Long-term Effects of Bariatric Surgery

NCT ID: NCT00465829

Last Updated: 2016-09-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2458 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-03-31

Study Completion Date

2016-06-30

Brief Summary

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The primary objective of LABS-2 is to use standardized techniques and measures to assess the longer-term safety and efficacy of bariatric surgery by:

1. comparing post-surgical outcomes to pre-operative status
2. examining risks and benefits of surgery.

LABS-2 will determine the associations between clinical/demographic patient characteristics, components of the surgical procedure, and peri-operative and post-operative care with post-operative risks and changes in patient status.

Funds are not available to pay for the surgery for patients, only to address research questions.

Detailed Description

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The primary goal of LABS-2 is to evaluate the efficacy and safety of bariatric surgery over a longer term than LABS-1, i.e., more than 30 days. Using a sample of the LABS-1 cohort, approximately 2,400 patients, will be recruited over 3 years. LABS-2 will include clinical assessments and detailed interviews and questionnaires pre-operatively and at several post-operative time points (30 days, 6 months, 12 months following surgery, and annually thereafter) to assess risks of surgery, and changes in clinical, metabolic, and psychosocial characteristics in patients, and health care utilization following bariatric surgery. Detailed data about the surgical procedure and peri- and post-operative care will also be collected to determine if components of the surgical procedure, and peri-operative and post-operative care as well as clinical/demographic patient characteristics are associated with post-operative risks and changes in patient status. Patients enrolled in LABS-2 will provide blood specimens pre-operatively and post-operatively to address LABS-2 hypotheses and additional samples will be stored at the NIDDK tissue repository for serologic, pathologic and genomic testing of other hypotheses.

Conditions

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Obesity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Patients who are at least 18 years of age and undergo bariatric surgery by a LABS certified surgeon
* Previous enrollment in LABS-1
* Selected by algorithm to be included in LABS-2

Exclusion Criteria

* Informed consent not obtained
* Prior bariatric surgery
* Unlikely to comply with follow-up protocol
* Unable to communicate with local study staff
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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Steven Belle

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paul D Berk, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Anita Courcoulas, MD,MPH,FACS

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh Medical Center

David R Flum, MD,MPH,FACS

Role: PRINCIPAL_INVESTIGATOR

University of Washington

James E Mitchell, MD

Role: PRINCIPAL_INVESTIGATOR

Neuropsychiatric Research Institute

Bruce M Wolfe, MD,FACS

Role: PRINCIPAL_INVESTIGATOR

Oregon Health and Science University

Walter J Pories, MD,FACS

Role: PRINCIPAL_INVESTIGATOR

East Carolina Medical Center

Locations

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Cornell University Medical Center

New York, New York, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

East Carolina University

Greenville, North Carolina, United States

Site Status

Neuropsychiatric Research Institute

Fargo, North Dakota, United States

Site Status

Legacy Good Samaritan Hospital

Portland, Oregon, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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White GE, Courcoulas AP, Broskey NT, Rogan SC, Jeyabalan A, King WC. Maternal and Neonatal Outcomes of Pregnancy within 7 years after Roux-Y Gastric Bypass or Sleeve Gastrectomy Surgery. Obes Surg. 2023 Jun;33(6):1764-1772. doi: 10.1007/s11695-023-06575-6. Epub 2023 Apr 4.

Reference Type DERIVED
PMID: 37014543 (View on PubMed)

Wolfe MB, Williams TJ, Dewey EN, Mitchell JE, Pomp A, Wolfe BM. Health change awareness and its association with weight loss following bariatric surgery. Health Psychol. 2023 Jun;42(6):403-410. doi: 10.1037/hea0001279. Epub 2023 Mar 27.

Reference Type DERIVED
PMID: 36972088 (View on PubMed)

Purnell JQ, Dewey EN, Laferrere B, Selzer F, Flum DR, Mitchell JE, Pomp A, Pories WJ, Inge T, Courcoulas A, Wolfe BM. Diabetes Remission Status During Seven-year Follow-up of the Longitudinal Assessment of Bariatric Surgery Study. J Clin Endocrinol Metab. 2021 Mar 8;106(3):774-788. doi: 10.1210/clinem/dgaa849.

Reference Type DERIVED
PMID: 33270130 (View on PubMed)

Smith KE, Mason TB, Cao L, Crosby RD, Steffen KJ, Garcia L, King WC, Mitchell JE. Trajectories of depressive symptoms and relationships with weight loss in the seven years after bariatric surgery. Obes Res Clin Pract. 2020 Sep-Oct;14(5):456-461. doi: 10.1016/j.orcp.2020.08.007. Epub 2020 Sep 12.

Reference Type DERIVED
PMID: 32933863 (View on PubMed)

Bjornstad P, Nehus E, Jenkins T, Mitsnefes M, Moxey-Mims M, Dixon JB, Inge TH. Five-year kidney outcomes of bariatric surgery differ in severely obese adolescents and adults with and without type 2 diabetes. Kidney Int. 2020 May;97(5):995-1005. doi: 10.1016/j.kint.2020.01.016. Epub 2020 Feb 3.

Reference Type DERIVED
PMID: 32229096 (View on PubMed)

Dewberry LC, Jalivand A, Gupta R, Jenkins TM, Beamish A, Inge TH, Courcoulas A, Helmrath M, Brandt ML, Harmon CM, Chen M, Dixon JB, Zeller M, Michalsky MP. Weight Loss and Health Status 5 Years After Adjustable Gastric Banding in Adolescents. Obes Surg. 2020 Jun;30(6):2388-2394. doi: 10.1007/s11695-020-04504-5.

Reference Type DERIVED
PMID: 32124210 (View on PubMed)

Heshka S, Lemos T, Astbury NM, Widen E, Davidson L, Goodpaster BH, DeLany JP, Strain GW, Pomp A, Courcoulas AP, Lin S, Janumala I, Yu W, Kang P, Thornton JC, Gallagher D. Resting Energy Expenditure and Organ-Tissue Body Composition 5 Years After Bariatric Surgery. Obes Surg. 2020 Feb;30(2):587-594. doi: 10.1007/s11695-019-04217-4.

Reference Type DERIVED
PMID: 31617114 (View on PubMed)

Steffen KJ, King WC, White GE, Subak LL, Mitchell JE, Courcoulas AP, Flum DR, Strain G, Sarwer DB, Kolotkin RL, Pories W, Huang AJ. Changes in Sexual Functioning in Women and Men in the 5 Years After Bariatric Surgery. JAMA Surg. 2019 Jun 1;154(6):487-498. doi: 10.1001/jamasurg.2018.1162.

Reference Type DERIVED
PMID: 30785625 (View on PubMed)

Davidson LE, Yu W, Goodpaster BH, DeLany JP, Widen E, Lemos T, Strain GW, Pomp A, Courcoulas AP, Lin S, Janumala I, Thornton JC, Gallagher D. Fat-Free Mass and Skeletal Muscle Mass Five Years After Bariatric Surgery. Obesity (Silver Spring). 2018 Jul;26(7):1130-1136. doi: 10.1002/oby.22190. Epub 2018 May 30.

Reference Type DERIVED
PMID: 29845744 (View on PubMed)

Courcoulas AP, King WC, Belle SH, Berk P, Flum DR, Garcia L, Gourash W, Horlick M, Mitchell JE, Pomp A, Pories WJ, Purnell JQ, Singh A, Spaniolas K, Thirlby R, Wolfe BM, Yanovski SZ. Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study. JAMA Surg. 2018 May 1;153(5):427-434. doi: 10.1001/jamasurg.2017.5025.

Reference Type DERIVED
PMID: 29214306 (View on PubMed)

Menke MN, King WC, White GE, Gosman GG, Courcoulas AP, Dakin GF, Flum DR, Orcutt MJ, Pomp A, Pories WJ, Purnell JQ, Steffen KJ, Wolfe BM, Yanovski SZ. Contraception and Conception After Bariatric Surgery. Obstet Gynecol. 2017 Nov;130(5):979-987. doi: 10.1097/AOG.0000000000002323.

Reference Type DERIVED
PMID: 29016506 (View on PubMed)

King WC, Chen JY, Belle SH, Courcoulas AP, Dakin GF, Elder KA, Flum DR, Hinojosa MW, Mitchell JE, Pories WJ, Wolfe BM, Yanovski SZ. Change in Pain and Physical Function Following Bariatric Surgery for Severe Obesity. JAMA. 2016 Apr 5;315(13):1362-71. doi: 10.1001/jama.2016.3010.

Reference Type DERIVED
PMID: 27046364 (View on PubMed)

Courcoulas AP, Christian NJ, O'Rourke RW, Dakin G, Patchen Dellinger E, Flum DR, Melissa Kalarchian PD, Mitchell JE, Patterson E, Pomp A, Pories WJ, Spaniolas K, Steffen K, Wolfe BM, Belle SH. Preoperative factors and 3-year weight change in the Longitudinal Assessment of Bariatric Surgery (LABS) consortium. Surg Obes Relat Dis. 2015 Sep-Oct;11(5):1109-18. doi: 10.1016/j.soard.2015.01.011. Epub 2015 Jan 23.

Reference Type DERIVED
PMID: 25824474 (View on PubMed)

Mitchell JE, King WC, Chen JY, Devlin MJ, Flum D, Garcia L, Inabet W, Pender JR, Kalarchian MA, Khandelwal S, Marcus MD, Schrope B, Strain G, Wolfe B, Yanovski S. Course of depressive symptoms and treatment in the longitudinal assessment of bariatric surgery (LABS-2) study. Obesity (Silver Spring). 2014 Aug;22(8):1799-806. doi: 10.1002/oby.20738. Epub 2014 Mar 25.

Reference Type DERIVED
PMID: 24634371 (View on PubMed)

Courcoulas AP, Christian NJ, Belle SH, Berk PD, Flum DR, Garcia L, Horlick M, Kalarchian MA, King WC, Mitchell JE, Patterson EJ, Pender JR, Pomp A, Pories WJ, Thirlby RC, Yanovski SZ, Wolfe BM; Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA. 2013 Dec 11;310(22):2416-25. doi: 10.1001/jama.2013.280928.

Reference Type DERIVED
PMID: 24189773 (View on PubMed)

Mackey RH, Belle SH, Courcoulas AP, Dakin GF, Deveney CW, Flum DR, Garcia L, King WC, Kuller LH, Mitchell JE, Pomp A, Pories WJ, Wolfe BM; Longitudinal Assessment of Bariatric Surgery Consortium Writing Group. Distribution of 10-year and lifetime predicted risk for cardiovascular disease prior to surgery in the longitudinal assessment of bariatric surgery-2 study. Am J Cardiol. 2012 Oct 15;110(8):1130-7. doi: 10.1016/j.amjcard.2012.05.054. Epub 2012 Jun 27.

Reference Type DERIVED
PMID: 22742719 (View on PubMed)

Related Links

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Other Identifiers

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U01DK066557

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DK6657_2

Identifier Type: -

Identifier Source: org_study_id

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