Sociodemographic Factors Associated with Loss to Follow-Up After Bariatric Surgery

Barka, I.; Sayedoff, Perle; Garnier, Nathalie; Cussac‐Pillegand, C.; Barrat, Christophe; Bihan, H.

doi:10.1007/s11695-021-05326-9

Cited by 12 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, older patients tended to have a more irregular follow-up. This result is inconsistent with the literature, as most studies show that younger age is more often associated with the disruption of postoperative follow-ups [ 16 , 17 , 20 , 22 ].…”

Section: Discussioncontrasting

confidence: 65%

“…Male gender was identified as the main risk factor for not only follow-up disruption but also irregular follow-ups. Male gender is a risk factor already described in the literature [ 17 , 22 , 23 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although several factors of disruption follow-up have been described in the literature [ 16 , 17 , 19 , 20 , 21 , 22 , 23 ], results about its association with clinical determinants, including weight loss, are heterogeneous [ 24 , 25 ]. Few studies have described the relationship between non-clinical determinants, such as socioeconomic status and geographic accessibility to healthcare [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Analysis of the Lack of Follow-Up of Bariatric Surgery Patients: Experience of a Reference Center

Auge

Dejardin

Menahem

et al. 2022

JCM

View full text Add to dashboard Cite

Few studies have evaluated the association between non-clinical and clinical determinants in terms of discontinuing follow-up after bariatric surgery. This cohort study aims to assess these associations. Data were collected from a prospectively maintained database of patients who underwent laparoscopic bariatric surgery from January 2012 to December 2019. The Cox model was used to assess the influence of preoperative determinants on follow-up interruptions for more than one year. Multilevel logistic regression was used to evaluate the association between clinical factors and post-operative weight loss with the regularity of follow-up. During the study period, 9607 consultations were performed on 1549 patients. The factors associated with a follow-up interruption from more than 365 days included male gender (HR = 1.323; CI = 1.146–1.527; p = 0.001) and more recent years of intervention (HR = 1.043; CI = 1.012–1.076; p = 0.0068). Revisional bariatric surgery was associated with a lower risk of follow-up interruption (HR = 0.753; CI = 0.619–0.916; p = 0.0045). Independent risk factors of an irregular follow up were higher age (HR = 1.01; CI = 1.002–1.017; p = 0.0086); male gender (OR = 1.272; CI = 1.047–1.545; p = 0.0153); and higher %TWL (Total Weight Loss) (OR = 1.040 CI = 1.033–1.048 p < 0.0001). A higher preoperative BMI (OR = 0.985; CI = 0.972–0.998; p = 0.0263) and revisional surgery (OR = 0.707; CI = 0.543–0.922; p = 0.0106) were protective factors of irregularity. This study suggests that the male gender and most recent dates of surgery are the two independent risk factors for follow-up interruption. Older age, male gender, and higher weight loss were all independent risk factors of an irregular follow-up. Revision bariatric surgery is a protective factor against interruption and irregular follow-up with a higher preoperative BMI. Further studies are needed to obtain long-term results in these patients with discontinued follow-ups.

show abstract

Section: Discussioncontrasting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of the Lack of Follow-Up of Bariatric Surgery Patients: Experience of a Reference Center

Auge

Dejardin

Menahem

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…Those who did not attend the education program at all have an even lower age at baseline and lower %TWL compared to the FA 12 years after surgery, but no difference in WR. Barka et al also found a lower attendance rate among younger male patients [ 18 ]. The super-obese patients in Margo’s study were younger and had significantly higher WR compared to the older patients with morbid obesity [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

The Long-Term Impact of Postoperative Educational Programs on Weight Loss After Roux-en-Y Gastric Bypass

et al. 2022

View full text Add to dashboard Cite

Purpose Roux-en-Y gastric bypass (RYGB) is a well-documented treatment of severe obesity. Attending postoperative educational programs may improve the outcome. The aim of this study was to evaluate whether participation in educational programs lasting 2–3 years after RYGB influences long-term weight loss, weight regain, physical activity, and compliance to multivitamin supplements. Materials and Methods The Bariatric Surgery Observation Study (BAROBS) is a multicenter retrospective, cross-sectional study 10–15 years after primary RYGB. Four hundred and ninety-seven participants answered questions regarding participation in postoperative educational programs. Participants were divided into frequent attendees (FA) and infrequent attendees (IFA) at the educational programs. Results Ten to 15 years after surgery, a total weight loss (TWL) of 23.2 ± 11.6% were seen in the FA group vs 19.5 ± 12.6% in the IFA group, p < 0.001. Percent excess weight loss (%EWL) was 55.7 ± 28.9% vs 46.0 ± 31.1%, p < 0.001. Weight regain in percent of maximal weight loss for the FA was 32.1 ± 32.8% vs IFA 38.4 ± 40.0%, p = 0.052. No difference between the groups in compliance to multivitamin and physical activity. Conclusion Participants with frequent participation in group-based educational programs had better weight loss outcomes 10–15 years after RYGB and tended to have less weight regain. There was no difference between the two groups in participants compliance to recommended multivitamin supplements and physical activity. Graphical abstract

show abstract

“…However, some remarkable problems concerning FU remain unsolved. The compliance to FU was poor: 62.1% of the patients adhered to FU after 12 months [ 17 ], and the adherence rate dropped to 44.6% during a 3-year postoperative period [ 18 ]. With the increasing number of bariatric surgeries owing to an increase in the incidence of extreme obesity, the number of patients who need postoperative FU is also rising, which results in logistical and financial challenges for bariatric centers [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Remote Follow-up with a Mobile Application Is Equal to Traditional Outpatient Follow-up After Bariatric Surgery: the BELLA Pilot Trial

et al. 2023

View full text Add to dashboard Cite

Purpose Medical follow-up after bariatric surgery is recommended. However, the compliance was poor. This study aimed to evaluate the feasibility of a smartphone-based fully remote follow-up (FU) program for patients after bariatric surgery. Methods In the interventional group, patients were followed up using a smartphone application (app), through which questionnaires were sent regularly. Participants in the control group underwent standard FU at the outpatient clinic every three months. After 12 months, all the participants were evaluated at an outpatient clinic. Results Between August 2020 and March 2021, 44 and 43 patients in the interventional and control groups, respectively, were included in the analysis after three patients were lost to FU, and three withdrew their informed consent because they wished for more personal contact with medical caregivers. After 12 months, total weight loss (TWL), %TWL, and percentage of excess weight loss (%EWL) did not differ between groups. There were no significant differences in the complication rates, including surgical complications, malnutrition, and micronutrition deficiency. The parameters of bioelectrical impedance analysis and quality of life did not differ between the groups. Vitamins and minerals in serum were similar in both groups except for calcium, which was significantly higher in the interventional group (2.52 mmol/L vs. 2.35 mmol/L, p = 0.038). Conclusion Fully remote FU with a smartphone application is at least as effective as traditional in-person FU in an outpatient clinic after bariatric surgery. Through remote FU, patients can save time and medical professionals may have more resources for patients with more severe problems. Graphical Abstract

show abstract

Sociodemographic Factors Associated with Loss to Follow-Up After Bariatric Surgery

Cited by 12 publications

References 14 publications

Analysis of the Lack of Follow-Up of Bariatric Surgery Patients: Experience of a Reference Center

Analysis of the Lack of Follow-Up of Bariatric Surgery Patients: Experience of a Reference Center

The Long-Term Impact of Postoperative Educational Programs on Weight Loss After Roux-en-Y Gastric Bypass

Remote Follow-up with a Mobile Application Is Equal to Traditional Outpatient Follow-up After Bariatric Surgery: the BELLA Pilot Trial

Contact Info

Product

Resources

About