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Patients Who are Delayed from Undergoing Bariatric Surgery Do Not have Improved Weight Loss
Background Many patients have a prolonged wait time between initial surgeon visit and actual surgery day. Whereas there are various reasons for this, few have examined if patient wait time for bariatric surgery has any affect on weight loss. This investigation studies the hypothesis that patients wh...
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| Published in: | Obesity surgery 2008-03, Vol.18 (3), p.278-281 |
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| container_end_page | 281 |
| container_issue | 3 |
| container_start_page | 278 |
| container_title | Obesity surgery |
| container_volume | 18 |
| creator | Madan, Atul K. Dhawan, Naveen Coday, Mace Tichansky, David S. |
| description | Background
Many patients have a prolonged wait time between initial surgeon visit and actual surgery day. Whereas there are various reasons for this, few have examined if patient wait time for bariatric surgery has any affect on weight loss. This investigation studies the hypothesis that patients who wait longer for bariatric surgery do not have improved weight loss over those with shorter wait times.
Methods
All patients in a private academic practice who underwent laparoscopic gastric bypass over a 6-month period were included in this study. The time from initial office visit to actual surgery date was calculated to be wait time (WT). Reasons for short or long WT were not investigated. The relationship between WT and percentage excess body weight loss (%EBWL) was examined. In addition, patients whose WT was greater than 6 months (WT > 6) were compared to those less than 6 months (WT 1 year follow-up. WT did not correlate with %EBWL (
r
= 0.09,
p
= 0.37). There was no difference in %EBWL in the WT > 6 group versus the WT |
| doi_str_mv | 10.1007/s11695-007-9385-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70339753</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1898260751</sourcerecordid><originalsourceid>FETCH-LOGICAL-c369t-d0f4c2c43d3072d3cdf47ebe1a483d194c626bb6296e21a5c750891c61ca93663</originalsourceid><addsrcrecordid>eNp1kMtKAzEUhoMotl4ewI0EF-5Gc5lJJkttvRSKCiouXIQ0c6ad0pnUZEbo25syBUFwlQP5_j8nH0JnlFxRQuR1oFSoLIljonieJXIPDakkeUJSlu-jIVGCJLlifICOQlgSwqhg7BANaM5IqjIxRJ8vpq2gaQP-WDhsPOAxrMwGClx6V-P3pgA_d1Uzx7fGV6b1lcWvnZ-D3-Cxw0-uxQvzDXhSr737jrEPqOaLFk9dCCfooDSrAKe78xi939-9jR6T6fPDZHQzTSwXqk0KUqaW2ZQXnEhWcFuUqYQZUJPmvKAqtYKJ2UwwJYBRk1mZkVxRK6g1igvBj9Fl3xtX-OogtLqugoXVyjTguqAl4VzJjEfw4g-4dJ1v4m6aUZVLSQWJEO0h6-MfPJR67ava-I2mRG-161673o5b7VrGzPmuuJvVUPwmdp4jwHogxKsm2vt9-f_WHwS-jDA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219877160</pqid></control><display><type>article</type><title>Patients Who are Delayed from Undergoing Bariatric Surgery Do Not have Improved Weight Loss</title><source>Springer Link</source><creator>Madan, Atul K. ; Dhawan, Naveen ; Coday, Mace ; Tichansky, David S.</creator><creatorcontrib>Madan, Atul K. ; Dhawan, Naveen ; Coday, Mace ; Tichansky, David S.</creatorcontrib><description>Background
Many patients have a prolonged wait time between initial surgeon visit and actual surgery day. Whereas there are various reasons for this, few have examined if patient wait time for bariatric surgery has any affect on weight loss. This investigation studies the hypothesis that patients who wait longer for bariatric surgery do not have improved weight loss over those with shorter wait times.
Methods
All patients in a private academic practice who underwent laparoscopic gastric bypass over a 6-month period were included in this study. The time from initial office visit to actual surgery date was calculated to be wait time (WT). Reasons for short or long WT were not investigated. The relationship between WT and percentage excess body weight loss (%EBWL) was examined. In addition, patients whose WT was greater than 6 months (WT > 6) were compared to those less than 6 months (WT < 6). Pearson’s correlation coefficients and two-tailed Mann–Whitney tests were used as appropriate.
Results
There were 104 patients with 99 patients who had a >1 year follow-up. WT did not correlate with %EBWL (
r
= 0.09,
p
= 0.37). There was no difference in %EBWL in the WT > 6 group versus the WT < 6 group (73 vs. 70%;
p
= NS). Patients who had <50% EBWL waited an average of 281 versus 254 days for those who have >50% EBWL (
p
= NS).
Conclusions
Patients who wait longer before having bariatric surgery do not show improved weight loss. Weight loss success was not related to wait time. These results suggest that prolonged mandatory weight times are not an effective method for improving bariatric surgery weight loss outcomes. Mandatory delays for bariatric surgery should not be required, as they have no scientific merit.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-007-9385-7</identifier><identifier>PMID: 18204956</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adult ; Female ; Gastric Bypass ; Gastrointestinal surgery ; Humans ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Obesity ; Obesity, Morbid - surgery ; Research Article ; Surgery ; Time Factors ; Waiting period ; Weight control ; Weight Loss</subject><ispartof>Obesity surgery, 2008-03, Vol.18 (3), p.278-281</ispartof><rights>Springer Science + Business Media B.V. 2007</rights><rights>Springer Science + Business Media, LLC 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-d0f4c2c43d3072d3cdf47ebe1a483d194c626bb6296e21a5c750891c61ca93663</citedby><cites>FETCH-LOGICAL-c369t-d0f4c2c43d3072d3cdf47ebe1a483d194c626bb6296e21a5c750891c61ca93663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18204956$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Madan, Atul K.</creatorcontrib><creatorcontrib>Dhawan, Naveen</creatorcontrib><creatorcontrib>Coday, Mace</creatorcontrib><creatorcontrib>Tichansky, David S.</creatorcontrib><title>Patients Who are Delayed from Undergoing Bariatric Surgery Do Not have Improved Weight Loss</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Many patients have a prolonged wait time between initial surgeon visit and actual surgery day. Whereas there are various reasons for this, few have examined if patient wait time for bariatric surgery has any affect on weight loss. This investigation studies the hypothesis that patients who wait longer for bariatric surgery do not have improved weight loss over those with shorter wait times.
Methods
All patients in a private academic practice who underwent laparoscopic gastric bypass over a 6-month period were included in this study. The time from initial office visit to actual surgery date was calculated to be wait time (WT). Reasons for short or long WT were not investigated. The relationship between WT and percentage excess body weight loss (%EBWL) was examined. In addition, patients whose WT was greater than 6 months (WT > 6) were compared to those less than 6 months (WT < 6). Pearson’s correlation coefficients and two-tailed Mann–Whitney tests were used as appropriate.
Results
There were 104 patients with 99 patients who had a >1 year follow-up. WT did not correlate with %EBWL (
r
= 0.09,
p
= 0.37). There was no difference in %EBWL in the WT > 6 group versus the WT < 6 group (73 vs. 70%;
p
= NS). Patients who had <50% EBWL waited an average of 281 versus 254 days for those who have >50% EBWL (
p
= NS).
Conclusions
Patients who wait longer before having bariatric surgery do not show improved weight loss. Weight loss success was not related to wait time. These results suggest that prolonged mandatory weight times are not an effective method for improving bariatric surgery weight loss outcomes. Mandatory delays for bariatric surgery should not be required, as they have no scientific merit.</description><subject>Adult</subject><subject>Female</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Research Article</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Waiting period</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp1kMtKAzEUhoMotl4ewI0EF-5Gc5lJJkttvRSKCiouXIQ0c6ad0pnUZEbo25syBUFwlQP5_j8nH0JnlFxRQuR1oFSoLIljonieJXIPDakkeUJSlu-jIVGCJLlifICOQlgSwqhg7BANaM5IqjIxRJ8vpq2gaQP-WDhsPOAxrMwGClx6V-P3pgA_d1Uzx7fGV6b1lcWvnZ-D3-Cxw0-uxQvzDXhSr737jrEPqOaLFk9dCCfooDSrAKe78xi939-9jR6T6fPDZHQzTSwXqk0KUqaW2ZQXnEhWcFuUqYQZUJPmvKAqtYKJ2UwwJYBRk1mZkVxRK6g1igvBj9Fl3xtX-OogtLqugoXVyjTguqAl4VzJjEfw4g-4dJ1v4m6aUZVLSQWJEO0h6-MfPJR67ava-I2mRG-161673o5b7VrGzPmuuJvVUPwmdp4jwHogxKsm2vt9-f_WHwS-jDA</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Madan, Atul K.</creator><creator>Dhawan, Naveen</creator><creator>Coday, Mace</creator><creator>Tichansky, David S.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20080301</creationdate><title>Patients Who are Delayed from Undergoing Bariatric Surgery Do Not have Improved Weight Loss</title><author>Madan, Atul K. ; Dhawan, Naveen ; Coday, Mace ; Tichansky, David S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-d0f4c2c43d3072d3cdf47ebe1a483d194c626bb6296e21a5c750891c61ca93663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Female</topic><topic>Gastric Bypass</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Research Article</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Waiting period</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Madan, Atul K.</creatorcontrib><creatorcontrib>Dhawan, Naveen</creatorcontrib><creatorcontrib>Coday, Mace</creatorcontrib><creatorcontrib>Tichansky, David S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Madan, Atul K.</au><au>Dhawan, Naveen</au><au>Coday, Mace</au><au>Tichansky, David S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients Who are Delayed from Undergoing Bariatric Surgery Do Not have Improved Weight Loss</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>18</volume><issue>3</issue><spage>278</spage><epage>281</epage><pages>278-281</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Many patients have a prolonged wait time between initial surgeon visit and actual surgery day. Whereas there are various reasons for this, few have examined if patient wait time for bariatric surgery has any affect on weight loss. This investigation studies the hypothesis that patients who wait longer for bariatric surgery do not have improved weight loss over those with shorter wait times.
Methods
All patients in a private academic practice who underwent laparoscopic gastric bypass over a 6-month period were included in this study. The time from initial office visit to actual surgery date was calculated to be wait time (WT). Reasons for short or long WT were not investigated. The relationship between WT and percentage excess body weight loss (%EBWL) was examined. In addition, patients whose WT was greater than 6 months (WT > 6) were compared to those less than 6 months (WT < 6). Pearson’s correlation coefficients and two-tailed Mann–Whitney tests were used as appropriate.
Results
There were 104 patients with 99 patients who had a >1 year follow-up. WT did not correlate with %EBWL (
r
= 0.09,
p
= 0.37). There was no difference in %EBWL in the WT > 6 group versus the WT < 6 group (73 vs. 70%;
p
= NS). Patients who had <50% EBWL waited an average of 281 versus 254 days for those who have >50% EBWL (
p
= NS).
Conclusions
Patients who wait longer before having bariatric surgery do not show improved weight loss. Weight loss success was not related to wait time. These results suggest that prolonged mandatory weight times are not an effective method for improving bariatric surgery weight loss outcomes. Mandatory delays for bariatric surgery should not be required, as they have no scientific merit.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18204956</pmid><doi>10.1007/s11695-007-9385-7</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Obesity surgery, 2008-03, Vol.18 (3), p.278-281 |
| issn | 0960-8923 1708-0428 |
| language | eng |
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| source | Springer Link |
| subjects | Adult Female Gastric Bypass Gastrointestinal surgery Humans Laparoscopy Male Medicine Medicine & Public Health Obesity Obesity, Morbid - surgery Research Article Surgery Time Factors Waiting period Weight control Weight Loss |
| title | Patients Who are Delayed from Undergoing Bariatric Surgery Do Not have Improved Weight Loss |
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