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ID 56458
JaLCDOI
フルテキストURL
Thumnail 73_1_51.pdf 2.02 MB
著者
Fujii, Masakuni Department of Internal Medicine, Okayama Saiseikai General Hospital
Fujimoto, Kenji Department of Public Health, University of Occupational and Environmental Health
Yabe, Syuntaro Department of Internal Medicine, Okayama Saiseikai General Hospital
Nasu, Junichiro Department of Internal Medicine, Okayama Saiseikai General Hospital
Miyaike, Jiro Department of Internal Medicine, Imabari Saiseikai General Hospital
Yoshioka, Masao Department of Internal Medicine, Okayama Saiseikai General Hospital
Shiode, Junji Department of Internal Medicine, Okayama Saiseikai General Hospital
Yamamoto, Kazuhide Department of Internal Medicine, Okayama Saiseikai General Hospital
Matsuda, Shinya Department of Public Health, University of Occupational and Environmental Health
抄録
 We investigated the relationship between body mass index (BMI) and postoperative outcomes in 450 gallbladder cancer patients in Japan. We collected patient information, including sex, age, underlying disease, BMI, stage, surgery method, postoperative time to discharge, and postoperative Medicare fees, from the Japanese administrative database associated with the Diagnosis Procedure Combination system. We classified patient BMIs as underweight (BMI<18.5 kg/m2), normal (BMI≥18.5 kg/m2 and <25 kg/m2) or overweight/obese (BMI≥25 kg/m2), then investigated the relationship between these categories and two postoperative outcomes: time to discharge and postoperative Medicare fees. The median postoperative time to discharge was 12 days in all patients, and 12 days in each of the three weight groups (p=0.62, n.s.). The median postoperative Medicare fees from surgery until discharge were (USD): all patients, $5,002; underweight, $5,875; normal weight, $4,797; and overweight/obese, $5,179 (p=0.146, n.s.). A multivariate analysis with adjustment for competing risk factors revealed that BMI was not associated with increased risk of longer postoperative time to discharge (normal weight: HR 1.17, p=0.29; overweight/obese: HR 1.17, p=0.37) or higher postoperative Medicare fees (OR 0.99, p=0.86, n.s.). Thus, high BMI was not found to be a factor for poor postoperative outcomes in Japanese patients with gallbladder cancer.
キーワード
body mass index
gallbladder cancer
surgery
obesity
Amo Type
Original Article
発行日
2019-02
出版物タイトル
Acta Medica Okayama
73巻
1号
出版者
Okayama University Medical School
開始ページ
51
終了ページ
59
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID