SP8.14 The Association Between Bariatric Surgery Outcomes and Socioeconomic Deprivation

Background and Aims Obesity is a multifaceted problem for global healthcare, influenced by socioeconomic factors. Bariatric surgery is an effective treatment where less invasive management has been unsuccessful. The impact of socioeconomic deprivation on surgical outcomes is a novel area of research. The present study aims to investigate the effect of socioeconomic deprivation on bariatric surgery outcomes. Methods Data was prospectively collected at a regional bariatric centre in Scotland. The study included patients who received either Roux en Y Gastric Bypass (RYGB) or Sleeve Gastrectomy (SG) (2008-2022). Follow-up occurred postoperatively at 6 months, 1 year and thereafter annually. Socioeconomic deprivation was measured using Scottish Index of Multiple Deprivation (SIMD) using residential postcodes to generate a deprivation quintile (Q1-5). The primary outcome was percentage total weight loss (%TWL). Secondary outcomes included postoperative complications, comorbidity status, nutritional status, length of stay and re-admissions. Grouped analysis was conducted to represent a more deprived group (Q1-3) and a less deprived group (Q4-5). Statistical analysis was carried out of the data. The study was carried out using the STROBE principals. Results 316 patients were included (median follow-up = 7 years, median %TWL = 23.8%). There was no significant difference in median %TWL (p = 0.528), short-term (p = 0.619) or long-term (p = 0.164) complications, comorbidity resolution (p = 0.472), improvement (p = 0.282) and exacerbation or new comorbidity development (p = 0.717) between socioeconomic quintiles. Conclusion Socioeconomic deprivation does not limit bariatric surgery outcomes and therefore should not be a barrier to surgery.