Bariatric Surgery Demand Declines in the Era of GLP-1 RAs

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Bariatric Surgery Demand Declines in the Era of GLP-1 RAs
Obesity SurgeryWeight Loss SurgeryObesity
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A cross-sectional study of privately insured patients with obesity showed that the use of GLP-1 RAs soared from 2022 to 2023, whereas the rates of metabolic bariatric surgery decreased.

The use of glucagon-like peptide 1 receptor agonists for obesity treatment increased more than twofold between the last half of 2022 and the last half of 2023, whereas the rate of metabolic bariatric surgery dropped by around 25% during the same period, suggesting a notable shift in obesity management strategies.

For each quarter, researchers identified patients with a claim for any formulation of semaglutide or liraglutide and for metabolic bariatric surgery and compared patient characteristics, including age, sex, and comorbidities. Only GLP-1 RA prescriptions with US Food and Drug Administration indications as anti-obesity medications were considered.

Patients undergoing metabolic bariatric surgery were more medically complex, with 18.8% having at least four comorbidities vs 8.2% of those who were prescribed GLP-1 RAs and 11.1% of those who received neither treatment .

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