Original articlePreoperative predictors of adherence to multidisciplinary follow-up care postbariatric surgery
Section snippets
Study population
This was a cohort study of prospectively collected data on patients who underwent bariatric surgery (laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy) from January 1, 2011 to December 1, 2011 through the University of Toronto Bariatric Surgery Collaborative. This program consists of an interprofessional team of surgeons, psychiatrists, psychologists, nurse practitioners, dieticians, and social workers, who assess patients for bariatric surgery and provide bariatric aftercare for up
Results
Of 393 consecutive patients who underwent bariatric surgery in the program between January 1, 2011 to December 1, 2011, a total of 388 patients consented to participate in prospective data collection; 315 (81.2%) were female and 73 (18.8%) were male. Average age at time of surgery was 45.0 (±11.12) years. All surgeries were performed at 1 of 3 teaching hospitals by a total of 8 surgeons, all of whom had similar expertise and operated on a similar proportion of these patients (46±9). Three
Discussion
In this study, the authors sought to identify predictors of follow-up adherence after bariatric surgery in a publicly funded healthcare system. Unlike many other studies, patient data on a comprehensive list of potential influencing variables was collected prospectively to inform this analysis. Indicators of psychosocial health and medical co-morbidities along with demographic characteristics, economic status, and anthropometrics were included in this multivariable analysis. The authors
Conclusion
Despite a universal healthcare system, attrition remains a problem to follow-up care post–bariatric surgery. Although no direct healthcare costs are incurred by patients in this system, employment status affects patient compliance to follow-up care post–bariatric surgery. The indirect costs of follow-up care for patients must be considered and minimized. The cost of returning must also be balanced against the benefit for patients.
As more people undergo bariatric surgery, the need for
Disclosures
The authors have no commercial associations that might be a conflict of interest in relation to this article.
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