Zhamak Khorgami1, Chi Zhang1, Sarah E Messiah2, Nestor de la Cruz-Muñoz1. 1. Department of Surgery, University of Miami Leonard M. Miller School of Medicine , Miami, Florida. 2. Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami Leonard M. Miller School of Medicine , Miami, Florida.
Abstract
Background: Poor adherence to post-bariatric surgery aftercare continues to challenge surgical practices. The objective of this study was to identify factors that predict poor aftercare attendance among patients who underwent Roux-en-Y Gastric Bypass (RYGB) surgery. Method: A retrospective medical chart review of patients who underwent RYGB from 2002 to 2011 was conducted. Patients with four visits or more in the first 2 years (>50%) were categorized as "acceptable follow-up" and with ≤50% as "poor follow-up." Demographics, presurgical body mass index (BMI), and comorbidities were compared using multivariate analysis. Results: Out of 2,658 patients, 1,092 (41.1%) had acceptable follow-up. Preoperative factors that predicted acceptable follow-up included female gender (odds ratio [OR] 1.41 [95% confidence interval (CI) 1.15-1.72]), older age (OR 1.03 [95% CI 1.03-1.04]), higher BMI at surgery (OR 1.02 [95% CI 1.01-1.03]), and Hispanic ethnicity (OR 1.40 [95% CI 1.15-1.72]). Conversely, presence of diabetes mellitus (OR 0.58 [95% CI 0.39-0.88]), hypertension (OR 0.53 [95% CI 0.39-0.72]), and obstructive sleep apnea (OR 0.39 [95% CI 0.26-0.57]) predicted less adherence to RYGB aftercare. Conclusion: These findings suggest RYGB patients' age, gender, ethnicity, preoperative BMI, and certain comorbidities should be considered to maximize postoperative aftercare attendance.
Background: Poor adherence to post-bariatric surgery aftercare continues to challenge surgical practices. The objective of this study was to identify factors that predict poor aftercare attendance among patients who underwent Roux-en-Y Gastric Bypass (RYGB) surgery. Method: A retrospective medical chart review of patients who underwent RYGB from 2002 to 2011 was conducted. Patients with four visits or more in the first 2 years (>50%) were categorized as "acceptable follow-up" and with ≤50% as "poor follow-up." Demographics, presurgical body mass index (BMI), and comorbidities were compared using multivariate analysis. Results: Out of 2,658 patients, 1,092 (41.1%) had acceptable follow-up. Preoperative factors that predicted acceptable follow-up included female gender (odds ratio [OR] 1.41 [95% confidence interval (CI) 1.15-1.72]), older age (OR 1.03 [95% CI 1.03-1.04]), higher BMI at surgery (OR 1.02 [95% CI 1.01-1.03]), and Hispanic ethnicity (OR 1.40 [95% CI 1.15-1.72]). Conversely, presence of diabetes mellitus (OR 0.58 [95% CI 0.39-0.88]), hypertension (OR 0.53 [95% CI 0.39-0.72]), and obstructive sleep apnea (OR 0.39 [95% CI 0.26-0.57]) predicted less adherence to RYGB aftercare. Conclusion: These findings suggest RYGB patients' age, gender, ethnicity, preoperative BMI, and certain comorbidities should be considered to maximize postoperative aftercare attendance.
Authors: Philip R Schauer; Deepak L Bhatt; John P Kirwan; Kathy Wolski; Stacy A Brethauer; Sankar D Navaneethan; Ali Aminian; Claire E Pothier; Esther S H Kim; Steven E Nissen; Sangeeta R Kashyap Journal: N Engl J Med Date: 2014-03-31 Impact factor: 91.245
Authors: William F Gourash; Faith Ebel; Kathy Lancaster; Abidemi Adeniji; Laurie Koozer Iacono; Jessie K Eagleton; Anne MacDougall; Chelsea Cassady; Hallie Ericson; Walter Pories; Bruce M Wolfe; Steven H Belle Journal: Surg Obes Relat Dis Date: 2013-03-15 Impact factor: 4.734
Authors: Sarah E Messiah; Gabriela Lopez-Mitnik; Deborah Winegar; Bintu Sherif; Kristopher L Arheart; Kirk W Reichard; Marc P Michalsky; Steven E Lipshultz; Tracie L Miller; Alan S Livingstone; Nestor de la Cruz-Muñoz Journal: Surg Obes Relat Dis Date: 2012-03-28 Impact factor: 4.734
Authors: Christine E Spadola; Eric F Wagner; Leah M Varga; Jennifer L Syvertsen; Nestor F De La Cruz Munoz; Sarah E Messiah Journal: Obes Surg Date: 2018-10 Impact factor: 4.129
Authors: Roclides Castro de Lima; Thállisso Martins da Silva Rodrigues; Christian Lamar Scheibe; Giuliano Peixoto Campelo; Luís Eduardo Veras Pinto; Gustavo José Cavalcante Valadão; Gustavo Pereira Câmara de Carvalho; Marcos Roberto Dias Machado Junior; José Aparecido Valadão; Patrícia Cavalcante Ribeiro de Lima; Plinio da Cunha Leal; Caio Marcio Barros de Oliveira; Ed Carlos Rey Moura Journal: Acta Cir Bras Date: 2021-02-22 Impact factor: 1.388