Primary care providers' attitudes and knowledge of bariatric surgery.

Surgical Endoscopy
Emily K Horecki LopezKathleen L Lak

Abstract

Despite the increasing obesity prevalence among American adults, relatively few qualified patients proceed to bariatric surgery. Suggested explanations include referral barriers for weight loss management at primary care provider (PCP) visits. This study aims to assess the referral and practice patterns of PCPs treating patients with obesity. Our goal is to understand treatment barriers in order to implement targeted interventions that enhance quality of care. A 39-question electronic survey was emailed to PCPs at a single academic institution with community physicians. Questions explored providers' demographics, referral patterns, and knowledge of pathophysiologic obesity mechanisms and bariatric surgery qualifications. Frequency and univariate analyses were performed and compared providers' demographics, positions, and BMIs between referring providers and non-referring providers. Of 121 surveys distributed, we achieved a 33.9% response rate (n = 41). 78.0% stated that > 15% of their patients in the preceding year were classified as obese. PCPs indicated initiating weight loss management conversations < 50% of the time with 48.8% of patients. Provider-identified barriers to discussing weight loss surgery included being unsure ...Continue Reading

References

Oct 22, 2003·Obesity Research·Gary D FosterAmy Kessler
Apr 20, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Stacie E PerlmanGeoffrey S Nadzam
Jul 17, 2007·The Journal of Surgical Research·Lisa M Balduf, Timothy M Farrell
Mar 7, 2008·Journal of General Internal Medicine·K Allen GreinerJasjit S Ahluwalia
Jun 1, 2011·Journal of the American College of Surgeons·Ninh T NguyenJohn Lane
Jan 21, 2012·Obesity·Sara N BleichLisa A Cooper
May 23, 2012·American Journal of Preventive Medicine·Eric A FinkelsteinWilliam Dietz
Aug 29, 2014·BMJ : British Medical Journal·David E Arterburn, Anita P Courcoulas
Jan 7, 2015·JAMA : the Journal of the American Medical Association·David E ArterburnMatthew L Maciejewski
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
Mar 25, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Charlotte Røn StolbergClaus B Juhl
Apr 20, 2017·International Journal of Environmental Research and Public Health·Maximilian TremmelSanjib Saha
Jun 23, 2018·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Alexandra M FalvoGeorge M Eid
Jul 17, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro Andolfi, P Marco Fisichella

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Citations

Jul 23, 2020·Asian Journal of Endoscopic Surgery·Masayuki OhtaUNKNOWN Japan Consortium of Obesity and Metabolic Surgery (JCOMS)
Sep 2, 2020·JAMA : the Journal of the American Medical Association·David E ArterburnAnita P Courcoulas

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