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Introduction <p> Despite the success of bariatric surgery, only a fraction of the eligible population will undergo a bariatric procedure. Currently, there’s limited research on bariatric surgery outcomes in Veterans Affairs (VA) beneficiaries despite this population having higher rates of obesity than the general population. Our objective was to compare Department of Defense (DoD) and VA beneficiaries undergoing bariatric surgery at a military medical center. We hypothesize that VA beneficiaries will have different preoperative characteristics than the DoD beneficiaries, resulting in different postoperative outcomes. </p> Methods <p> Medical records of primary DoD and VA beneficiaries who underwent bariatric surgery from January 2021 to May 2024 were analyzed.</p> Results <p> A total of 149 patients – 99 DoD beneficiaries and 50 VA beneficiaries – were included. The VA cohort had higher rates of psychiatric and obesity related conditions. Perioperative complications and readmission rates were similar. Weight loss was not significantly different between the groups. BMI and Hemoglobin A1C decreased at all time points for all groups. The VA cohort had a significant improvement in creatinine and increase in glomerular filtration rate (GFR) while the DoD group did not. </p> Conclusions <p> The higher rate of psychiatric and associated medial problems does not significantly impact VA patients’ postoperative weight loss nor improvement in associated medical conditions compared to the DoD group. The VA group also experienced a significant improvement in renal function that was not seen in the DoD group. Eligible VA beneficiaries should be provided the option for referral for metabolic and bariatric surgery.</p>

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Comparative Analysis of Patient Characteristics and Bariatric Surgery Outcomes in DoD and VA Populations

  • 期刊论文

  • 发表日期：

    2025年12月16日

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  • Thomas M.R. McKinley MD,
  • Jonathan B Livezey MD,
  • Andrew J Anklowitz MD,
  • Joel R Brockmeyer MD,
  • Byron J Faler MD

摘要

Introduction

Despite the success of bariatric surgery, only a fraction of the eligible population will undergo a bariatric procedure. Currently, there’s limited research on bariatric surgery outcomes in Veterans Affairs (VA) beneficiaries despite this population having higher rates of obesity than the general population. Our objective was to compare Department of Defense (DoD) and VA beneficiaries undergoing bariatric surgery at a military medical center. We hypothesize that VA beneficiaries will have different preoperative characteristics than the DoD beneficiaries, resulting in different postoperative outcomes.

Methods

Medical records of primary DoD and VA beneficiaries who underwent bariatric surgery from January 2021 to May 2024 were analyzed.

Results

A total of 149 patients – 99 DoD beneficiaries and 50 VA beneficiaries – were included. The VA cohort had higher rates of psychiatric and obesity related conditions. Perioperative complications and readmission rates were similar. Weight loss was not significantly different between the groups. BMI and Hemoglobin A1C decreased at all time points for all groups. The VA cohort had a significant improvement in creatinine and increase in glomerular filtration rate (GFR) while the DoD group did not.

Conclusions

The higher rate of psychiatric and associated medial problems does not significantly impact VA patients’ postoperative weight loss nor improvement in associated medical conditions compared to the DoD group. The VA group also experienced a significant improvement in renal function that was not seen in the DoD group. Eligible VA beneficiaries should be provided the option for referral for metabolic and bariatric surgery.