Bariatric Surgery Does Not Resolve Underlying Psychological/Behavioral Problems in Patients with Morbid Obesity: Analysis of 166,601 Patients

Gott, Melissa; D.O., Paul Osterdahl; Connors, Casey; Slotman, Gus J.

doi:10.1016/j.jamcollsurg.2019.08.052

Cited by 2 publications

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“…The symptoms of type III prostatitis are mainly located in the lower abdomen, perineum, and other parts [ 18 ]. It is very easy for patients to associate symptoms with sexual function, which further increases the psychological burden of patients and induces psychological problems [ 19 , 20 ]. Abnormal psychological problems are caused by the symptoms of prostatitis, and mental and psychological problems can adversely affect the patient's body, which not only aggravates the symptoms but also may lead to new symptoms [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Application Analysis of UPOINT System in Chinese Type III Prostatitis Patients: A Single Center Experience

Zhang

Cai

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. UPOINT clinical phenotype system was used to estimate the type III prostatitis patients. Put in the erectile dysfunction (ED) domain and analysis the ED domain’s effect towards the UPOINT system. Methods. A total of 126 patients with type III prostatitis were prospectively collected and classified in each domain of the UPOINT system, including urinary, psychosocial, organ-specific, infection, neurological/systemic, and tenderness. Symptom severity was measured using the national institutes of health chronic prostatitis symptom index (NIH-CPSI) and the international prostate symptom score (IPSS). The erectile function was evaluated using the international index of erectile function (IIEF-5). Mental state was evaluated using the Symptom Checklist 90 (SCL-90). The quality of life of patients was assessed by the Quality of Life scale (QoL). Results. The percentage of patients positive for each domain was 60.32%, 43.65%, 53.17%, 11.11%, 42.06%, and 33.33% for the urinary, psychosocial, organ-specific, infection, neurological/systemic, and tenderness, respectively. There were significant correlations between the number of positive UPOINT domains and total NIH-CPSI ( r = 0.630 , P < 0.001 ) and IPSS ( r = 0.429 , P < 0.001 ). Symptom duration was associated with a number of positive domains ( r = 0.194 , P < 0.05 ). After adding an ED domain to establish a modified UPOINT system, the correlation between the number of positive domains and symptom severity was not improved (0.630 to 0.590, P < 0.001 ). The percentage of the patients who suffered psychosocial problems was 43.65%. Conclusions. In our cohort, the number of positive domains was correlated with symptom severity. Inclusion of the ED phenotype in the UPOINT phenotype classification system did not significantly enhance the association of positive presentation with symptom severity. Our findings presented do not support the utility of using ED as a stand-alone item in the UPOINT domain. Psychological problems should be considered when treating type III prostatitis patients.

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Section: Discussionmentioning

confidence: 99%

Application Analysis of UPOINT System in Chinese Type III Prostatitis Patients: A Single Center Experience

Zhang

Cai

et al. 2022

Computational and Mathematical Methods in Medicine

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“…23 Conversely, Gott et al reported minimal improvement of psychological and behavioral co-morbidities after the five most common bariatric operations. 24 Lifetime disorders of mood result in poorer weight loss outcomes following bariatric surgery. 25 In addition, these variables are often affected by other disease processes and social history (drug use).…”

Section: Discussionmentioning

confidence: 99%

Pre-operative direct and inverse clinical characteristic variations by age do not resolve up to 24 months following open roux-en-y gastric bypass

Menon¹,

Kelter²,

Slotman³

2021

AOWMC

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Background: Today open Roux-en-Y gastric bypass (ORYGB) is reserved for abdomens too complex or obesity too severe for laparoscopic surgery. However, outcomes by age in ORYGB are unknown. Objective: Identify variation by age in ORYGB patients. Setting: Independent database. Methods: 5389 ORYGB BOLD patients was analyzed retrospectively by age: <30 (591), 30-40 (1252), 40-50 (1527), 50-60 (1388), 60-70 (592) and >70 (39). Statistics: ANOVA/general linear model. Results: Baseline female/male (p<0.01), weight, BMI, African-American, Hispanic, Medicaid, Private insurance, self-pay (p<0.0001), PCOS, PTC (n=10) varied inversely with age. Medicare, CHF, HTN, angina, LEE, PVD, IHD, dyslipidemia, OHS, diabetes, gout, IFS, and unemployment varied directly. Caucasian, Asian, Other race, DVT/PE, hernia, cholelithiasis, GERD, panniculitis, liver disease, SUI, MSP, fibromyalgia, alcohol and tobacco abuse, depression, PI, MHD (n=17) vary non-linearly. At 12 months, in spite of equal BMI by age, CHF, HTN, angina, PVD, dyslipidemia, cholelithiasis, SUI, diabetes, gout, IFS (n=10) varied directly. PCOS and PTC varied inversely, and LEE, OSA, hernia, MSP, tobacco abuse, depression, MHD varied non-linearly. 24 months CHF, HTN, angina, dyslipidemia, diabetes, IFS, and MSP vary directly. PTC and tobacco abuse varied inversely. LEE, OSA, PHTN, hernia, PCOS, and tobacco abuse varied non-linearly. Conclusions: ORYGB patients vary dramatically by decade of age. Pre-operatively 10 co-morbidities varied inversely, 13 directly, and 17 non-linearly by age. In spite of equal BMI by age at 24 months, important co-morbidities CHF, HTN, angina, dyslipidemia, diabetes varied directly, tobacco inversely, and OSA non-linearly. This advance clinical knowledge of age variation can aid ORYGB management

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Bariatric Surgery Does Not Resolve Underlying Psychological/Behavioral Problems in Patients with Morbid Obesity: Analysis of 166,601 Patients

Cited by 2 publications

References 0 publications

Application Analysis of UPOINT System in Chinese Type III Prostatitis Patients: A Single Center Experience

Application Analysis of UPOINT System in Chinese Type III Prostatitis Patients: A Single Center Experience

Pre-operative direct and inverse clinical characteristic variations by age do not resolve up to 24 months following open roux-en-y gastric bypass

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