<p>This commentary addresses the methodological limitations of the study by Kachornvitaya et al., including modest model discrimination and restricted 30-day outcomes. While the study supports the short-term safety of metabolic surgery in adolescents with BMI ≥ 50&#xa0;kg/m<sup>2</sup>, the lack of long-term data and granular risk modeling limits clinical applicability. We advocate for prospective studies incorporating longitudinal, patient-centered outcomes.</p>

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Comment on “Trends and Outcomes of Metabolic Surgery in Adolescents with BMI ≥ 50 vs < 50 kg/m2: A Retrospective Study Using the MBSAQIP Database”

  • Minesh Patel,
  • Devang Acharya,
  • Manan Sharma

摘要

This commentary addresses the methodological limitations of the study by Kachornvitaya et al., including modest model discrimination and restricted 30-day outcomes. While the study supports the short-term safety of metabolic surgery in adolescents with BMI ≥ 50 kg/m2, the lack of long-term data and granular risk modeling limits clinical applicability. We advocate for prospective studies incorporating longitudinal, patient-centered outcomes.