Prediction of successful weight reduction after bariatric surgery by data mining technologies

Yi Chih Lee, Wei Jei Lee, Tian Shyug Lee, Yang Chu Lin, Weu Wang, Phui Ly Liew, Ming Te Huang, Ching Wen Chien

研究成果: 雜誌貢獻文章同行評審

24 引文 斯高帕斯(Scopus)

摘要

Background: Surgery is the only long-lasting effective treatment for morbid obesity. Prediction on successful weight loss after surgery by data mining technologies is lacking. We analyze the available information during the initial evaluation of patients referred to bariatric surgery by data mining methods for predictors of successful weight loss. Methods: 249 patients undergoing laparoscopic mini-gastric bypass (LMGB) or adjustable gastric banding (LAGB) were enrolled. Logistic Regression and Artificial Neural Network (ANN) technologies were used to predict weight loss. Overall classification capability of the designed diagnostic models was evaluated by the misclassification costs. Results: We studied 249 patients consisting of 72 men and 177 women over 2 years. Mean age was 33±9 years. 208 (83.5%) patients had successful weight reduction while 41 (16.5%) did not. Logistic Regression revealed that the type of operation had a significant prediction effect (P=0.000). Patients receiving LMGB had a better weight loss than those receiving LAGB (78.54%±26.87 vs 43.65%±26.08). ANN provided the same predicted factor on the type of operation but it further proposed that HbA1c and triglyceride were associated with success. HbA1c is lower in the successful than failed group (5.81±1.06 vs 6.05±1.49; P=NS), and triglyceride in the successful group is higher than in the failed group (171.29±112.62 vs 144.07±89.90; P=NS). Conclusion: Artificial neural network is a better modeling technique and the overall predictive accuracy is higher on the basis of multiple variables related to laboratory tests. LMGB, high preoperative triglyceride level, and low HbA1c level can predict successful weight reduction at 2 years.

原文英語
頁(從 - 到)1235-1241
頁數7
期刊Obesity Surgery
17
發行號9
DOIs
出版狀態已發佈 - 9月 2007

ASJC Scopus subject areas

  • 手術

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