Patient-provider discussions of bariatric surgery and subsequent weight changes and receipt of bariatric surgery.

Obesity
Lee-Shing ChangAlexander Turchin

Abstract

The purpose of this study was to determine whether patients who discuss bariatric surgery with their providers are more likely to undergo the procedure and to lose weight. A retrospective cohort study of adults with BMI ≥ 35 kg/m2 treated between 2000 and 2015 was conducted to analyze the relationship between a discussion of bariatric surgery in the first year after study entry and weight changes (primary outcome) and receipt of bariatric surgery (secondary outcome) over 2 years after study entry. Natural language processing was used to identify the documentation of bariatric surgery discussion in electronic provider notes. Out of 30,560 study patients, a total of 2,659 (8.7%) discussed bariatric surgery with their providers. The BMI of patients who discussed bariatric surgery decreased by 2.18 versus 0.21 for patients who did not (p < 0.001). In a multivariable analysis, patients who discussed bariatric surgery with their providers lost more weight (by 1.43 [change in BMI]; 95% CI: 1.29-1.57) and had greater odds (10.2; 95% CI: 9.0-11.6; p < 0.001) of undergoing bariatric surgery. Clinicians rarely discussed bariatric surgery with their patients. Patients who did have this discussion were more likely to lose weight and to unde...Continue Reading

References

Nov 5, 1999·JAMA : the Journal of the American Medical Association·D A GaluskaE S Ford
Aug 3, 2005·The Surgical Clinics of North America·Bassem Y Safadi
Apr 20, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Yoav AvidorHenry Buchwald
Jul 17, 2007·The Journal of Surgical Research·Lisa M Balduf, Timothy M Farrell
Aug 4, 2007·Mayo Clinic Proceedings·Aditya BardiaWarren G Thompson
Apr 5, 2008·Journal of the American College of Surgeons·Caprice C GreenbergKatherine L Kahn
Dec 17, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Bianca B AfonsoSamuel Szomstein
Mar 23, 2010·Patient Education and Counseling·Sara N BleichLisa A Cooper
Aug 19, 2011·Journal of the American Medical Informatics Association : JAMIA·Lucila Ohno-Machado
Aug 19, 2011·Journal of the American Medical Informatics Association : JAMIA·Prakash M NadkarniWendy W Chapman
Mar 6, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·David B SarwerReneé H Moore
Dec 25, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·David B SarwerReneé H Moore
Sep 21, 2013·Journal of General Internal Medicine·Christina C WeeMarybeth Hamel
Dec 24, 2013·Journal of Policy Analysis and Management : [the Journal of the Association for Public Policy Analysis and Management]·Charles J Courtemanche, Daniela Zapata
Sep 5, 2015·International Journal of Family Medicine·Fatima Cody StanfordLee M Kaplan
Sep 24, 2015·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Shahryar TorkKevin M Tymitz
Mar 8, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Luke M FunkCorrine I Voils
May 26, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Donna W RobersonMary Ann Rose
Feb 25, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Kaitlin M LoveJennifer L Kirby
Mar 28, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·John A PrimomoChristina Morrison
May 4, 2017·Applied Clinical Informatics·Shervin MalmasiAlexander Turchin
Dec 19, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Joseph R ImbusLuke M Funk
Jan 9, 2018·Metabolism: Clinical and Experimental·Blaine T Phillips, Scott A Shikora
Nov 15, 2018·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Hamlet GasoyanDavid B Sarwer
Aug 20, 2019·Annals of Surgery·Guilherme M CamposLuke Wolfe
Aug 29, 2019·Plastic and Reconstructive Surgery·Rose H FuChristine H Rohde
Sep 4, 2019·Journal of Diabetes and Its Complications·Luisa FlorezAlexander Turchin
Sep 14, 2019·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Hamlet GasoyanDavid B Sarwer
Oct 17, 2019·Journal of Biomedical Informatics·Shervin MalmasiAlexander Turchin
Oct 19, 2019·Obesity Surgery·Eliza A ConatyMichael B Ujiki
Nov 13, 2019·Annals of Surgery·Karan R ChhabraDana A Telem
Sep 2, 2020·JAMA : the Journal of the American Medical Association·David E ArterburnAnita P Courcoulas

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