Clinical Edge Journal Scan

Prior bariatric surgery associated with better in-hospital outcomes in patients with RA


 

Key clinical point: Hospitalized patients with rheumatoid arthritis (RA) with vs without prior bariatric surgery were less likely to have in-hospital deaths, major morbidities, unfavorable discharges, and prolonged length of stay (LOS).

Major finding: Patients with vs without prior bariatric surgery were at a reduced risk for any morbidity (adjusted odds ratio [aOR] 0.45; 95% CI 0.42-0.48), in-hospital mortality (aOR 0.41; 95% CI 0.27-0.61), unfavorable discharge (aOR 0.48; 95% CI 0.44-0.53), and prolonged LOS (aOR 0.43; 95% CI 0.39-0.46).

Study details: This population-based, retrospective study included 33,075 hospitalized patients with morbid obesity and RA, of which 6615 patients with prior bariatric surgery were propensity-score matched with 26,460 patients without prior bariatric surgery.

Disclosures: This study did not declare any source of funding. The authors declared no conflicts of interest .

Source: Lin I-C and Liu H. Impact of bariatric surgery on outcomes of patients with rheumatoid arthritis: A propensity score–matched analysis of US nationwide inpatient sample, 2005–2018. Obes Surg. 2022 (Jun 29). Doi: 10.1007/s11695-022-06177-8

Recommended Reading

Feds warn pharmacists: Don’t refuse to provide abortion pills
MDedge Rheumatology
Neural networks can distinguish PsA from rheumatoid arthritis on MRI
MDedge Rheumatology
Methotrexate’s impact on COVID-19 vaccination: New insights made
MDedge Rheumatology
TNF inhibitor use for RA shows beneficial effect in pregnancy
MDedge Rheumatology
Menopausal status and use of sex hormones influence remission in female patients with RA
MDedge Rheumatology
Higher prevalence of CPPD and chondrocalcinosis in seronegative than seropositive RA
MDedge Rheumatology
Real-world efficacy and safety of second-line therapies for RA
MDedge Rheumatology
RA: Ozoralizumab shows promise in patients with inadequate response to methotrexate
MDedge Rheumatology
RA: Rapid improvements in patient-reported outcomes with upadacitinib vs abatacept
MDedge Rheumatology
Sarcopenia and poor balance increase risk for vertebral spinal osteoporotic fracture in women with RA
MDedge Rheumatology