Effects of bariatric surgery on incidence of obesity-related cancers: a meta-analysis

Med Sci Monit. 2015 May 11:21:1350-7. doi: 10.12659/MSM.893553.

Abstract

Background: The aim of this meta-analysis was to investigate possible relationships between bariatric surgery and incidence of obesity-related cancers. Obesity is an established risk factor for obesity-related cancers but the effects of bariatric surgery on incidence of obesity-related cancers are uncertain.

Material/methods: We searched 4 electronic databases to identify eligible studies: PubMed, Embase, Web of Science, and Google Scholar. Five observational studies were eligible and included in this meta-analysis. Random-effects or fixed-effects odds ratio (OR) and its corresponding 95% confidence interval (CI) were pooled.

Results: Meta-analysis of these 5 observational studies revealed that bariatric surgery was associated with a significantly (p=0.0004) reduced incidence of obesity-related cancers (OR=0.43, 95%CI, 0.27-0.69) when compared with control individuals. Pooled estimated data showed that bariatric surgery is associated with a 24% lower colorectal cancer (CRC) risk. No publication bias was detected by Egger's or Begg's tests.

Conclusions: Although bariatric surgery may significantly reduce incidence of obesity-related cancers, considering the limitations of these included studies, these findings should be confirmed by further well-designed studies.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Retracted Publication

MeSH terms

  • Bariatric Surgery*
  • Cohort Studies
  • Colorectal Neoplasms / epidemiology
  • Colorectal Neoplasms / etiology
  • Colorectal Neoplasms / prevention & control
  • Confounding Factors, Epidemiologic
  • Data Accuracy
  • Disease Susceptibility
  • Female
  • Humans
  • Incidence
  • Male
  • Neoplasms / epidemiology
  • Neoplasms / etiology
  • Neoplasms / prevention & control*
  • Obesity, Morbid / complications*
  • Obesity, Morbid / surgery
  • Observational Studies as Topic / statistics & numerical data
  • Publication Bias
  • Retrospective Studies