected leading to delayed diagnosis, delayed treatment, and the potential for end-organ damage including bronchiectasis. In addition, PADs are frequently accompanied by comorbid autoimmune disease, and an increased risk of malignancy. Objectives To characterize the diagnostic and clinical features of adult PAD patients in Victoria, Australia. Methods We identified adult patients receiving, or having previously received immunoglobulin replacement therapy for a PAD at four hospitals in metropolitan Melbourne, and retrospectively characterized their clinical and diagnostic features. Results 179 patients from The Royal Melbourne, Alfred and Austin Hospitals, and Monash Medical Centre were included in the study with a median age of 49.7 years (range: 16–87 years), of whom 98 (54.7%) were female. The majority of patients (116; 64.8%) met diagnostic criteria for common variable immunodeficiency (CVID), and 21 (11.7%) were diagnosed with X-linked agammaglobulinemia (XLA). Unclassified hypogammaglobulinemia (HGG) was described in 22 patients (12.3%), IgG subclass deficiency (IGSCD) in 12 (6.7%), and specific antibody deficiency (SpAD) in 4 individuals (2.2%). The remaining four patients had a diagnosis of Good syndrome (thymoma with immunodeficiency). There was no significant difference between the age at diagnosis of the disorders, with the exception of XLA, with a median age at diagnosis of less than 1 year. The median age of reported symptom onset was 20 years for those with a diagnosis of CVID, with a median age at diagnosis of 35 years. CVID patients experienced significantly more non-infectious complications, such as autoimmune cytopenias and lymphoproliferative disease, than the other antibody deficiency disorders. The presence of non-infectious complications was associated with significantly reduced survival in the cohort. Conclusion Our data are largely consistent with the experience of other centers internationally, with clear areas for improvement, including reducing diagnostic delay for patients with PADs. It is likely that these challenges will be in part overcome by continued advances in implementation of genomic sequencing for diagnosis of PADs, and with that opportunities for targeted treatment of non-infectious complications.
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Affiliation(s)
- Charlotte A Slade
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia.,Immunology Division, The Walter and Eliza Hall Institute for Medical Research, Melbourne, VIC, Australia.,Department of Medical Biology, The University of Melbourne, Melbourne, VIC, Australia.,The Jeffrey Modell Diagnostic and Research Centre for Primary Immunodeficiencies, Melbourne, VIC, Australia
| | - Julian J Bosco
- The Jeffrey Modell Diagnostic and Research Centre for Primary Immunodeficiencies, Melbourne, VIC, Australia.,Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia
| | - Tran Binh Giang
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia.,Immunology Division, The Walter and Eliza Hall Institute for Medical Research, Melbourne, VIC, Australia
| | - Elizabeth Kruse
- Immunology Division, The Walter and Eliza Hall Institute for Medical Research, Melbourne, VIC, Australia.,Department of Medical Biology, The University of Melbourne, Melbourne, VIC, Australia
| | - Robert G Stirling
- Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia
| | - Paul U Cameron
- Department of Infectious Diseases, Monash University and Alfred Hospital, Melbourne, VIC, Australia
| | - Fiona Hore-Lacy
- The Jeffrey Modell Diagnostic and Research Centre for Primary Immunodeficiencies, Melbourne, VIC, Australia.,Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia
| | - Michael F Sutherland
- Department of Respiratory and Sleep Medicine, The Austin Hospital, Melbourne, VIC, Australia
| | - Sara L Barnes
- Department of Medicine, Monash Medical Centre, Melbourne, VIC, Australia.,Department of Allergy and Immunology, Monash Medical Centre, Melbourne, VIC, Australia
| | - Stephen Holdsworth
- Department of Medicine, Monash Medical Centre, Melbourne, VIC, Australia.,Department of Allergy and Immunology, Monash Medical Centre, Melbourne, VIC, Australia
| | - Samar Ojaimi
- The Jeffrey Modell Diagnostic and Research Centre for Primary Immunodeficiencies, Melbourne, VIC, Australia.,Department of Medicine, Monash Medical Centre, Melbourne, VIC, Australia.,Department of Allergy and Immunology, Monash Medical Centre, Melbourne, VIC, Australia
| | - Gary A Unglik
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia
| | - Joseph De Luca
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia.,School of Medicine, The University of Melbourne, Melbourne, VIC, Australia
| | - Mittal Patel
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia.,School of Medicine, The University of Melbourne, Melbourne, VIC, Australia
| | - Jeremy McComish
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia
| | - Kymble Spriggs
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia.,Department of Allergy and Immunology, Monash Medical Centre, Melbourne, VIC, Australia.,School of Medicine, The University of Melbourne, Melbourne, VIC, Australia
| | - Yang Tran
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia
| | - Priscilla Auyeung
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia
| | - Katherine Nicholls
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia
| | - Robyn E O'Hehir
- Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia.,Department of Immunology and Pathology, Central Clinical School, Monash University and Alfred Hospital, Melbourne, VIC, Australia
| | - Philip D Hodgkin
- Immunology Division, The Walter and Eliza Hall Institute for Medical Research, Melbourne, VIC, Australia.,Department of Medical Biology, The University of Melbourne, Melbourne, VIC, Australia
| | - Jo A Douglass
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia.,School of Medicine, The University of Melbourne, Melbourne, VIC, Australia
| | - Vanessa L Bryant
- Department of Clinical Immunology and Allergy, The Royal Melbourne Hospital, Melbourne, VIC, Australia.,Immunology Division, The Walter and Eliza Hall Institute for Medical Research, Melbourne, VIC, Australia.,Department of Medical Biology, The University of Melbourne, Melbourne, VIC, Australia.,The Jeffrey Modell Diagnostic and Research Centre for Primary Immunodeficiencies, Melbourne, VIC, Australia
| | - Menno C van Zelm
- The Jeffrey Modell Diagnostic and Research Centre for Primary Immunodeficiencies, Melbourne, VIC, Australia.,Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia.,Department of Immunology and Pathology, Central Clinical School, Monash University and Alfred Hospital, Melbourne, VIC, Australia
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5
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Heinzel S, Binh Giang T, Kan A, Marchingo JM, Lye BK, Corcoran LM, Hodgkin PD. A Myc-dependent division timer complements a cell-death timer to regulate T cell and B cell responses. Nat Immunol 2016; 18:96-103. [PMID: 27820810 DOI: 10.1038/ni.3598] [Citation(s) in RCA: 113] [Impact Index Per Article: 14.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Accepted: 09/29/2016] [Indexed: 12/29/2022]
Abstract
T lymphocytes and B lymphocytes integrate activating signals to control the size of their proliferative response. Here we report that such control was achieved by timed changes in the production rate of cell-cycle-regulating proto-oncoprotein Myc, with division cessation occurring when Myc levels fell below a critical threshold. The changing pattern of the level of Myc was not affected by cell division, which identified the regulating mechanism as a cell-intrinsic, heritable temporal controller. Overexpression of Myc in stimulated T cells and B cells did not sustain cell proliferation indefinitely, as a separate 'time-to-die' mechanism, also heritable, was programmed after lymphocyte activation and led to eventual cell loss. Together the two competing cell-intrinsic timed fates created the canonical T cell and B cell immune-response pattern of rapid growth followed by loss of most cells. Furthermore, small changes in these timed processes by regulatory signals, or by oncogenic transformation, acted in synergy to greatly enhance cell numbers over time.
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Affiliation(s)
- Susanne Heinzel
- Division of Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.,Department of Medical Biology, The University of Melbourne, Parkville, Australia
| | - Tran Binh Giang
- Division of Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.,Department of Medical Biology, The University of Melbourne, Parkville, Australia
| | - Andrey Kan
- Division of Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.,Department of Medical Biology, The University of Melbourne, Parkville, Australia
| | - Julia M Marchingo
- Division of Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.,Department of Medical Biology, The University of Melbourne, Parkville, Australia
| | - Bryan K Lye
- Division of Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.,Department of Medical Biology, The University of Melbourne, Parkville, Australia
| | - Lynn M Corcoran
- Department of Medical Biology, The University of Melbourne, Parkville, Australia.,Division of Molecular Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia
| | - Philip D Hodgkin
- Division of Immunology, The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.,Department of Medical Biology, The University of Melbourne, Parkville, Australia
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Lomanto D, Lee WJ, Goel R, Lee JJM, Shabbir A, So JBY, Huang CK, Chowbey P, Lakdawala M, Sutedja B, Wong SKH, Kitano S, Chin KF, Fah CK, Dineros HC, Wong A, Cheng A, Pasupathy S, Lee SK, Pongchairerks P, Giang TB. Bariatric surgery in Asia in the last 5 years (2005-2009). Obes Surg 2012; 22:502-6. [PMID: 22033767 DOI: 10.1007/s11695-011-0547-2] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
Obesity is a major public health concern around the world, including Asia. Bariatric surgery has grown in popularity to combat this rising trend. An e-mail questionnaire survey was sent to all the representative Asia-Pacific Metabolic and Bariatric Surgery Society (APMBSS) members of 12 leading Asian countries to provide bariatric surgery data for the last 5 years (2005-2009). The data provided by representative members were discussed at the 6th International APMBSS Congress held at Singapore between 21st and 23rd October 2010. Eleven nations except China responded. Between 2005 and 2009, a total of 6,598 bariatric procedures were performed on 2,445 men and 4,153 women with a mean age of 35.5 years (range, 18-69years) and mean BMI of 44.27 kg/m(2) (range, 31.4-73 kg/m(2)) by 155 practicing surgeons. Almost all of the operations were performed laparoscopically (99.8%). For combined years 2005-2009, the four most commonly performed procedures were laparoscopic adjustable gastric banding (LAGB, 35.9%), laparoscopic standard Roux-en-Y gastric bypass (LRYGB, 24.3%), laparoscopic sleeve gastrectomy (LSG, 19.5%), and laparoscopic mini gastric bypass (15.4%). Comparing the 5-year trend from 2004 to 2009, the absolute numbers of bariatric surgery procedures in Asia increased from 381 to 2,091, an increase of 5.5 times. LSG increased from 1% to 24.8% and LRYGB from 12% to 27.7%, a relative increase of 24.8 and 2.3 times, whereas LAGB and mini gastric bypass decreased from 44.6% to 35.6% and 41.7% to 6.7%, respectively. The absolute growth rate of bariatric surgery in Asia over the last 5 years was 449%.
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Affiliation(s)
- Davide Lomanto
- Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore, Singapore
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