Journal of the American College of Surgeons
Volume 210, Issue 2 , Pages 166-177 , February 2010

Impact of Obesity on Outcomes after Open Surgical and Endovascular Abdominal Aortic Aneurysm Repair

Abstract presented at the 94th Annual Clinical Congress of the American College of Surgeons, Surgical Forum, San Francisco, CA, October 2008.

  • Owen N. Johnson III, MD

      Affiliations

    • Surgical Services, Veterans Affairs Medical Center, Washington, DC
  • ,
  • Anton N. Sidawy, MD, MPH

      Affiliations

    • Surgical Services, Veterans Affairs Medical Center, Washington, DC
    • Department of Surgery, George Washington University, Washington, DC
    • Department of Surgery, Georgetown University, Washington, DC
    • Corresponding Author InformationCorrespondence address: Anton N Sidawy, MD, Surgical Services, Veterans Affairs Medical Center, 50 Irving St NW (112), Washington, DC 20422
  • ,
  • James M. Scanlon, MD

      Affiliations

    • Surgical Services, Veterans Affairs Medical Center, Washington, DC
  • ,
  • Roger Walcott, MD

      Affiliations

    • Surgical Services, Veterans Affairs Medical Center, Washington, DC
  • ,
  • Subodh Arora, MD, MBBS, FACS

      Affiliations

    • Surgical Services, Veterans Affairs Medical Center, Washington, DC
    • Department of Surgery, George Washington University, Washington, DC
  • ,
  • Robyn A. Macsata, MD

      Affiliations

    • Surgical Services, Veterans Affairs Medical Center, Washington, DC
  • ,
  • Richard L. Amdur, PhD

      Affiliations

    • Surgical Services, Veterans Affairs Medical Center, Washington, DC
  • ,
  • William G. Henderson, MPH, PhD

      Affiliations

    • University of Colorado Health Outcomes Program, Denver, CO

Received 23 July 2009 ,Revised 16 October 2009 ,Accepted 21 October 2009.

References 

  1. Ford ES, Mokdad AH. Epidemiology of obesity in the Western Hemisphere. J Clin Endocrinol Metab. 2008;93(Suppl):S1–S8
  2. National Heart, Lung and Blood Institute. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, MD: National Heart, Lung and Blood Institute; 1998;
  3. National Center for Health Statistics. Prevalence of overweight and obesity among adults: United States 1999–2000. Hyattsville, MD: Division of Data Services, National Center for Health Statistics; 2002;
  4. US Department of Health and Human Services. The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity. Rockville, MD: US Department of Health and Human Services, Public Health Service, Office of the Surgeon General; 2001;
  5. Willett WC, Dietz WH, Colditz GA. Guidelines for healthy weight. N Engl J Med. 1999;341:427–434
  6. Colditz GA, Willett WC, Rotnitzky A, Manson JE. Weight gain as a risk factor for clinical diabetes mellitus in women. Ann Intern Med. 1995;122:481–486
  7. Huang Z, Willett WC, Manson JE, et al. Body weight, weight change, and risk for hypertension in women. Ann Intern Med. 1998;128:81–88
  8. Wilson PW, D'Agostino RB, Sullivan L, et al. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med. 2002;162:1867–1872
  9. Neter JE, Stam BE, Kok FJ, et al. Influence of weight reduction on blood pressure: a meta-analysis of randomized controlled trials. Hypertension. 2003;42:878–884
  10. Modan M, Almog S, Fuchs Z, et al. Obesity, glucose intolerance, hyperinsulinemia, and response to antihypertensive drugs. Hypertension. 1991;17:565–573
  11. Krauss RM, Winston M. Obesity: impact on cardiovascular disease. Circulation. 1998;98:1472
  12. Willett WC, Manson JE, Stampfer MJ, et al. Weight, weight change, and coronary heart disease in women (Risk within the ‘normal' weight range). JAMA. 1995;273:461–465
  13. Rexrode KM, Hennekens CH, Willett WC, et al. A prospective study of body mass index, weight change, and risk of stroke in women. JAMA. 1997;277:1539–1545
  14. Kurth T, Gaziano JM, Rexrode KM, et al. Prospective study of body mass index and risk of stroke in apparently healthy women. Circulation. 2005;111:1992–1998
  15. Hart DJ, Spector TD. The relationship of obesity, fat distribution and osteoarthritis in women in the general population: the Chingford Study. J Rheumatol. 1993;20:331–335
  16. Cicuttini FM, Baker JR, Spector TD. The association of obesity with osteoarthritis of the hand and knee in women: a twin study. J Rheumatol. 1996;23:1221–1226
  17. Felson DT, Zhang Y, Anthony JM, et al. Weight loss reduces the risk for symptomatic knee osteoarthritis in women (The Framingham Study). Ann Intern Med. 1992;116:535–539
  18. Kress JP, Pohlman AS, Alverdy J, Hall JB. The impact of morbid obesity on oxygen cost of breathing (VO(2RESP)) at rest. Am J Respir Crit Care Med. 1999;160:883–886
  19. Ray CS, Sue DY, Bray G, et al. Effects of obesity on respiratory function. Am Rev Respir Dis. 1983;128:501–506
  20. Stampfer MJ, Maclure KM, Colditz GA, et al. Risk of symptomatic gallstones in women with severe obesity. Am J Clin Nutr. 1992;55:652–658
  21. Finkelstein EA, Fiebelkorn IC, Wang G. National medical spending attributable to overweight and obesity: how much, and who's paying?. Health Affairs. 2003;W3:219–226
  22. Finkelstein EA, Fiebelkorn IC, Wang G. State-level estimates of annual medical expenditures attributable to obesity. Obes Res. 2004;12:18–24
  23. Wolf AM, Colditz GA. Current estimates of the economic cost of obesity in the United States. Obes Res. 1998;6:97–106
  24. Wolf A. What is the economic case for treating obesity?. Obes Res. 1998;6(Suppl 1):62S–67S
  25. Khandanpour N, Armon MP, Foxall R, Meyer FJ. The effects of increasing obesity on outcomes of vascular surgery. Ann Vasc Surg. 2009;23:310–362
  26. Rahmanian PB, Adams DH, Castillo JG, et al. Impact of body mass index on early outcome and late survival in patients undergoing coronary artery bypass grafting or valve surgery or both. Am J Cardiol. 2007;100:1702–1708
  27. Musci M, Loforte A, Potapov EV, et al. Body mass index and outcome after ventricular assist device placement. Ann Thorac Surg. 2008;86:1236–1242
  28. Castle EP, Atug F, Woods M, et al. Impact of body mass index on outcomes after robot assisted radical prostatectomy. World J Urol. 2008;26:91–95
  29. Utsunomiya T, Okamoto M, Kameyama T, et al. Impact of obesity on the surgical outcome following repeat hepatic resection in Japanese patients with recurrent hepatocellular carcinoma. World J Gastroenterol. 2008;14:1553–1558
  30. Djurasovic M, Bratcher KR, Glassman SD, et al. The effect of obesity on clinical outcomes after lumbar fusion. Spine. 2008;33:1789–1792
  31. Chan MR, Young HN, Becker YT, Yevzlin AS. Obesity as a predictor of vascular access outcomes: analysis of the USRDS DMMS Wave II study. Semin Dial. 2008;21:274–279
  32. Patel VI, Hamdan AD, Schermerhorn ML, et al. Lower extremity arterial revascularization in obese patients. Vasc Surg. 2007;46:738–742
  33. Davenport DL, Xenos ES, Hosokawa P, et al. The influence of body mass index obesity status on vascular surgery 30-day morbidity and mortality. J Vasc Surg. 2009;49:140–147
  34. Johnson ON, Slidell MB, Macsata RA, et al. Outcomes of surgical management for popliteal artery aneurysms: an analysis of 583 cases. J Vasc Surg. 2008;48:845–851
  35. Sidawy AN, Aidinian G, Johnson ON, et al. Effect of chronic renal insufficiency on outcomes of carotid endarterectomy. J Vasc Surg. 2008;48:1423–1430
  36. Singh N, Sidawy AN, DeZee KJ, et al. Factors associated with early failure of infrainguinal lower extremity arterial bypass. J Vasc Surg. 2008;47:556–561
  37. Khuri SF, Daley J, Henderson W, et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care (National VA Surgical Quality Improvement Program). Ann Surg. 1998;228:491–507
  38. Hensrud D, Klein S. Extreme obesity: a new medical crisis in the United States. Mayo Clin Proc. 2006;81(Suppl):S5–S10
  39. Must A, Spadano J, Coakley E, et al. The disease burden associated with overweight and obesity. JAMA. 1999;282:1523–1529
  40. Mokdad A, Ford E, Bowman B, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289:76–79
  41. Ciesla D, Moore E, Johnson J, et al. Obesity increase risk of organ failure after severe trauma. J Am Coll Surg. 2006;203:539–545
  42. Mark DH. Deaths attributable to obesity. JAMA. 2005;293:1918
  43. Wändell PE, Carlsson AC, Theobald H. The association between BMI value and long-term mortality. Int J Obes (Lond). 2009;33:577–582
  44. Shahar A, Shahar D, Kahar Y, Nitzan-Kalusky D. Low-weight and weight loss as predictors of morbidity and mortality in old age. Harefuah. 2005;144:443–448
  45. Smith KL, Greenwood CE. Weight loss and nutritional considerations in Alzheimer disease. J Nutr Elder. 2008;27:381–403

 Disclosure Information: Nothing to disclose.

PII: S1072-7515(09)01493-8

doi: 10.1016/j.jamcollsurg.2009.10.011

Journal of the American College of Surgeons
Volume 210, Issue 2 , Pages 166-177 , February 2010