Obesity Surgery in England: An Examination of the Health Episode Statistics 1996–2005
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The authors examined the uptake of obesity surgery across England.
Data were analyzed from the Hospital Episode Statistics covering all 9 goverment office regions with a total population of 49.1 million. The data analyzed covered 9 years 1996/97 – 2004/05.
1,465 records were identified with a primary diagnostic code for obesityand an operation code for obesity surgery. The surgery was performed mostly in women (male to female ratio of 1:5), who were predominantly mid-aged (average 40.4 years ± SD 9.00), the majority of whom reside in local authority districts ranked within the lowest two deprivation quintiles. The availability of obesity surgery varied considerably across the 9 different regions of England, although the number of operations increased nationally over time.
Access to this intervention is highly variable and does not appear to reflect estimated regional differences in morbid obesity. This specialist service may benefit from more effective national organization, to ensure appropriate capacity and eliminate inequalities in service delivery.
Key wordsObesity surgery Morbid obesity Hospital data England
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- 1.WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization, 2000. http://whqlibdoc.who.int/trs/WHO_TRS_894.pdf
- 5.Joint Health Surveys Unit on behalf of the Department of Health. Health survey for England, London: Stationery Office, 2004. http://www.ic.nhs.uk/pubs/hlthsvyeng2004upd
- 6.National Institute for Clinical Excellence. Guide on the use of surgery to aid weight reduction for people with morbid obesity. London; 2002 July 1. Report No 46. http://www.nice.org.uk/
- 7.Directions to Primary Care Trusts and NHS trusts in England concerning the arrangements for the Funding of Technology Appraisal Guidelines from the National Institute for Clinical Excellence – National Health Service Act 1997. 2003. 2006. http://www.nice.org.uk/
- 8.Colquitt J, Clegg A, Loveman E et al. Surgery for morbid obesity. The Cochrane Database of Systematic Reviews 2005, Issue 4. http://www.cochrane.org/
- 10.Office of Population Censuses and Surveys. Tabular list of classification of surgical procedure (Fourth Revision). The Stationery Office: London; 1997. http://www.connectingforhealth.nhs.uk/clinicalcoding/classifications/opcs_4
- 11.Department of Health. Specialised Morbid Obesity Services (all ages) – Definitions No 35, 2004. www.dh.gov.uk/assetRoot/04/01/96/14/04019614.pdf
- 12.Department of Communities and Local Government. The English Indices of Deprivation. The Stationery Office 2004. http://www.communities.gov.uk/
- 13.Association of Public Health Observatories. Indications of Public health in the English Regions 4: Ethnicity and Health. 2006. http://www.apho.org.uk/apho/
- 16.Rand CS, Kuldau JM. Morbid obesity: a comparison between a general population and obesity surgery patients. Int J Obes 1993; 17: 657–61.Google Scholar
- 21.Choosing Health. Department of Health, London: Stationery Office, 2004. http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?