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Invited Commentary
November 21, 2018

Understanding the Benefits of Bariatric Surgery: How Much Evidence Is Enough?

Author Affiliations
  • 1Department of Surgery, University of Michigan, Ann Arbor
  • 2Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor
JAMA Surg. 2018;153(11):e183332. doi:10.1001/jamasurg.2018.3332

Bariatric surgery is the most effective treatment for obesity, with substantial weight loss and resolution of associated comorbidities.1 Multiple studies have defined slight variations in results among different patient populations, including older adults.2 Older adults are as affected by obesity as younger patients are,3 and bariatric surgery in this group has repeatedly been demonstrated to result in successful weight loss and comorbidity resolution.4 However, few studies have focused exclusively on Medicare-eligible patients, a category that in addition to patients 65 years and older includes those with end-stage renal disease or disability.

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