Preoperative predictors of adherence to multidisciplinary follow-up care postbariatric surgery
| Autor: | Wei Wang, Soroush Larjani, Mary-Anne Aarts, Sanjeev Sockalingam, Sandra Robinson, Ming Hao Guo, Babak Aliarzadeh, Israel Spivak |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Sleeve gastrectomy medicine.medical_treatment Bariatric Surgery 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Weight loss Weight Loss Medicine Humans Retrospective Studies business.industry Attendance Retrospective cohort study Odds ratio Middle Aged medicine.disease Prognosis Surgery Obesity Morbid Obstructive sleep apnea Treatment Outcome Preoperative Period Patient Compliance 030211 gastroenterology & hepatology Female Laparoscopy medicine.symptom business Psychosocial Cohort study Follow-Up Studies |
| Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 12(2) |
| ISSN: | 1878-7533 |
| Popis: | Background Long-term multidisciplinary care after bariatric surgery is important for weight maintenance and management of co-morbidities. Despite this, the rate of attendance to follow-up appointments is universally low. Objective To identify patient factors that contribute to adherence to follow-up care after bariatric surgery. Setting Three university-affiliated hospitals in Canada Methods A cohort study of 388 patients who underwent bariatric surgery from January 2011 to December 2011 was performed. This program mandates multidisciplinary follow-up care at 3, 6, and 12 months, and annually thereafter. Patients' socioeconomic, psychosocial, and medical and psychiatric co-morbidities were recorded prospectively. Adherence to follow-up care was defined as having attended the majority of clinic visits (3 or 4 out of 4); all other patients were considered nonadherent. Results The mean age of patients was 45.0 years, 81.2% were female, and the majority underwent a gastric bypass (91.8%) versus a sleeve gastrectomy (8.2%); 62.1% of patients were adherent to follow-up appointments. Patients older than 25 years had a higher adherence rate than those who were younger (63.2% versus 37.5%, P = .040). Patients with full-time or part-time employment had a significantly higher adherence rate than those who were unemployed or retired (65.6% versus 50.0%, P = .017, odds ratio 1.9). Patients with obstructive sleep apnea (OSA) before surgery had higher follow-up adherence than those without OSA (62.2% versus 37.8%, P = .044). In multivariate analysis, employment remained an independent predictor of follow-up adherence ( P = .017). Conclusion Employment was the strongest predictor of attendance to follow-up clinic. Patients with OSA and older patients were also more likely to return consistently for scheduled follow-up. |
| Databáze: | OpenAIRE |
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