Literature DB >> 18219776

Why patients seek bariatric surgery: a qualitative and quantitative analysis of patient motivation.

Daniel J Munoz1, Mona Lal, Eunice Y Chen, Mayce Mansour, Sarah Fischer, Megan Roehrig, Lisa Sanchez-Johnsen, Maureen Dymek-Valenitine, John Alverdy, Daniel le Grange.   

Abstract

BACKGROUND: Bariatric surgery is becoming a common procedure to control the obesity problem in the United States. However, despite the prevalence of the surgery, little is known regarding the motivation of patients who seek out these procedures. This present study aims to qualitatively and quantitatively examine in a moderate-sized sample of bariatric seeking patients their reported reasons for wanting surgery.
METHODS: 109 severely obese patients (mean BMI 49.9) seeking either the duodenal switch or gastric bypass surgery between 1999 and 2002 were surveyed as to their motivations for seeking weight loss surgery. Their responses were coded into psychological, medical and quality of life categories for analysis. Depression and Quality of Life data was also obtained.
RESULTS: Descriptive analysis of the data indicated the vast majority (73.4%) of respondents endorsed current medical ailments as their primary reason for seeking weight loss surgery. Patients who responded with a secondary reason for desiring surgery reported primarily psychological and quality of life reasons. Scores on depression and quality of life measures did not impact their endorsed reasons for seeking surgery.
CONCLUSIONS: Patients in the present sample appear motivated for surgery primarily to control current medical problems. However, a significant portion of patients do endorse psychological and quality of life factors as important in their decision to seek weight loss surgery.

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Year:  2007        PMID: 18219776     DOI: 10.1007/s11695-008-9427-9

Source DB:  PubMed          Journal:  Obes Surg        ISSN: 0960-8923            Impact factor:   4.129


  14 in total

Review 1.  Behavioral assessment and characteristics of patients seeking bariatric surgery.

Authors:  Thomas A Wadden; David B Sarwer; Noel N Williams
Journal:  Obesity (Silver Spring)       Date:  2006-03       Impact factor: 5.002

2.  Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery.

Authors:  Lars Sjöström; Anna-Karin Lindroos; Markku Peltonen; Jarl Torgerson; Claude Bouchard; Björn Carlsson; Sven Dahlgren; Bo Larsson; Kristina Narbro; Carl David Sjöström; Marianne Sullivan; Hans Wedel
Journal:  N Engl J Med       Date:  2004-12-23       Impact factor: 91.245

3.  Accelerated growth of bariatric surgery with the introduction of minimally invasive surgery.

Authors:  Ninh T Nguyen; Jeffrey Root; Kambiz Zainabadi; Allen Sabio; Sara Chalifoux; C Melinda Stevens; Shahrzad Mavandadi; Mario Longoria; Samuel E Wilson
Journal:  Arch Surg       Date:  2005-12

4.  Obese patients' perceptions of treatment outcomes and the factors that influence them.

Authors:  G D Foster; T A Wadden; S Phelan; D B Sarwer; R S Sanderson
Journal:  Arch Intern Med       Date:  2001-09-24

5.  Band versus bypass: randomization and patients' choices and perceptions.

Authors:  Craig A Ternovits; David S Tichansky; Atul K Madan
Journal:  Surg Obes Relat Dis       Date:  2006 Jan-Feb       Impact factor: 4.734

6.  Body image: appearance orientation and evaluation in the severely obese. Changes with weight loss.

Authors:  John B Dixon; Maureen E Dixon; Paul E O'Brien
Journal:  Obes Surg       Date:  2002-02       Impact factor: 4.129

Review 7.  Psychosocial and behavioral aspects of bariatric surgery.

Authors:  David B Sarwer; Thomas A Wadden; Anthony N Fabricatore
Journal:  Obes Res       Date:  2005-04

8.  Health-related quality of life in patients seeking gastric bypass surgery vs non-treatment-seeking controls.

Authors:  Ronette L Kolotkin; Ross D Crosby; Robert Pendleton; Michael Strong; Richard E Gress; Ted Adams
Journal:  Obes Surg       Date:  2003-06       Impact factor: 4.129

9.  Patient motivation for bariatric surgery: characteristics and impact on outcomes.

Authors:  Marije Libeton; John B Dixon; Cheryl Laurie; Paul E O'Brien
Journal:  Obes Surg       Date:  2004-03       Impact factor: 4.129

Review 10.  Bariatric surgery: a systematic review and meta-analysis.

Authors:  Henry Buchwald; Yoav Avidor; Eugene Braunwald; Michael D Jensen; Walter Pories; Kyle Fahrbach; Karen Schoelles
Journal:  JAMA       Date:  2004-10-13       Impact factor: 56.272

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  38 in total

1.  Dis-appearance and dys-appearance anew: living with excess skin and intestinal changes following weight loss surgery.

Authors:  Karen Synne Groven; Målfrid Råheim; Gunn Engelsrud
Journal:  Med Health Care Philos       Date:  2013-08

2.  Psychological assessments of bariatric surgery patients. Development, reliability, and exploratory factor analysis of the PsyBari.

Authors:  David Mahony
Journal:  Obes Surg       Date:  2011-09       Impact factor: 4.129

3.  The big fat bariatric bandwagon.

Authors:  J H Pinkney; A B Johnson; E A M Gale
Journal:  Diabetologia       Date:  2010-09       Impact factor: 10.122

4.  Health and appearance: Factors motivating the decision to seek bariatric surgery.

Authors:  Rebecca L Pearl; Thomas A Wadden; Kaylah Walton; Kelly C Allison; Jena Shaw Tronieri; Noel N Williams
Journal:  Surg Obes Relat Dis       Date:  2019-01-25       Impact factor: 4.734

5.  The Patient Journey to Gastric Band Surgery: A Qualitative Exploration.

Authors:  Michael Pfeil; Amanda Pulford; David Mahon; Yasmin Ferguson; Michael Pn Lewis
Journal:  Bariatr Surg Pract Patient Care       Date:  2013-06       Impact factor: 0.607

6.  Changes in Health-Related Quality of Life After Gastric Bypass in Patients With and Without Obesity-Related Disease.

Authors:  Hilde Risstad; Torgeir T Søvik; Stephen Hewitt; Jon A Kristinsson; Morten W Fagerland; Tomm Bernklev; Tom Mala
Journal:  Obes Surg       Date:  2015-12       Impact factor: 4.129

Review 7.  Quality of life and bariatric surgery: a systematic review of short- and long-term results and comparison with community norms.

Authors:  L C H Raaijmakers; S Pouwels; S E M Thomassen; S W Nienhuijs
Journal:  Eur J Clin Nutr       Date:  2016-11-02       Impact factor: 4.016

8.  Psychosocial Factors that Inform the Decision to Have Metabolic and Bariatric Surgery Utilization in Ethnically Diverse Patients.

Authors:  Juang Keeton; Ashley Ofori; Quiera Booker; Benjamin Schneider; Carrie McAdams; Sarah E Messiah
Journal:  Obes Surg       Date:  2020-06       Impact factor: 4.129

9.  Anxiety and depression in association with morbid obesity: changes with improved physical health after duodenal switch.

Authors:  John Roger Andersen; Anny Aasprang; Per Bergsholm; Nils Sletteskog; Villy Våge; Gerd Karin Natvig
Journal:  Health Qual Life Outcomes       Date:  2010-05-21       Impact factor: 3.186

Review 10.  Is adiposopathy (sick fat) an endocrine disease?

Authors:  H E Bays; J M González-Campoy; R R Henry; D A Bergman; A E Kitabchi; A B Schorr; H W Rodbard
Journal:  Int J Clin Pract       Date:  2008-08-04       Impact factor: 2.503

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