Comment on “Trends and Outcomes of Metabolic Surgery in Adolescents with BMI ≥ 50 vs < 50 kg/m2: A Retrospective Study Using the MBSAQIP Database”
摘要
This commentary addresses the methodological limitations of the study by Kachornvitaya et al., including modest model discrimination and restricted 30-day outcomes. While the study supports the short-term safety of metabolic surgery in adolescents with BMI ≥ 50 kg/m2, the lack of long-term data and granular risk modeling limits clinical applicability. We advocate for prospective studies incorporating longitudinal, patient-centered outcomes.