Morbidity in obese adolescents who meet the adult National Institutes of Health criteria for bariatric surgery.

Abstract:

PURPOSE:Some have suggested that the criteria for weight loss surgery in adolescents be stricter than those currently recommended for adults by the National Institutes of Health (NIH). The aim of the current study is to define the characteristics of adolescents who meet NIH consensus criteria for bariatric surgery in adults to determine their level of morbidity. MATERIALS AND METHODS:Using the Medical Expenditure Panel Survey 2000-2004, children designated as meeting NIH criteria were 13 to 17 years of age with (1) a body mass index >or=40 or (2) a body mass index >35, and one or more comorbidity. We contrasted surgery candidates with noncandidates. We examined items that comprise a screener for identifying children with special health care needs. The Columbia Impairment Scale (CIS) was used to assess child functioning. RESULTS:There were 134 children identified as candidates for bariatric surgery and 4736 noncandidates in the same age range. Candidates were more likely to have special health care needs (36% vs 23%) and more likely to have a CIS above 16 (34% vs 16%). Candidates for weight loss surgery were 2.36 times as likely to have a CIS score of 16 or higher and 1.87 times as likely to be identified as a child with special health care needs (P

journal_name

J Pediatr Surg

authors

Nadler EP,Brotman LM,Miyoshi T,Fryer GE Jr,Weitzman M

doi

10.1016/j.jpedsurg.2008.12.033

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1869-76

issue

10

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(09)00018-9

journal_volume

44

pub_type

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