Barriers to Bariatric Surgery: a Mixed Methods Study Investigating Obstacles Between Clinic Contact and Surgery

Purpose Populations most affected by obesity are not reflected in the patients who undergo bariatric surgery. Gaps in the referral system have been studied, but there is a lack of literature investigating obstacles patients encounter after first contact with bariatric surgery clinics. We aim to iden...

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Bibliographic Details
Published in:Obesity surgery 2023-09, Vol.33 (9), p.2874-2883
Main Authors: Hlavin, Callie, Sebastiani, Romano S., Scherer, Robert J., Kenkre, Tanya, Bernardi, Karla, Reed, Douglas A., Ahmed, Bestoun, Courcoulas, Anita
Format: Article
Language:English
Subjects:
Gastrointestinal surgery
Medicine
Medicine & Public Health
Mixed methods research
Original Contributions
Patients
Surgery
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Summary:Purpose Populations most affected by obesity are not reflected in the patients who undergo bariatric surgery. Gaps in the referral system have been studied, but there is a lack of literature investigating obstacles patients encounter after first contact with bariatric surgery clinics. We aim to identify patient populations at risk for attrition during bariatric surgery evaluation and determine patient reported barriers to bariatric surgical care. Materials and Methods This study was a single institution, retrospective, mixed methods study from 2012 to 2021 comparing patients who underwent bariatric surgery to those that withdrew. Surveys were performed of patients who withdrew, collecting information on patient knowledge, expectations, and barriers. Results This study included 5982 patients evaluated in bariatric surgery clinic. Those who attained bariatric surgery (38.8%) were more likely to be White (81.2 vs. 75.6%, p
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-023-06761-6