The obesity paradox in the surgical population

The obesity paradox in the surgical population


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A selection of abstracts of clinically relevant papers from other journals. The abstracts on this page have been chosen and edited by John R. Radford. ABSTRACT '...lower mortality among


overweight and moderately obese patients' (_JAMA_ 2013; 309: 71–82) but does this apply also for those receiving surgery? MAIN Valentijn TM, Galal W _et al_. _Surgeon_ 2013; 11:


169–176 Links between obesity and dentistry are increasingly being highlighted (see Editorial _Br Dent J_ 2013; 214: 141). Although the research question underpinning this narrative review


may appear perverse, the conclusion from this paper is that there is a 'paradoxical relationship between BMI (not extremes of BMI) and postoperative mortality...' in those who have


received surgery. Possible explanations are that the BMI categories should be revised or that an underlying condition is the reason for the postoperative mortality and not the weight. For


example, cancer, kidney disease and COPD, all cause weight loss. This increased mortality during surgery for those grossly underweight would improve outcomes for those overweight. RIGHTS AND


PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE The obesity paradox in the surgical population. _Br Dent J_ 214, 511 (2013).


https://doi.org/10.1038/sj.bdj.2013.502 Download citation * Published: 24 May 2013 * Issue Date: 25 May 2013 * DOI: https://doi.org/10.1038/sj.bdj.2013.502 SHARE THIS ARTICLE Anyone you


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