Regional Variations in Pediatric Metabolic and Bariatric Surgeon Availability: A Call for Action.
In: Journal of Surgical Research, Jg. 295 (2024-03-01), S. 522-529
academicJournal
Zugriff:
Obesity is a significant public health concern in children. The American Academy of Pediatrics recommends the use of metabolic and bariatric surgery (MBS) in children with severe obesity, however; MBS remains underutilized in part due to lack of access. This study aims to characterize the prevalence of pediatric obesity and compare this to regional pediatric MBS provider availability. State-specific prevalence rates of childhood obesity in children aged 10-17 were obtained from the National Survey of Children's Health. The member directory provided by the American Society for Metabolic and Bariatric Surgeons was used to identify all pediatric MBS providers and used to calculate the prevalence of MBS providers by state. The five states with the highest prevalence rates of childhood obesity were Kentucky, Mississippi, Louisiana, West Virginia, and Alabama. The five states with the highest prevalence (per 100,000 children with obesity) of MBS providers doing pediatric cases were North Dakota, New Jersey, Kansas, New York, and Utah. Notably, there was a negative correlation between the states with the lowest prevalence of pediatric MBS providers and states with the highest prevalence of childhood obesity (r −0.40, ∗ P = 0.002). Our study demonstrates significant state-to-state variation in the prevalence of pediatric obesity and MBS provider availability by state as a proxy for access to surgical care for pediatric obesity. Further work to establish accessible multidisciplinary pediatric weight loss centers is needed to ensure that children and adolescents with obesity receive thorough evaluation and have access to MBS. • Pediatric and adolescent obesity is a significant public health issue for which all children who meet criteria should be evaluated by a metabolic and bariatric surgeon. • The distribution of metabolic and bariatric surgeons who accept pediatric patients varies widely across the country and is negatively correlated with the population of children with obesity. • Establishment of regionally accessible weight loss centers is critical for meeting the clinical needs of children and adolescents with obesity across the country. [ABSTRACT FROM AUTHOR]
Titel: |
Regional Variations in Pediatric Metabolic and Bariatric Surgeon Availability: A Call for Action.
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Autor/in / Beteiligte Person: | Liang, Norah E. ; Perez, Numa P. ; Singhal, Vibha ; Pratt, Janey S.A. ; Zitsman, Jeffrey ; Griggs, Cornelia L. |
Zeitschrift: | Journal of Surgical Research, Jg. 295 (2024-03-01), S. 522-529 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 0022-4804 (print) |
DOI: | 10.1016/j.jss.2023.11.056 |
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