BACKGROUND: Differences in Medicaid vs Medicare vs Private vs Self-Pay duodenal switch (DS) results are unknown. This study identified DS outcomes variations by health insurance. METHODS: Data from 1,681 DS @entity1 were analyzed retrospectively: Medicaid (n = 138), Medicare (n = 313), Private insurance (n = 1,171), and Self-Pay (n = 59). General linear models included baseline and postoperative data and were modified for dichotomous variables. RESULTS: @entity27 , @entity4036 , @entity6 , and 9 other hepatobiliary, and somatic conditions were lowest in Private (P < .05). Self-Pay @entity2963 , @entity4512 , and 3 others were lowest; @entity565 , @entity951 , @entity712 , @entity285 use, @entity409 , and 3 others were highest (P < .05). Medicare had highest @entity4512 , @entity6437 cerebri; lowest @entity565 , and @entity3610 (P < .05). Medicaid @entity101 , @entity387 , @entity2963 , @entity354 , @entity615 , and 5 others were highest (P < .05); @entity2299 and @entity285 use were lowest. CONCLUSIONS: Outcomes after DS vary by health insurance. These findings may facilitate management of DS @entity1 .

In the superobese, weight loss and resolution of obesity comorbidities after biliopancreatic bypass and/or duodenal switch vary according to health insurance carrier: Medicaid vs Medicare vs Private insurance vs Self-Pay in 1681 Bariatric Outcomes Longitudinal Database XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4512 :: ('MESH:D059352', 'Disease') :: ['gastroesophageal reflux disease, back and/or musculoskeletal pain', 'abdominal hernia and musculoskeletal pain'] @entity3610 :: ('MESH:D011085', 'Disease') :: ['polycystic ovarian syndrome'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity387 :: ('MESH:D012891', 'Disease') :: ['sleep apnea'] @entity2299 :: ('MESH:D050171', 'Disease') :: ['dyslipidemia'] @entity565 :: ('MESH:D001249', 'Disease') :: ['asthma'] @entity4036 :: ('MESH:D046449', 'Disease') :: ['abdominal hernia'] @entity409 :: ('MESH:D008107', 'Disease') :: ['liver disease'] @entity27 :: ('MESH:D020181', 'Disease') :: ['Hypertension, obstructive sleep apnea'] @entity6437 :: ('MESH:D006104', 'Disease') :: ['pseudotumor'] @entity2963 :: ('MESH:D002769', 'Disease') :: ['cholelithiasis'] @entity615 :: ('MESH:D001416', 'Disease') :: ['diabetes, back pain'] @entity951 :: ('MESH:D000787', 'Disease') :: ['angina'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux disease'] @entity285 :: ('D000431', 'Chemical') :: ['alcohol']
@entity1 :: (9606,Species) :: ['patients']
