Cancer Risk Following Bariatric Surgery-Systematic Review and Meta-analysis of National Population-Based Cohort Studies

Obes Surg. 2019 Mar;29(3):1031-1039. doi: 10.1007/s11695-018-3501-8.

Abstract

This study has analyzed results from registry-based population studies to assess the effect of bariatric surgery upon cancer incidence at a population level. Relevant studies were identified and meta-analysis was used to calculate pooled odds ratios (POR) for the incidence of cancer after bariatric surgery compared to controls. Eight population-based studies were included with 635,642 total patients. Bariatric surgery was associated with a significant reduction in overall cancer incidence (POR = 0.72; 95% CI 0.59 to 0.87; p = 0.0007) and incidence of obesity-related cancer (POR = 0.55; 95% CI 0.31 to 0.96; p = 0.04). Bariatric surgery was also protective for breast cancer development (POR = 0.50; 95% CI 0.25 to 0.99; p = 0.045). Bariatric surgery appears to be associated with a reduction in cancer incidence at a population-based level.

Keywords: Bariatric surgery; Cancer; Obesity-related cancer.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Adult
  • Bariatric Surgery* / statistics & numerical data
  • Cohort Studies
  • Female
  • Humans
  • Incidence
  • Male
  • Neoplasms / epidemiology*
  • Neoplasms / etiology*
  • Obesity, Morbid / epidemiology*
  • Obesity, Morbid / surgery*
  • Plastic Surgery Procedures / statistics & numerical data
  • Population
  • Risk Factors