ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2021
Association Between Medicaid Status, Social Determinants of Health, and Bariatric Surgery Outcomes.
Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Effect of Social Vulnerability on Efficacy of Bariatric Surgery Versus Medical and Lifestyle Intervention for Type 2 Diabetes: Analysis of the ARMMS-T2D Consortium of Randomized Trials.Annals of internal medicine · 2026Trial
- Disparities in access to and outcomes of minimally invasive surgery: a scoping review.Surgical endoscopy · 2026Article
- Bariatric surgery vs. GLP-1 receptor agonists among primarily medicare and medicaid patients with diabetes: a 3-year analysis.Surgical endoscopy · 2026Article
- The Association between Bariatric Surgery Outcomes and Socioeconomic Deprivation.Obesity surgery · 2025Article
- The role of socioeconomic status in resolution of type 2 diabetes mellitus following longitudinal sleeve gastrectomy.Surgical endoscopy · 2025Article
- Analyzing the Social Vulnerability Index With Metabolic Surgery.The Journal of surgical research · 2024Article
- Disparities in Bariatric Surgery Outcomes: A Regional Analysis.Obesity surgery · 2024Article
- Early postoperative outcomes following bariatric surgery in the United States: Are racial disparities improving?Surgical endoscopy · 2024Article
- Implementation of Obesity Science Into Clinical Practice: A Scientific Statement From the American Heart Association.Circulation · 2024Review
- Exploring Social Support Dynamics After Bariatric Surgery: Insights From Patients and Providers.The Journal of surgical research · 2024Article
- Long term cost outcomes among commercially insured patients undergoing bariatric surgical procedures.Obesity science & practice · 2024Article
- Transportation Factors and Postoperative Attendance and Weight Loss Through 24 Months.Obesity surgery · 2024Article
- Association of program-specific variation in bariatric surgery volume for Medicaid patients and access to care: a tale of inequality?Surgical endoscopy · 2023Article
- Identifying Young Adults at High Risk for Weight Gain Using Machine Learning.The Journal of surgical research · 2023Article
- Comparative Safety of Sleeve Gastrectomy and Gastric Bypass up to 5 Years After Surgery in Patients With Medicaid.Annals of surgery · 2023Article
- Socioeconomic disparities and bariatric surgery outcomes: A qualitative analysis.American journal of surgery · 2023Article
- Neighborhood deprivation and residential property values do not affect weight loss at 1 or 3 years after bariatric surgery.Obesity (Silver Spring, Md.) · 2023Article
- Association between neighborhood food environments and bariatric surgery outcomes.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2022Article
- Patient Access, Utilization, and Perceptions of Neighborhood and Built Environment Resources.Obesity surgery · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo compare outcomes after bariatric surgery between Medicaid and non-Medicaid patients and assess whether differences in social determinants of health were associated with postoperative weight loss.
backgroundThe literature remains mixed on weight loss outcomes and healthcare utilization for Medicaid patients after bariatric surgery. It is unclear if social determinants of health geocoded at the neighborhood level are associated with outcomes.
methodsPatients who underwent laparoscopic sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) from 2008 to 2017 and had ≥1 year of follow-up within a large health system were included. Baseline characteristics, 90-day and 1-year outcomes, and weight loss were compared between Medicaid and non-Medicaid patients. Area deprivation index (ADI), urbanicity, and walkability were analyzed at the neighborhood level. Median regression with percent total body weight (TBW) loss as the outcome was used to assess predictors of weight loss after surgery.
resultsSix hundred forty-seven patients met study criteria (191 Medicaid and 456 non-Medicaid). Medicaid patients had a higher 90-day readmission rate compared to non-Medicaid patients (19.9% vs 12.3%,
conclusionsMedicaid status and social determinants of health at the neighborhood level were not associated with weight loss outcomes after bariatric surgery. These findings suggest that if Medicaid patients are appropriately selected for bariatric surgery, they can achieve equivalent outcomes as non-Medicaid patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.