Adherence to Psychiatric Follow-up Predicts 1-Year BMI Loss in Gastric Bypass Surgery Patients

Shen, Shu-Chen; Lin, Hsueh-Chun; Huang, Chih-Kuan; Yen, Yung-Chieh

doi:10.1007/s11695-015-1821-5

Cited by 16 publications

(10 citation statements)

References 35 publications

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“…Furthermore, recent data suggest that adherence to postoperative psychiatric follow-up is associated with greater postoperative weight loss in psychotic disorders [37].…”

Section: ) Psychological Evaluation Before Bariatric Surgery Proceduresmentioning

confidence: 99%

Surgical Management of Obesity Among People with Schizophrenia and Bipolar Disorder: a Systematic Review of Outcomes and Recommendations for Future Research

et al. 2017

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“…Furthermore, recent data suggest that adherence to postoperative psychiatric follow-up is associated with greater postoperative weight loss in psychotic disorders [37].…”

Section: ) Psychological Evaluation Before Bariatric Surgery Proceduresmentioning

confidence: 99%

Surgical Management of Obesity Among People with Schizophrenia and Bipolar Disorder: a Systematic Review of Outcomes and Recommendations for Future Research

et al. 2017

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“…Multiple authors have emphasized the importance of adherence to follow-up (FU) after bariatric surgery; arguments are the timely recognition of late complications and vitamin deficiencies possibly leading to irreversible (neurological) disorders [4,5]. In addition, several authors have pointed out the association between loss to FU and WL [6][7][8]. Compliance to this FU however remains extremely challenging [9,10].…”

Section: Introductionmentioning

confidence: 99%

Weight Loss Results and Compliance with Follow-up after Bariatric Surgery

et al. 2021

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Purpose The importance of follow-up (FU) for midterm weight loss (WL) after bariatric surgery is controversial. Compliance to this FU remains challenging. Several risk factors for loss to FU (LtFU) have been mentioned. The aim was therefore to evaluate the association between WL and LtFU 3 to 5 years postoperatively and to identify risk factors for LtFU. Materials and Methods A single-center cross-sectional study in the Netherlands. Between June and October 2018, patients scheduled for a 3-, 4-, or 5-year FU appointment were included into two groups: compliant (to their scheduled appointment and overall maximally 1 missed appointment) and non-compliant (missed the scheduled appointment and at least 1 overall). Baseline, surgical, and FU characteristics were collected and a questionnaire concerning socio-economic factors. Results In total, 217 patients in the compliant group and 181 in the non-compliant group were included with a median body mass index at baseline of 42.0 and 42.9 respectively. Eighty-eight percent underwent a laparoscopic Roux-en-Y gastric bypass. The median percentage total weight loss for the compliant and non-compliant groups was 30.7% versus 28.9% at 3, 29.3% versus 30.2% at 4, and 29.6% versus 29.9% at 5 years respectively, all p>0.05. Age, persistent comorbidities and vitamin deficiencies, a yearly salary <20,000 euro, no health insurance coverage, and not understanding the importance of FU were risk factors for LtFU. Conclusion Three to 5 years postoperatively, there is no association between LtFU and WL. The compliant group demonstrated more comorbidities and vitamin deficiencies. Younger age, not understanding the importance of FU, and financial challenges were risk factors for LtFU. Graphical abstract

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“…A growing number of studies identified possible presurgical indicators of suboptimal adherence to postoperative recommendations, such as demographic variables, psychiatric and medical comorbidities, and cognitive function [57,58]. In particular, these studies were focused on attendance to follow-up visits, dietary suggestions, and vitamin supplementation, which are nonadherence issues coming up at the post-surgery time, when the damage is, already, done [59,60]. Investigating nonadherence before surgery could provide multiple advantages to the interdisciplinary bariatric team by obtaining information of strategical importance.…”

Section: Discussionmentioning

confidence: 99%

Measuring Knowledge, Attitudes, and Barriers to Medication Adherence in Potential Bariatric Surgery Patients

et al. 2021

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Background Bariatric surgery is an effective treatment for the obesity epidemic, but the poor attendance and adherence rates of post-surgery recommendations threaten treatment effectiveness and health outcomes. Preoperatively, we investigated the unique contributions of clinical (e.g., medical and psychiatric comorbidities), sociodemographic (e.g., sex, age, and educational level), and psychopathological variables (e.g., binge eating severity, the general level of psychopathological distress, and alexithymia traits) on differing dimensions of adherence in a group of patients seeking bariatric surgery. Methods The final sample consisted of 501 patients (346 women). All participants underwent a full psychiatric interview. Self-report questionnaires were used to assess psychopathology, binge eating severity, alexithymia, and three aspects of adherence: knowledge, attitude, and barriers to medical recommendations. Results Attitude to adherence was associated with alexithymia (β = ˗2.228; p < 0.001) and binge eating disorder (β = 0.103; p = 0.047). The knowledge subscale was related to medical comorbidity (β = 0.113; p = 0.012) and alexithymia (β = −2.256; p < 0.001); with age (β = 0.161; p = 0.002) and psychiatric comorbidity (β =0.107; p = 0.021) manifesting in the barrier subscale. Conclusion We demonstrated that alexithymia and psychiatric and eating disorders impaired adherence reducing attitude and knowledge of treatment and increasing the barriers. Both patient and doctor can benefit from measuring adherence prior to surgery, with a qualitative approach shedding light on the status of adherence prior to the postsurgical phase when the damage regarding adherence is, already, done.

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Adherence to Psychiatric Follow-up Predicts 1-Year BMI Loss in Gastric Bypass Surgery Patients

Abstract: Our preliminary data suggest that adherence to postoperative psychiatric follow-up is associated with greater postoperative weight loss. However, evidence from studies with a longer follow-up is required to justify this therapeutic approach.

Cited by 16 publications

References 35 publications

Surgical Management of Obesity Among People with Schizophrenia and Bipolar Disorder: a Systematic Review of Outcomes and Recommendations for Future Research

Surgical Management of Obesity Among People with Schizophrenia and Bipolar Disorder: a Systematic Review of Outcomes and Recommendations for Future Research

Weight Loss Results and Compliance with Follow-up after Bariatric Surgery

Measuring Knowledge, Attitudes, and Barriers to Medication Adherence in Potential Bariatric Surgery Patients

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