Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Abstract

Objective: Patient satisfaction is viewed as essential for a successful outcome of bariatric surgery. Few studies have explored long-term satisfaction prospectively.This study aimed to examine pre-and post-surgery predictors for satisfaction with follow-up care, and change in outcome satisfaction from one to 5 years after bariatric surgery.Methods: A sample of 210 participants was recruited from a single treatment center. Self-reported and medical record data regarding mental and somatic health, body image, follow-up attendance, and weight loss were obtained before, 1 year, and 5 years after surgery.Results: Over 90% of the participants were satisfied with the results and treatment 1 year after surgery, while 69% had their outcome expectations fulfilled and 62% were satisfied with the follow-up 5 years after surgery. A shift from initial satisfaction to unfulfillment of expectations was predicted by baseline body dissatisfaction, greater percentage of weight regain after initial weight loss, and more discomfort from somatic symptoms 5 years after surgery. In addition to symptom discomfort, worry about surgery predicted satisfaction with follow-up care. Conclusion:At 5 years, one-fifth of those initially satisfied reported that bariatric surgery had failed to meet their expectations. This suggests that outcome expectations related to weight loss, somatic symptoms, and body image need to be addressed both before and after bariatric surgery.

First-World Care at Third-World Rates: Pakistan, an Attractive Destination for Bariatric Tourism

“…An overwhelming majority (92.3%) expressed satisfaction with their surgical procedures. These results were consistent with multiple studies with varying satisfactory rates ranging from 85% to 91% [ 19 , 20 ]. This is a significant finding, as it suggests that bariatric surgery services provided in Pakistan are meeting or exceeding the expectations of international patients.…”

Body Contouring Surgery after Bariatric Surgery Improves Long-term Health-related Quality of Life and Satisfaction with Appearance

“…Prior research has primarily focused on the short-term effects of BS and BCS in cross-sectional or short-term prospective studies. 14,15,35,48 Our BS findings align with Kvalem et al, 49 where over 90% of participants were satisfied with the results 1-year post surgery, while only 69% were satisfied and felt that their expectations of BS were met 5 years post surgery. Similarly, other studies using the BODY-Q showed that HRQL for patients undergoing BS improved most significantly within the first year after surgery and then gradually declined.…”

Barriers to Undergoing Body-Contouring Surgery Following Bariatric Surgery in Saudi Arabia

“…Gastric sleeve, representing 73.3% of bariatric procedures, aligns with the global popularity due to its effectiveness and lower complications [ 19 ]. Participant satisfaction (44.3% strongly agree) underscores bariatric surgery's positive impact, improving weight, health, and overall quality of life, consistent with prior research where 70-90% are generally satisfied with bariatric surgeries [ 20 ].…”