Factors associated with progression or non-progression to bariatric surgery in adults: A systematic review.

Autor: Majstorovic M; The School of Psychology, The University of Adelaide, Adelaide, South Australia, Australia., Chur-Hansen A; The School of Psychology, The University of Adelaide, Adelaide, South Australia, Australia., Andrews JM; Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.; Surgery Program, The Central Adelaide Local Health Network (CALHN), Adelaide, South Australia, Australia., Burke A; The School of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.; Psychology Department, CALHN, Adelaide, South Australia, Australia.
Jazyk: angličtina
Zdroj: Obesity reviews : an official journal of the International Association for the Study of Obesity [Obes Rev] 2024 Apr; Vol. 25 (4), pp. e13698. Date of Electronic Publication: 2024 Jan 24.
DOI: 10.1111/obr.13698
Abstrakt: Access to bariatric surgery is limited, and the factors related to undergoing or not undergoing the procedure are poorly understood. To this end, a systematic review of PubMed, Embase, PsycINFO, and CINAHL was conducted to deduce the factors associated with progression or non-progression to bariatric surgery. Quantitative and qualitative English-language articles ranging in date from database conception to September 2023 were included. Eligible studies employed adult participants (18 years of age or above) who had been referred for bariatric surgery. A total of 57 studies were identified. Fifteen key factors were found, alongside six less frequently studied factors: age, sex, BMI, race and ethnicity, distance to clinic, socio-economic status, insurance coverage, physical health, psychological health, eating history and habits, substance use and smoking, social influence and relationships, pre-surgery process and requirements, surgery-related concerns, choice of surgery, and others (emergency room visitation, COVID-19 virus, health literacy, appearance perceptions, time-off work, and stigma related to surgery). No factors were found to be reliably associated with progression or non-progression to bariatric surgery; however, the nature of these findings is tentative considering methodological flaws and limited research. Further studies are required to elucidate potential inequities in bariatric surgery access and educate policymakers and health professionals.
(© 2024 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.)
Databáze: MEDLINE