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- Title
Incidence of Substance Use Disorder Following Bariatric Surgery: A Retrospective Cohort Study.
- Authors
Butt, Melissa; Eisler, Riley A.; Hu, Antoinette; Rogers, Ann M.; Rigby, Andrea
- Abstract
Background: New-onset substance use disorder (SUD) following bariatric surgery is a significant concern that is likely multi-factorial, although the etiologies are unclear. Previous studies have identified variable rates of SUD along with utilizing different methods and measures. The objective of this study is to evaluate new-onset SUD diagnoses among adults following bariatric surgery and compare these rates to those in the general population as well as those diagnosed with overweight or obesity. Methods: Data was extracted from TriNetX Research Platform and used to build three cohorts of adults: those who had bariatric surgery (bariatric surgery cohort), those diagnosed with obesity or overweight, and a general population cohort. Rates of incident SUD were compared among these three groups. Initial encounters for all individuals were from January 1, 2018, to June 30, 2019. Results: The incidence rate of SUD in patients with a history of bariatric surgery was 6.55% (n = 2523). When compared to the general population, persons who had any type of bariatric procedure had a decreased risk of new-onset SUD with an overall odds ratio (OR) [95% confidence limits (CL)] of 0.89 [0.86, 0.93]. When compared to persons with overweight or obesity, bariatric patients were less likely to develop any form of SUD (OR: 0.65 [0.62, 0.67]). Conclusion: While overall rates of new-onset SUD are lower among those who had bariatric surgery, they also vary by surgery and substance type. Efforts should still be made to address new-onset SUD in order to optimize the post-surgical care of patients.
- Subjects
BARIATRIC surgery; SUBSTANCE abuse; COHORT analysis; CONFIDENCE intervals; OVERWEIGHT persons; GASTRIC bypass
- Publication
Obesity Surgery, 2023, Vol 33, Issue 3, p890
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-022-06400-6