Multicentre prospective cohort study of body mass index and postoperative complications following gastrointestinal surgery

TM Drake; D Nepogodiev; SJ Chapman; JC Glasbey; C Khatri; CY Kong; HA Claireaux; MF Bath; M Mohan; L McNamee; M Kelly; H Mitchell; JE Fitzgerald; EM Harrison; A Bhangu; I Antoniou; R Dean; N Davies; S Trecarten; I Henderson; C Holmes; J Wylie; RH Shuttleworth; A Jindal; F Hughes; P Gouda; R Fleck; M Hanrahan; P Karunakaran; JH Chen; MC Sykes; RK Sethi; S Suresh; P Patel; M Patel; RK Varma; J Mushtaq; B Gundogan; W Bolton; T Khan; J Burke; R Morley; N Favero; R Adams; V Thirumal; ED Kennedy; KK Ong; YH Tan; J Gabriel; A Bakhsh; JYL Low; A Yener; V Paraoan; R Preece; TW Tilston; E Cumber; S Dean; T Ross; E McCance; H Amin; L Satterthwaite; R Gratton; ED Mills; SM Chiu; G Hung; NM Rafiq; JDB Hayes; KL Robertson; K Dynes; HC Huang; S Assadullah; JW Duncumb; RDC Moon; SX Poo; JK Mehta; KR Joshi; R Callan; JM Norris; NJ Chilvers; H Keevil; P Jull; S Mallick; D Elf; L Carr; C Player; EC Barton; AL Martin; SG Ratu; EJ Roberts; PN Phan; AR Dyal; JE Rogers; AD Henson; NB Reid; D Burke; G Culleton; S Lynne; S Mansoor; C Brennan; R Blessed

Journal article

Multicentre prospective cohort study of body mass index and postoperative complications following gastrointestinal surgery

TM Drake, D Nepogodiev, SJ Chapman, JC Glasbey, C Khatri, CY Kong, HA Claireaux, MF Bath, M Mohan, L McNamee, M Kelly, H Mitchell, JE Fitzgerald, EM Harrison, A Bhangu, I Antoniou, R Dean, N Davies, S Trecarten, I Henderson Show all

British Journal of Surgery | OXFORD UNIV PRESS | Published : 2016

DOI: 10.1002/bjs.10203

Download PDF

Abstract

METHODS: This was a multicentre prospective cohort study across the UK and Republic of Ireland. Consecutive patients undergoing elective or emergency gastrointestinal surgery over a 4-month interval (October-December 2014) were eligible for inclusion. The primary outcome was the 30-day major complication rate (Clavien-Dindo grade III-V). BMI was grouped according to the World Health Organization classification. Multilevel logistic regression models were used to adjust for patient, operative and hospital-level effects, creating odds ratios (ORs) and 95 per cent confidence intervals (c.i.).BACKGROUND: There is currently conflicting evidence surrounding the effects of obesity on postoperative o..

View full abstract

University of Melbourne Researchers

Kate Leslie Author

Grants

Awarded by National Cancer Institute

Funding Acknowledgements

The authors thank the consultant surgeons and hospital Trusts who supported and advised STARSurg teams working in their departments. On behalf of the STARSurg group, the co-authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. The study guarantor had full access to the data and had the ultimate right of decision when to submit for publication. STARSurg has received INSPIRE funding from the Academy of Medical Sciences and the Wellcome Trust; there was no direct involvement of the funder in this study. The Royal College of Surgeons (England) provided meeting facilities for a collaborator training day, and the Association of Surgeons in Training supported this meeting with a Regional Event Grant.