The Obesity Paradox Revisited: Is Obesity Still a Protective Factor for Patients With High Comorbidity Burden or High-Complexity Procedures?
Hyo Jin Son, Denise W. Gee, David Gomez, James J. Jung · 2024
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Description
Hyo Jin Son and co-authors revisit the obesity paradox in the hardest surgery cases. Their 2024 study asks whether heavier patients still show lower death rates after major operations when the procedure is complex or the patient carries many other illnesses. The paradox, better survival at higher body weight, has been reported for years but rarely stress-tested at the extremes.
A national surgical database supplied over three million patients from 2016 to 2019, near half of them with obesity. In the full group the weight-mortality curve bent in the classic reverse-J shape. In the high-complexity and high-burden subgroups, though, the protective edge vanished: patients with obesity died at the same odds as others. The authors conclude the paradox has limits where risk runs highest.
Catalog record
| CREATOR | Hyo Jin Son, Denise W. Gee, David Gomez, James J. Jung |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 37 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |