Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada

International Journal for Equity in Health

Sumit R Majumdar²  Arya M Sharma²  Scott Klarenbach¹  Hsui-Ju Chang¹  Raj S Padwal² 

[1] Department of Medicine, 2F1.26 Walter C. Mackenzie Health Sciences Centre, University of Alberta, 8440-112th Street, Edmonton, T6G 2B7, Alberta, Canada;Alberta Diabetes Institute, Edmonton, Alberta, Canada

关键词: Access;    Population health;    Health services research;    Bariatric surgery;    Canada;   

Others  :  826222
DOI  :  10.1186/1475-9276-11-54

 received in 2012-04-23, accepted in 2012-09-14,  发布年份 2012

【 摘 要 】

Background

Bariatric surgery is the most effective current treatment for severe obesity. Capacity to perform surgery within Canada’s public health system is limited and potential candidates face protracted wait times. A better understanding of the gaps between demand for surgery and the capacity to provide it is required. The purpose of this study was to quantify and characterize the bariatric surgery-eligible population in Canada in comparison to surgery-ineligible subjects and surgical recipients.

Methods

Data from adult (age > 20) respondents of the 2007–09 nationally representative Canadian Health Measures Survey (CHMS) were analyzed to estimate the prevalence and characteristics of the surgery-eligible and ineligible populations. Federally mandated administrative healthcare data (2007–08) were used to characterize surgical recipients.

Results

In 2007–09, an estimated 1.5 million obese Canadian adults met eligibility criteria for bariatric surgery. 19.2 million were surgery-ineligible (3.4 million obese and 15.8 million non-obese). Surgery-eligible Canadians had a mean BMI of 40.1 kg/m² (95% CI 39.3 to 40.9 kg/m²) and, compared to the surgery-ineligible obese population, were more likely to be female (62 vs. 44%), 40–59 years old (55 vs. 48%), less educated (43 vs. 35%), in the lowest socioeconomic tertile (41 vs. 34%), and inactive (73 vs. 59%). Self-rated mental health and quality of life were lower and comorbidity was higher in surgery-eligible respondents compared with the ineligible populations. The annual proportion of Canadians eligible for surgery that actually underwent a publicly funded bariatric surgery between 2007–09 was 0.1%. Surgical recipients (n = 847) had a mean age of 43.6 years (SD 11.1) and 82% were female. With the exception of type 2 diabetes, obesity-related comorbidity prevalence was much lower in surgical recipients compared to those eligible for surgery.

Conclusions

The proportion of bariatric surgery-eligible Canadians that undergo publicly funded bariatric surgery is very low. There are notable differences in sociodemographic profiles and prevalence of comorbidities between surgery-eligible subjects and surgical recipients.

【 授权许可】

   
2012 Padwal et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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