The impact of morbid obesity and bariatric surgery on comorbid conditions: a comprehensive examination of comorbidities in an employed population.
OBJECTIVE
Find conditions with significantly different prevalence among employees diagnosed with morbid obesity (DMO). Examine the effect of bariatric surgery on the prevalence of all categories of comorbid conditions after surgery.


METHODS
This large employer retrospective database analysis used matching to create two cohorts: Those with a DMO and those without.


RESULTS
The DMO cohort had higher diagnosis rates in every Agency for Healthcare Research and Quality major diagnostic category except pregnancy, and it had significantly higher prevalence in 147 of 261 Agency for Health care Research and Quality specific categories. Those electing to undergo bariatric surgery experienced significant prevalence decreases in 26 of 261 specific categories.


CONCLUSIONS
Employees DMO are at higher risk for many serious diseases. Bariatric surgery has been effective in promoting weight loss and decreasing the rates of many serious comorbidities.
Kleinman
Nathan L
NL
Human Capital Management Services Group, Inc, Cheyenne, Wyoming 82001, USA. nathan_kleinman@hcmsgroup.com
Melkonian
Arthur
A
Borden
Spencer
S
Rohrbacker
Nicholas
N
Lynch
Wendy D
WD
Gardner
Harold H
HH
D000328:Adult; D050110:Bariatric Surgery; D015897:Comorbidity; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery*; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology