Impact of obesity on resource utilization for general surgical procedures.

摘要: According to the 2002 Behavioral Risk Factor Surveillance System Survey collected by Centers for Disease Control and Prevention, prevalence of obesity among US adults has doubled since 1990.1 The rate increase in obese individuals reached epidemic proportions United States. Concurrent with obesity, obesity-related diseases have also increased. In fact, almost surpassed tobacco as most significant etiology preventable death.2 Annual healthcare expenditures an individual are $732 more than a nonobese individual.3 attributable accounted 9.1% total fiscal year 1998.3 burden on resource utilization been demonstrated multiple aspects delivery system. Increases physician office visits, hospital admissions length stay (LOS), nursing home admission, prescription drug usage described patients.4–6 The several implications field general surgery. Much attention given increased demand bariatric surgical services; however, impact surgeons’ workload extends well beyond this. such gallstones, breast cancer, colon cancer will services. Obesity implicated risk factor postoperative complications. does not appear be independent predictor severe complications but wound complications.7–9 Furthermore, poor long-term functional outcomes following hernia antireflux surgery associated obesity.10,11 The purpose this study is focus workload. Prior studies surgeon workload, particularly regarding aging population, concluded that there services future.12,13 There no specifically address how affect We undertook describe acute-care 3 procedures; cholecystectomy, unilateral mastectomy, colectomy. These procedures, which account approximately 15% surgeon's were chosen because fairly uniform nature procedure their use treatment diseases.14 included procedures done surgeons over years our analysis. focused association operative time (OT), LOS, in-hospital