Lars Fischer1, Felix Nickel2, Johannes Sander3, Alexander Ernst4, Thomas Bruckner5, Beate Herbig3, Markus W Büchler2, Beat P Müller-Stich2, Rune Sandbu6. 1. Department of Surgery, University of Heidelberg, Heidelberg, Germany. Electronic address: lars.fischer@med.uni-heidelberg.de. 2. Department of Surgery, University of Heidelberg, Heidelberg, Germany. 3. Obesity Clinic, Schoen Klinik Hamburg Eilbek, Hamburg, Germany. 4. Department of General and Visceral Surgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany. 5. Institute for Medical Biometry and Informatics, Heidelberg, Germany. 6. Morbid Obesity Center, Vestfold Hospital Trust, Tønsberg, Norway.
Abstract
BACKGROUND: The effect of bariatric surgery on weight loss and improvement of co-morbidities is no longer doubted. However, little attention has been given to the treatment goals from the patient's point of view (patient expectations). The objective of this study was to examine patients' expectations of bariatric surgery and identify gender differences. METHODS: Bariatric patients were asked to complete a questionnaire. Statistical analysis was performed using chi-square, Pearson correlation coefficient, and Wilcoxon rank sum test. RESULTS: Overall, 248 patients participated in this study (69.4% females). The male patients (45.2 yr, SD±11.1) were significantly older than the female (41.8 yr, SD±12.0; P = .04) and suffered significantly more often from diabetes, hypertension, hypercholesterolemia, and sleep apnea. One hundred thirty patients (52.4%) expected to lose at least 45 kg and 39 patients (15.7%)>70 kg. The mean expected excess weight loss was 71.8%. Females expected significantly more often that surgery alone would induce weight loss (P = .03). "Improved co-morbidity" was by far the highest ranked parameter. CONCLUSION: The male bariatric surgery patients were older and suffered from more co-morbidities. Most of the patients had unrealistic weight loss goals and overestimated the effect of the surgical intervention. However, for both female and male patients, "improved co-morbidity" was the most important issue.
BACKGROUND: The effect of bariatric surgery on weight loss and improvement of co-morbidities is no longer doubted. However, little attention has been given to the treatment goals from the patient's point of view (patient expectations). The objective of this study was to examine patients' expectations of bariatric surgery and identify gender differences. METHODS: Bariatric patients were asked to complete a questionnaire. Statistical analysis was performed using chi-square, Pearson correlation coefficient, and Wilcoxon rank sum test. RESULTS: Overall, 248 patients participated in this study (69.4% females). The male patients (45.2 yr, SD±11.1) were significantly older than the female (41.8 yr, SD±12.0; P = .04) and suffered significantly more often from diabetes, hypertension, hypercholesterolemia, and sleep apnea. One hundred thirty patients (52.4%) expected to lose at least 45 kg and 39 patients (15.7%)>70 kg. The mean expected excess weight loss was 71.8%. Females expected significantly more often that surgery alone would induce weight loss (P = .03). "Improved co-morbidity" was by far the highest ranked parameter. CONCLUSION: The male bariatric surgery patients were older and suffered from more co-morbidities. Most of the patients had unrealistic weight loss goals and overestimated the effect of the surgical intervention. However, for both female and male patients, "improved co-morbidity" was the most important issue.
Authors: Felix Nickel; Lukas Schmidt; Johannes Sander; Christian Tapking; Thomas Bruckner; Beat-Peter Müller-Stich; Lars Fischer Journal: Obes Facts Date: 2018-12-11 Impact factor: 3.942
Authors: Felix Nickel; Javier R de la Garza; Fabian S Werthmann; Laura Benner; Christian Tapking; Emir Karadza; Anna-Laura Wekerle; Adrian T Billeter; Hannes G Kenngott; Lars Fischer; Beat Peter Müller-Stich Journal: Obes Facts Date: 2019-08-15 Impact factor: 3.942
Authors: F Nickel; C Tapking; U Zech; K Huennemeyer; A T Billeter; P C Müller; H G Kenngott; B P Müller-Stich; L Fischer Journal: Chirurg Date: 2017-07 Impact factor: 0.955
Authors: Lars Fischer; Anna-Laura Wekerle; Johannes Sander; Felix Nickel; Adrian T Billeter; Ulrike Zech; Thomas Bruckner; Beat P Müller-Stich Journal: Obes Surg Date: 2017-07 Impact factor: 4.129