دورية أكاديمية

Weight Loss Results and Compliance with Follow-up after Bariatric Surgery.

التفاصيل البيبلوغرافية
العنوان: Weight Loss Results and Compliance with Follow-up after Bariatric Surgery.
المؤلفون: Reiber BMM; Department of Gastro-Intestinal Surgery, Amsterdam University Medical Center, location VUmc, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands. bmmreiber@gmail.com., Leemeyer AR; Department of Intensive Care Medicine, Leiden University Medical Center, Leiden, the Netherlands., Bremer MJM; Department of Emergency Medicine, Dijklander Hospital, Hoorn, the Netherlands., de Brauw M; Department of Bariatric Surgery, Spaarne Gasthuis, Haarlem, the Netherlands., Bruin SC; Department of Bariatric Surgery, Spaarne Gasthuis, Haarlem, the Netherlands.
المصدر: Obesity surgery [Obes Surg] 2021 Aug; Vol. 31 (8), pp. 3606-3614. Date of Electronic Publication: 2021 May 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2006- : New York : Springer Science + Business Media
Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991-
مواضيع طبية MeSH: Bariatric Surgery* , Gastric Bypass* , Laparoscopy* , Obesity, Morbid*/surgery, Body Mass Index ; Cross-Sectional Studies ; Follow-Up Studies ; Gastrectomy ; Humans ; Netherlands/epidemiology ; Retrospective Studies ; Treatment Outcome ; Weight Loss
مستخلص: Purpose: The importance of follow-up (FU) for midterm weight loss (WL) after bariatric surgery is controversial. Compliance to this FU remains challenging. Several risk factors for loss to FU (LtFU) have been mentioned. The aim was therefore to evaluate the association between WL and LtFU 3 to 5 years postoperatively and to identify risk factors for LtFU.
Materials and Methods: A single-center cross-sectional study in the Netherlands. Between June and October 2018, patients scheduled for a 3-, 4-, or 5-year FU appointment were included into two groups: compliant (to their scheduled appointment and overall maximally 1 missed appointment) and non-compliant (missed the scheduled appointment and at least 1 overall). Baseline, surgical, and FU characteristics were collected and a questionnaire concerning socio-economic factors.
Results: In total, 217 patients in the compliant group and 181 in the non-compliant group were included with a median body mass index at baseline of 42.0 and 42.9 respectively. Eighty-eight percent underwent a laparoscopic Roux-en-Y gastric bypass. The median percentage total weight loss for the compliant and non-compliant groups was 30.7% versus 28.9% at 3, 29.3% versus 30.2% at 4, and 29.6% versus 29.9% at 5 years respectively, all p>0.05. Age, persistent comorbidities and vitamin deficiencies, a yearly salary <20,000 euro, no health insurance coverage, and not understanding the importance of FU were risk factors for LtFU.
Conclusion: Three to 5 years postoperatively, there is no association between LtFU and WL. The compliant group demonstrated more comorbidities and vitamin deficiencies. Younger age, not understanding the importance of FU, and financial challenges were risk factors for LtFU.
(© 2021. The Author(s).)
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فهرسة مساهمة: Keywords: Adherence to follow-up; Laparoscopic Roux-en-Y gastric bypass; Loss to follow-up; Midterm follow-up; Postoperative weight loss
تواريخ الأحداث: Date Created: 20210508 Date Completed: 20210720 Latest Revision: 20231107
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8270808
DOI: 10.1007/s11695-021-05450-6
PMID: 33963975
قاعدة البيانات: MEDLINE
الوصف
تدمد:1708-0428
DOI:10.1007/s11695-021-05450-6