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The impact of baria...
The impact of bariatric surgery on disease activity and progression of multiple sclerosis : A nationwide matched cohort study
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- Anna Karin, Hedström (author)
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Stenberg, Erik, 1979- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of surgery
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- Tim, Spelman (author)
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Lars, Forsberg (author)
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Erik, Näslund (author)
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
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- Jan, Hillert (author)
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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(creator_code:org_t)
- 2022-07-07
- 2022
- English.
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In: Multiple Sclerosis Journal. - : Sage Publications. - 1352-4585 .- 1477-0970. ; 28:13, s. 2099-2105
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- BACKGROUND: Surgical outcomes in patients with multiple sclerosis (MS) following metabolic surgery appear to be similar compared to those of the general bariatric population.OBJECTIVE: To study the impact of metabolic surgery on the clinical course of MS.METHODS: Using data from the Scandinavian Obesity Surgery Registry and the Swedish Multiple Sclerosis register, we compared disease outcomes in 122 cases of MS who had undergone metabolic surgery with those of 122 cases of MS without surgery, matched by a two-staged Propensity score match, including age at disease onset, sex, MS phenotype, body mass index, and preoperative severity of MS as measured by the Expanded Disability Status Scale.RESULTS: The time to 6-month confirmed disability progression during the first five years postbaseline was shorter among the surgical patients (hazard ratio (HR) = 2.31, 95% confidence interval (CI) = 1.09-4.90; p = 0.03). No differences were observed regarding postoperative annual relapse rate (p = 0.24) or time to first postoperative relapse (p = 0.52).CONCLUSION: Although metabolic surgery appears to be a safe and efficient treatment of obesity in patients with MS, the clinical course of the disease might be negatively affected. Long-term nutritional follow-up after surgery and supplementation maintenance are crucial, particularly among those with preoperative deficits.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Multiple sclerosis
- disease progression
- metabolic surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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