Impact of Routine and Long-Term Follow-Up on Weight Loss after Bariatric Surgery.
Bariatric surgery
Long-term follow-up
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
22
03
2020
accepted:
17
06
2020
revised:
11
06
2020
pubmed:
26
6
2020
medline:
15
4
2021
entrez:
26
6
2020
Statut:
ppublish
Résumé
Weight loss after bariatric surgery varies among patients. Patients who do not complete long-term follow-up are considered to loose less weight than those with regular follow-up visits. To evaluate the influence of patients' follow-up compliance on long-term excess weight loss (%EWL) and total weight loss (%TWL) after bariatric surgery, comparing results between gastric bypass (GB) and sleeve gastrectomy (SG). Patients with up to 5 years of follow-up data after bariatric surgery were included in this retrospective analysis. Patients were divided in 2 groups: those in group 1 who had attended every scheduled postoperative appointment and those in group 2 who had been lost to follow-up before 1 year and were later contacted by telephone. %EWL and %TWL were compared to determine the possible relationship between type of surgery and regularity of the follow-up. A total of 385 patients were included. A significant difference in EWL was observed at 5 years in the SG group (78% for group 1 versus 39% for group 2; p = 0.02) and GB group (75% for group 1 versus 62% for group 2; p = 0.01). No significant differences between surgeries were found when comparing long-term EWL in group 1 patients 77% for SG versus 75% for GB. For group 2 patients, GB achieved greater EWL than SG; p = 0.005. %TWL patients in group 2 showed significant differences in all periods of study (p < 0.05). Bariatric surgery patients who attended all scheduled follow-up appointments experienced significantly greater long-term EWL and TWL than those who did not. GB has apparent increased benefits for weight loss in long-term follow-up when compared with SG for patients who did not attend long-term follow-up. Therefore, continued long-term follow-up of bariatric patients should be encouraged to increase postoperative weight loss results.
Sections du résumé
BACKGROUND
BACKGROUND
Weight loss after bariatric surgery varies among patients. Patients who do not complete long-term follow-up are considered to loose less weight than those with regular follow-up visits.
OBJECTIVE
OBJECTIVE
To evaluate the influence of patients' follow-up compliance on long-term excess weight loss (%EWL) and total weight loss (%TWL) after bariatric surgery, comparing results between gastric bypass (GB) and sleeve gastrectomy (SG).
METHODS
METHODS
Patients with up to 5 years of follow-up data after bariatric surgery were included in this retrospective analysis. Patients were divided in 2 groups: those in group 1 who had attended every scheduled postoperative appointment and those in group 2 who had been lost to follow-up before 1 year and were later contacted by telephone. %EWL and %TWL were compared to determine the possible relationship between type of surgery and regularity of the follow-up.
RESULTS
RESULTS
A total of 385 patients were included. A significant difference in EWL was observed at 5 years in the SG group (78% for group 1 versus 39% for group 2; p = 0.02) and GB group (75% for group 1 versus 62% for group 2; p = 0.01). No significant differences between surgeries were found when comparing long-term EWL in group 1 patients 77% for SG versus 75% for GB. For group 2 patients, GB achieved greater EWL than SG; p = 0.005. %TWL patients in group 2 showed significant differences in all periods of study (p < 0.05).
CONCLUSION
CONCLUSIONS
Bariatric surgery patients who attended all scheduled follow-up appointments experienced significantly greater long-term EWL and TWL than those who did not. GB has apparent increased benefits for weight loss in long-term follow-up when compared with SG for patients who did not attend long-term follow-up. Therefore, continued long-term follow-up of bariatric patients should be encouraged to increase postoperative weight loss results.
Identifiants
pubmed: 32583298
doi: 10.1007/s11695-020-04788-7
pii: 10.1007/s11695-020-04788-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4293-4299Références
Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52.
doi: 10.1056/NEJMoa066254
Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.
doi: 10.1001/jama.292.14.1724
O’Kane M, Parretti HM, Hughes CA, et al. Guidelines for the follow-up of patients undergoing bariatric surgery. Clin Obes. 2016;6:210–24.
doi: 10.1111/cob.12145
Busetto L, Dicker A, Azran C, et al. Obesity management task force on the European association for the study of obesity. Released practical recommendations for the post-bariatric surgery medical management. Obes Surg. 2018;28:2117–21.
doi: 10.1007/s11695-018-3283-z
Buchwald H. Consensus conference statement bariatric surgery for morbid obesity: health implications for patients, health professionals and third-party payers. Surg Obes Relat Dis. 2005;1:371–81.
doi: 10.1016/j.soard.2005.04.002
Shen R, Dugay G, Rajaram K, et al. Impact of patient follow-up on weight loss after bariatric surgery. Obes Surg. 2004;14:514–9.
doi: 10.1381/096089204323013523
Sadhasivam S, Larson CJ, Lambert PJ, et al. Refusals, denials, and patient choice: reasons prospective patients do not undergo bariatric surgery. Surg Obes Relat Dis. 2007;3:531–6.
doi: 10.1016/j.soard.2007.07.004
Pontiroli AE, Fossati A, Vedani P, et al. Post-surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcome of bariatric restrictive surgery in morbidly obese patients. Obes Surg. 2007;17:1492–7.
doi: 10.1007/s11695-008-9428-8
Lara MD, Baker MT, Larson CJ, et al. Travel distance, age, and sex as factors in follow-up visit compliance in the post-gastric bypass population. Surg Obes Relat Dis. 2005;1:17–21.
doi: 10.1016/j.soard.2004.11.001
Wheeler E, Prettyman A, Lenhard MJ, et al. Adherence to outpatient program postoperative appointments after bariatric surgery. Surg Obes Relat Dis. 2008;4:515–20.
doi: 10.1016/j.soard.2008.01.013
Sockalingam S, Cassin S, Hawa R, et al. Predictors of post-bariatric surgery appointment attendance: the role of relationship style. Obes Surg. 2013;23(12):2026–32.
doi: 10.1007/s11695-013-1009-9
Gould JC, Beverstein NP, Reinhardt S, et al. Impact of routine and log-term follow-up on weight loss after laparoscopic gastric bypass. Surg Obes Relat Dis. 2007;3:627–30.
doi: 10.1016/j.soard.2007.07.005
El Chaar M, McDeavitt K, Richardson S, et al. Does patient compliance with preoperative bariatric office visits affect postoperative excess weight loss? Surg Obes Relat Dis. 2011;7:743–8.
doi: 10.1016/j.soard.2010.10.020
NIH conference gastrointestinal surgery for severe obesity consensus development conference panel. Ann Intern Med. 1991;115:956–61.
Harrison GG. Height-weight tables. Ann Intern Med. 1985;103:489–94.
doi: 10.7326/0003-4819-103-6-989
Sjöström L, Lindroos AK, Peltonen M, et al. Swedish obese subjects study scientific group. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.
doi: 10.1056/NEJMoa035622
Khorgami Z, Zhang C, Messiah SE, et al. Predictors of postoperative aftercare attrition among gastric bypass patients. Bariatr Surg Pract Patient Care. 2015;10:79–83.
doi: 10.1089/bari.2014.0053
Harper J, Madan AK, Ternovits CA, et al. What happens to patients who do not follow-up after bariatric surgery? Am Surg. 2007;73(2):181–4.
doi: 10.1177/000313480707300219
Higa K, Ho T, Tercero F, et al. Laparoscopic Roux-en-Y gastric bypass: 10-years follow-up. Surg Obes Relat Dis. 2011;7:516–25.
doi: 10.1016/j.soard.2010.10.019
Compher CW, Hanlon A, Kang Y, et al. Attendance at clinical visits predicts weight loss after gastric bypass surgery. Obes Surg. 2012;22(6):927–34.
doi: 10.1007/s11695-011-0577-9
McVay MA, Friedman KE, Applegate KL, et al. Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients. Surg Obes Relat Dis. 2013;9:956–62.
doi: 10.1016/j.soard.2012.11.005
Moroshko I, Brennan L, O'Brien P. Predictors of attrition in bariatric aftercare: a systematic review of the literature. Obes Surg. 2012;22:1640–7.
doi: 10.1007/s11695-012-0691-3
Sawhney P, Modi AC, Jenkins TM, et al. Predictors and outcomes of adolescent bariatric support group attendance. Surg Obes Relat Dis. 2013;9:773–9.
doi: 10.1016/j.soard.2013.03.016
Scabim VM, Eluf Neto J, Tess BH. Adesão ao segmento nutricional ambulatorial pós-cirurgia bariátrica e fatores associados. Rev Nutr. 2012;25(4):497–506.
doi: 10.1590/S1415-52732012000400007
Jennings N, Boyle M, Mahawar K, et al. The relationship of distance from the surgical centre on attendance and weight loss after laparoscopic gastric bypass surgery in the United Kingdom. Clin Obes. 2013;3(6):180–4.
doi: 10.1111/cob.12031
Nikolian VC, Williams AM, Jacobs BN, et al. Pilot study to evaluate the safety, feasibility and financial implications of a postoperative telemedicine program. Ann Surg. 2018;268:700–7.
doi: 10.1097/SLA.0000000000002931
Coldebella B, Armfield NR, Bambling M, et al. The use of telemedicine for delivering healthcare to bariatric surgery patients: a literature review. J Telemed Telecare. 2018;24:651–60.
doi: 10.1177/1357633X18795356