Evaluation of expectations and knowledge in bariatric surgery patients

Bauchowitz, Andrea; Azarbad, Leila; Day, Kathleen; Gönder-Frederick, Linda

doi:10.1016/j.soard.2007.05.005

Cited by 36 publications

(45 citation statements)

References 13 publications

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“…This is in line with a study by Biörserud et al [32] who reported a similar self-image between men and women 1.5 years after obesity surgery. Several studies reported unrealistic weight loss goals in patients undergoing obesity surgery and warned that this misperception might lead to dissatisfaction [21, 31]. The findings of the present study did not confirm this warning, as the improvement of MAQOL was independent from the weight loss goals.…”

Section: Discussioncontrasting

confidence: 94%

“…However, the mismatch between actual BMI and BMI goal became significantly lower with ongoing time. The weight loss goals of the present study are in line with current literature [20, 21, 31]. The actual and expected body shape was not significantly different between men and women.…”

Section: Discussionsupporting

confidence: 89%

“…The role of weight loss goals in obesity surgery might thus be overestimated. In line with existing literature, there were no differences in weight loss goals with regard to gender and age [31]. …”

Section: Discussionsupporting

confidence: 87%

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Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

et al. 2018

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Objective: Obesity surgery provides sustainable weight loss, improvement of comorbidities, and improved quality of life (QOL). There is few evidence on the patient perspective and goals. This study compared expected and achieved weight loss, body shape, and QOL. Methods: Patients completed the Moorehead-Ardelt QOL questionnaire (MAQOL) and questionnaires on actual and expected weight loss and body shape, comorbidities, and goals of obesity surgery preoperatively and within 24 months postoperatively. Results: 44 patients completed questionnaires pre- and postoperatively. BMI, MAQOL and comorbidities significantly improved postoperatively. Patients’ expected weight loss goal corresponded to a postoperative BMI of 32.6 ± 5.6 kg/m² and was not different from their achieved BMI within 24 months after surgery (33.9 ± 6.3 kg/m², p = 0.276). Self-reported body shape improved but did not reach preoperatively expected goals. During the weight loss period, patients adapted their weight loss and body shape goals to higher levels. Patients attributed a higher part of their success in weight loss to surgery postoperatively (79.5 ± 22.0 vs. 89.1 ± 18.4%, p = 0.028). Conclusion: Patients lost as much weight as they had expected and later modified the goals to even greater weight loss. Body shape improved but did not reach expected levels. QOL improved independently from weight loss and body shape. Patients attributed successful weight loss predominantly to surgery.

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionsupporting

confidence: 89%

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Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

et al. 2018

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“…Increasing empirical knowledge about WLS allows the role of the mental health professional to evolve beyond a basic "gatekeeping" function, to include the provision of support, education, and treatment [1][2][3][4][5]. The purpose of the psychosocial evaluation for WLS is not merely diagnostic, but to enhance the safety and efficacy of surgical treatment by identifying areas of potential vulnerability, challenges, and strengths, to create an individually tailored treatment plan [1,[3][4][5]11].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Evaluation for Bariatric Surgery: The Boston Interview and Opportunities for Intervention

Sogg

Mori

2008

OBES SURG

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The process of psychosocial evaluation for weight loss surgery (WLS) is one that goes beyond serving the function of information-gathering (Bauchowitz et al. in Surg Obes Relat Dis 3:554-558, 2007; Friedman et al. in Surg Obes Relat Dis 3:376-382, 2007; Lanyon and Maxwell in Obes Surg 17:321-328, 2007; Sogg and Mori in Obes Surg 14:370-380, 2004; Sogg and Mori in Surg Obes Relat Dis 4:455-463, 2008). This process offers myriad opportunities for delivering significant and powerful interventions that can enhance the patient's success in the WLS process. A discussion of the unique opportunities for psychosocial intervention afforded by the pre-surgical evaluation process is presented, using The Boston Interview for Bariatric Surgery (Sogg and Mori in Surg Obes Relat Dis 4:455-463, 2008) as the organizing framework.

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“…Dados na literatura já verificaram a falta de aderência ao tratamento no pré-operatório da cirurgia bariátrica muitas vezes relacionado a alta expectativa dos pacientes na realização da cirurgia 107,108 . Em seu estudo Bauchowitz verificou que mais de um terço da amostra tinha expectativas exageradas em relação a cirurgia e não viam como uma ferramenta na mudança de estilo de vida mas sim como uma intervenção promotora da perda de peso, sem necessidade da manutenção da dieta e prática de exercício físico 109 .…”

Section: Variáveis Clínicasunclassified

Efeito da cirurgia bariátrica sobre parâmetros clínicos, laboratoriais e fatores de risco cardiovascular

Rabello¹

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Evaluation of expectations and knowledge in bariatric surgery patients

Cited by 36 publications

References 13 publications

Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

Psychosocial Evaluation for Bariatric Surgery: The Boston Interview and Opportunities for Intervention

Efeito da cirurgia bariátrica sobre parâmetros clínicos, laboratoriais e fatores de risco cardiovascular

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