4 results on '"Christin Coomarasamy"'
Search Results
2. Does Bariatric Surgery Improve Faecal Incontinence? A Systematic Review and Meta-analysis
- Author
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Don Wilson, Fardowsa Mohamed, Megna Jeram, Melanie Lauti, Andrew D. MacCormick, and Christin Coomarasamy
- Subjects
Adult ,medicine.medical_specialty ,Roux-en-Y gastric bypass ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Original Contributions ,Pelvic floor disorder ,Urinary incontinence ,Gastric Bypass ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Duodenal switch ,Randomized controlled trial ,Quality of life ,law ,Gastrectomy ,Medicine ,Humans ,Obesity ,Depression (differential diagnoses) ,Bariatric surgery ,Nutrition and Dietetics ,business.industry ,Faecal incontinence ,medicine.disease ,Surgery ,Pelvic organ prolapse ,Obesity, Morbid ,Gastrointestinal health ,030220 oncology & carcinogenesis ,Meta-analysis ,Quality of Life ,030211 gastroenterology & hepatology ,Observational study ,Female ,medicine.symptom ,business ,Biliopancreatic diversion ,Fecal Incontinence - Abstract
Introduction Obesity increases the risk of pelvic floor disorders in individuals with obesity, including faecal incontinence. Faecal incontinence (FI) is a condition with important clinical and psychosocial consequences. Though it is associated with obesity, the effect of bariatric surgery on the prevalence and severity of FI is not well reported. Objective To assess the effect of bariatric surgery on the prevalence and severity of FI in adult patients with obesity. Methods This systematic review was conducted in accordance with the PRISMA statement. Two independent reviewers performed a literature search in MEDLINE, PubMed, Cochrane and Embase from 1 January 1980 to 12 January 2019. We included published English-language randomized control trials and observational studies assessing pre- and post-bariatric surgery prevalence or severity of FI. Random-effects models with DerSimonian and Laird’s variance estimator were used for meta-analysis. Results Thirteen studies were included, eight assessing prevalence (678 patients) and 11 assessing severity of FI (992 patients). There was no significant difference in prevalence post-operatively overall, though it trended towards a reduction [pooled OR=0.55; =0.075]. There was a significant reduction of FI prevalence in women post-bariatric surgery [95% CI 0.22 to 0.94, p=0.034]. There was a statistically significant reduction in FI prevalence following Roux-en-Y gastric bypass and one anastomosis gastric bypass [0.46, 95% CI 0.26 to 0.81; p=0.007]. There was no significant reduction of incontinence episodes post-operatively [pooled mean difference =−0.17, 95% CI −0.90 to 0.56; p=0.65]. Quality of life (QOL) was not significantly improved post-bariatric surgery [mean differences for the following facets of QOL: behaviour −0.35, 95% CI −0.94 to 0.24; depression 0.04, 95% CI −0.12 to 0.2; lifestyle −0.33, 95% CI −0.98 to 0.33; p values of 0.25, 0.61 and 0.33, respectively]. Discussion There was a significant reduction in FI prevalence in women and those who underwent Roux-en-Y or one anastomosis gastric bypass. Our results for FI prevalence overall, FI severity and impact on quality of life were not statistically significant. Larger studies are needed in this under-researched area to determine the true effect of bariatric surgery on FI. Graphical abstract
- Published
- 2021
3. Ethnic Disparities in Access to Publicly Funded Bariatric Surgery in South Auckland, New Zealand
- Author
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Matire Harwood, Andrew G. Hill, Christin Coomarasamy, Jamie-Lee Rahiri, and Andrew D. MacCormick
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medicine.medical_specialty ,Native Hawaiian or Other Pacific Islander ,Endocrinology, Diabetes and Metabolism ,Ethnic group ,Bariatric Surgery ,030209 endocrinology & metabolism ,Logistic regression ,Indigenous ,03 medical and health sciences ,0302 clinical medicine ,Ethnicity ,Humans ,Medicine ,Receipt ,Nutrition and Dietetics ,business.industry ,Odds ratio ,medicine.disease ,Comorbidity ,Obesity ,Confidence interval ,Obesity, Morbid ,Surgery ,030211 gastroenterology & hepatology ,business ,New Zealand - Abstract
In New Zealand (NZ), Indigenous Māori and Pacific peoples experience a higher burden of obesity and obesity-related disease. Counties Manukau Health (CMH) provides the largest public bariatric service in NZ housing a higher proportion (64%) of non-European groups (Asian, Pacific and Māori). This study investigated whether ethnic disparities in the receipt of bariatric surgery exist within one of the most ethnically diverse populations in NZ. All patients accepted on to the CMH bariatric programme between 1 January 2011 and 31 December 2017 were identified through hospitalisation records. Logistic regression modelling with multivariate adjustment was utilised to assess the likelihood (odds ratio) of receipt of bariatric surgery by ethnicity. A total of 2519 referrals were received, of which 1051 proceeded to surgery. The proportion of patients referred who eventually underwent bariatric surgery was significantly higher for Other Europeans (68%) and NZ Europeans (63%) compared to Asian (42%), Māori (41%) and Pacific peoples (28%, p
- Published
- 2020
4. Are There Ethnic Differences in Micronutrient Deficiencies in Preoperative Bariatric Patients? A Systematic Review and Meta-analysis
- Author
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Megna, Jeram, Fardowsa, Mohamed, Christin, Coomarasamy, and Andrew Donald, MacCormick
- Subjects
Bariatric Surgery ,Humans ,Micronutrients ,Vitamins ,Vitamin D ,Obesity, Morbid - Abstract
The purpose of this systematic review was to determine if in patients presenting for bariatric surgery, patients of different ethnicities, have different micronutrient deficiencies preoperatively. Databases searched were PubMed, Embase, MEDLINE and Cochrane Library. A meta-analysis of prevalence of vitamin D insufficiency (20ng/ml) was carried out using a random effects model. Twenty-eight articles were included assessing preoperative micronutrient status across different ethnic groups. The most common micronutrient assessed was vitamin D, and the most assessed ethnicity was Caucasian. African Americans had the greatest prevalence of vitamin D insufficiency when compared to other ethnicities with a pooled prevalence and 95% confidence interval of 0.80 [0.74; 0.85]. There was a significant difference in vitamin D insufficiency when compared across ethnicities (p0.01).
- Published
- 2021
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