Skip to main content
SpringerLink
Log in

Trends in Bariatric Surgery in Spain in the Twenty-First Century: Baseline Results and 1-Month Follow Up of the RICIBA, a National Registry

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

Specific data is needed to safely expand bariatric surgery and to preserve good surgical outcomes in response to the non-stop increase in obesity prevalence worldwide.

Objective

The aims of this study are to provide an overview of the baseline characteristics, type of surgery, and 30-day postoperative morbidity and mortality in patients undergoing bariatric surgery in Spanish public hospitals, and evaluate changes throughout the 2000–2014 period.

Material and Methods

This is a descriptive study using data from the RICIBA, a computerized multicenter and multidisciplinary registry created by the Obesity Group of the Endocrinology and Nutrition Spanish Society. Three periods according to the date of surgery were created: January 2000 to December 2004 (G1), January 2005 to December 2009 (G2), and January 2010 to December 2014 (G3).

Results

Data from 3843 patients were available (44.8 ± 10.5 years, a 3:1 female-to-male ratio, 46.9 ± 8.2 kg/m2). Throughout the 15-year period assessed, candidate patients for bariatric surgery were progressively older and less obese, with an increase in associated comorbidities and in the prevalence of men. The global trend also showed a progressive decrease in Roux-en-Y gastric bypass, the most performed bariatric procedure (75.1 % in G1, 69.3 % in G2, and 42.6 % in G3; p < 0.001), associated with a parallel increase in sleeve gastrectomy (0.8 % in G1, 18.1 % in G2, and 39.6 % in G3; p < 0.001). An overall mortality rate of 0.3 % was reported.

Conclusions

Data from Spain is similar to data observed worldwide. Information recorded in the National Registries like RICIBA is necessary in order to safely expand bariatric surgery in response to increasing demand.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557–67.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Berghöfer A, Pischon T, Reinhold T, et al. Obesity prevalence from a European perspective: a systematic review. BMC Public Health. 2008;8:200.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gutiérrez-Fisac JL, Guallar-Castillón P, León-Muñoz LM, et al. Prevalence of general and abdominal obesity in the adult population of Spain, 2008–2010: the ENRICA study. Obes Rev. 2012;13:388–92.

    Article  PubMed  Google Scholar 

  4. Neira M, de Onis M. The Spanish strategy for nutrition, physical activity and the prevention of obesity. Br J Nutr. 2006;96 Suppl 1:S8–11.

    Article  CAS  PubMed  Google Scholar 

  5. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19:1605–11.

    Article  PubMed  Google Scholar 

  6. Courcoulas AP, Christian NJ, Belle SH, et al. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA. 2013;310:2416–25.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;92:1724–37.

    Article  Google Scholar 

  8. Ramos-Leví AM, Rubio Herrera MA. Metabolic surgery: quo vadis? Endocrinol Nutr. 2014;61:35–46.

    Article  PubMed  Google Scholar 

  9. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23:427–36.

    Article  PubMed  Google Scholar 

  10. Angrisani L. Santonicola a., Iovino P, Formisano G, Buchwald H, Scopinaro N. Bariatric Surgery Worldwide 2013. Obes Surg. 2015;25:1822–32.

    Article  CAS  PubMed  Google Scholar 

  11. Fort JM, Vilallonga R, Lecube A, et al. Bariatric surgery outcomes in a European Centre of Excellence (CoE). Obes Surg. 2013;23:1324–32.

    Article  PubMed  Google Scholar 

  12. Gastrointestinal surgery for severe obesity. National Institutes of Health Conference Statement. Am J Clin Nutr. 1992; 55: 615S-9S.

  13. Lecube A, Monereo S. RICIBA (Computerized registry of bariatric surgery), what do we know about bariatric surgery in Spain? Endocrinol Nutr. 2011;58:323–4.

    Article  PubMed  Google Scholar 

  14. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2005;28:S37–42.

    Article  Google Scholar 

  15. Rubino F. From bariatric to metabolic surgery: definition of a new discipline and implications for clinical practice. Curr Atheroscler Rep. 2013;15:369.

    Article  PubMed  Google Scholar 

  16. Rubino F, Shukla A, Pomp A, et al. Bariatric, metabolic, and diabetes surgery: what’s in a name? Ann Surg. 2014;259:117–22.

    Article  PubMed  Google Scholar 

  17. Vidal P, Ramón JM, Goday A, et al. Laparoscopic gastric bypass versus laparoscopic sleeve gastrectomy as a definitive surgical procedure for morbid obesity. Mid-term results. Obes Surg. 2013;23:292–9.

    Article  PubMed  Google Scholar 

  18. Peterli R, Borbély Y, Kern B, et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): a prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann Surg. 2013;258:690–4.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Puzziferri N, Austrheim-Smith IT, Wolfe BM, et al. Three-year follow-up of a prospective randomized trial comparing laparoscopic versus open gastric bypass. Ann Surg. 2006;243:181–8.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Caiazzo R, Pattou F. Adjustable gastric banding, sleeve gastrectomy or gastric bypass. Can evidence-based medicine help us to choose? J Visc Surg. 2013;150:85–95.

    Article  CAS  PubMed  Google Scholar 

  21. Chang SH, Stoll CR, Song J, et al. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surg. 2014;149:275–87.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Reoch J, Mottillo S, Shimony A, et al. Safety of laparoscopic vs open bariatric surgery. Arch Surg. 2013;146:1314–22.

    Article  Google Scholar 

Download references

Acknowledgments

Cicle Serveis Informàtics developed the website of RICIBA. The RICIBA is a property of the Spanish Society of Endocrinology and Nutrition (SEEN).

Author information

Author notes

    Authors and Affiliations

    1. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari Arnau de Vilanova, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas), ISCIII, Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Universitat de Lleida, Av Rovira Roure 80, 25198, Lleida, Spain

      Albert Lecube, Ana de Hollanda & Marta Bueno

    2. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari Vall d’Hebrón, Barcelona, Spain

      Albert Lecube

    3. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Reina Sofia, Córdoba, Spain

      Alfonso Calañas

    4. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari de Bellvitge, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas, ISCIII), L’Hospitalet de Llobregat, Spain

      Núria Vilarrasa

    5. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Clínico San Carlos IDISSC, Madrid, Spain

      Miguel Angel Rubio

    6. Obesity Unit and Endocrinology and Nutrition Departments, Hospital General Universitario Gregorio Marañón, Madrid, Spain

      Irene Breton

    7. Obesity Unit and Endocrinology and Nutrition Departments, Hospital del Mar, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), CIBEROBN (CIBER de obesidad y nutrición, ISCIII), Departament de Medicina Universitat Autònoma de Barcelona, Barcelona, Spain

      Albert Goday

    8. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Clínic de Barcelona, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas, ISCIII), Institut Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain

      Josep Vidal

    9. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Rey Juan Carlos, Madrid, Spain

      Paloma Iglesias

    10. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario San Cecilio, Granada, Spain

      María Luisa Fernández-Soto

    11. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Germans Trias i Pujol, CIBERDEM (CIBER de diabetes y enfermedades metabólicas asociadas), ISCIII, Badalona, Spain

      Silvia Pellitero

    12. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario La Paz, Madrid, Spain

      Ana Isabel de Cos

    13. Obesity Unit and Endocrinology and Nutrition Departments, Complexo Hospitalario Universitario de Vigo, Vigo, Spain

      María José Morales

    14. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Virgen Macarena, Seville, Spain

      Cristina Campos

    15. Obesity Unit and Endocrinology and Nutrition Departments, Hospital de Son Llàtzer, Palma de Mallorca, Spain

      Lluís Masmiquel

    16. Obesity Unit and Endocrinology and Nutrition Departments, Complejo Hospitalario de Málaga (Virgen de la Victoria), Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga, CIBEROBN (CIBER de obesidad y nutrición, ISCIII), Málaga, Spain

      Francisco Tinahones

    17. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain

      Pedro Pujante

    18. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitario Virgen del Rocío, Seville, Spain

      Pedro P. García-Luna

    19. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari i Politècnic La Fe, Valencia, Spain

      Rosa Cámara

    20. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Royo Villanova, Zaragoza, Spain

      Orosia Bandrés

    21. Obesity Unit and Endocrinology and Nutrition Departments, Hospital Universitari Parc Taulí, Sabadell, Spain

      Assumpta Caixàs

    Authors
    1. Albert Lecube
      View author publications

      You can also search for this author in PubMed Google Scholar

    2. Ana de Hollanda
      View author publications

      You can also search for this author in PubMed Google Scholar

    3. Alfonso Calañas
      View author publications

      You can also search for this author in PubMed Google Scholar

    4. Núria Vilarrasa
      View author publications

      You can also search for this author in PubMed Google Scholar

    5. Miguel Angel Rubio
      View author publications

      You can also search for this author in PubMed Google Scholar

    6. Irene Breton
      View author publications

      You can also search for this author in PubMed Google Scholar

    7. Albert Goday
      View author publications

      You can also search for this author in PubMed Google Scholar

    8. Josep Vidal
      View author publications

      You can also search for this author in PubMed Google Scholar

    9. Paloma Iglesias
      View author publications

      You can also search for this author in PubMed Google Scholar

    10. María Luisa Fernández-Soto
      View author publications

      You can also search for this author in PubMed Google Scholar

    11. Silvia Pellitero
      View author publications

      You can also search for this author in PubMed Google Scholar

    12. Ana Isabel de Cos
      View author publications

      You can also search for this author in PubMed Google Scholar

    13. María José Morales
      View author publications

      You can also search for this author in PubMed Google Scholar

    14. Cristina Campos
      View author publications

      You can also search for this author in PubMed Google Scholar

    15. Lluís Masmiquel
      View author publications

      You can also search for this author in PubMed Google Scholar

    16. Francisco Tinahones
      View author publications

      You can also search for this author in PubMed Google Scholar

    17. Pedro Pujante
      View author publications

      You can also search for this author in PubMed Google Scholar

    18. Pedro P. García-Luna
      View author publications

      You can also search for this author in PubMed Google Scholar

    19. Marta Bueno
      View author publications

      You can also search for this author in PubMed Google Scholar

    20. Rosa Cámara
      View author publications

      You can also search for this author in PubMed Google Scholar

    21. Orosia Bandrés
      View author publications

      You can also search for this author in PubMed Google Scholar

    22. Assumpta Caixàs
      View author publications

      You can also search for this author in PubMed Google Scholar

    Corresponding author

    Correspondence to Albert Lecube.

    Ethics declarations

    Conflict of Interest

    The authors declare that they have no competing interest.

    Ethical Approval

    All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

    Grant Support

    Nestlé España, S.A. is the sole sponsor and provides unrestricted technical support to RICIBA.

    Additional information

    Albert Lecube and Ana de Hollanda contributed equally to this work.

    Rights and permissions

    Reprints and permissions

    About this article

    Check for updates. Verify currency and authenticity via CrossMark

    Cite this article

    Lecube, A., de Hollanda, A., Calañas, A. et al. Trends in Bariatric Surgery in Spain in the Twenty-First Century: Baseline Results and 1-Month Follow Up of the RICIBA, a National Registry. OBES SURG 26, 1836–1842 (2016). https://doi.org/10.1007/s11695-015-2001-3

    Download citation

    • Published:

    • Issue Date:

    • DOI: https://doi.org/10.1007/s11695-015-2001-3

    Keywords

    Search

    Navigation