Rethinking Patient and Medical Professional Perspectives on Bariatric Surgery as a Medically Necessary Treatment

Mayo Clinic Proceedings
Gretchen E AmesEnrique F Elli

Abstract

The prevalence of class 3 obesity (body mass index ≥40 kg/m2) is 7.7% of the United States adult population; thus, more than 25 million people may be medically appropriate for consideration of bariatric surgery as therapy for severe obesity. Although bariatric surgery is the most effective therapy for patients with severe obesity, the surgery is performed in less than 1% of patients annually for whom it may be appropriate. Patients' and medical professionals' misperceptions about obesity and bariatric surgery create barriers to accessing bariatric surgery that are not given adequate attention and clinical consideration. Commonly cited patient barriers are lack of knowledge about the severity of obesity, the perception that obesity is a lifestyle problem rather than a chronic disease, and fear that bariatric surgery is dangerous. Medical professional barriers include failing to recognize causes of obesity and weight gain, providing recommendations that are inconsistent with current obesity treatment guidelines, and being uncomfortable counseling patients about treatment options for severe obesity. Previous research has revealed that medical professional counseling and accurate perception of the health risks associated with sever...Continue Reading

Citations

Feb 24, 2021·Diabetes, Obesity & Metabolism·Shohinee SarmaSatya Dash
Jul 31, 2021·American Journal of Preventive Cardiology·Harold E BaysPeter P Toth
Jul 24, 2021·The British Journal of Surgery·A G N RobertsonR Welbourn
Nov 2, 2021·Obesity·Satya DashMichael E Farkouh

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