Buyer’s remorse: what predicts post-decision dissonance after bariatric surgery?

Wallace, Lyndsey; Horecki, Emily K.; Helm, Melissa C.; Higgins, Rana M.; Gould, Jon C.; Lak, Kathleen; Kindel, Tammy L.

doi:10.1016/j.soard.2019.03.026

Cited by 8 publications

(13 citation statements)

References 39 publications

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“…These were measured 5 years after surgery, with response categories ranging from "nothing" 1 to "very much". 6 Anxiety and depressive symptoms before surgery were measured using the Hospital Anxiety and Depression Scale. 32 This scale comprises 2 subscales which measure symptoms of anxiety and depression, each with 7 items scored 0-3 (sum scores range from 0 to 21, with a higher sum score reflecting higher levels of anxiety and depressive symptoms).…”

Section: Methodsmentioning

confidence: 99%

Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Kvalem

Gabrielsen²,

Eribe

et al. 2022

Obesity Science & Practice

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Objective: Patient satisfaction is viewed as essential for a successful outcome of bariatric surgery. Few studies have explored long-term satisfaction prospectively.This study aimed to examine pre-and post-surgery predictors for satisfaction with follow-up care, and change in outcome satisfaction from one to 5 years after bariatric surgery.Methods: A sample of 210 participants was recruited from a single treatment center. Self-reported and medical record data regarding mental and somatic health, body image, follow-up attendance, and weight loss were obtained before, 1 year, and 5 years after surgery.Results: Over 90% of the participants were satisfied with the results and treatment 1 year after surgery, while 69% had their outcome expectations fulfilled and 62% were satisfied with the follow-up 5 years after surgery. A shift from initial satisfaction to unfulfillment of expectations was predicted by baseline body dissatisfaction, greater percentage of weight regain after initial weight loss, and more discomfort from somatic symptoms 5 years after surgery. In addition to symptom discomfort, worry about surgery predicted satisfaction with follow-up care. Conclusion:At 5 years, one-fifth of those initially satisfied reported that bariatric surgery had failed to meet their expectations. This suggests that outcome expectations related to weight loss, somatic symptoms, and body image need to be addressed both before and after bariatric surgery.

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Section: Methodsmentioning

confidence: 99%

Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Kvalem

Gabrielsen²,

Eribe

et al. 2022

Obesity Science & Practice

View full text Add to dashboard Cite

show abstract

“…This finding is supported by already published data demonstrating that over three‐fourths of post‐bariatric patients are sufficiently satisfied and would undergo surgery again. 13 The level of satisfaction seems to correlate with the level of post‐operative weight loss as very satisfied patients had a significant greater %TWL then the rest of the survey‐participants. This is in accordance with a recent survey showing that 2 years after BS, 79.9% of 1991 participants were satisfied with the surgical result, while greater weight loss was significantly associated with a higher level of satisfaction.…”

Section: Discussionmentioning

confidence: 96%

“…Although the questionnaire was not formally validated, all questions were extracted from other, previously validated questionnaires that were used in earlier studies to collect information on basic demographics and factors that impacted on the participants' decision to choose a bariatric centre, bariatric surgeon and primary bariatric procedure. 8 , 9 , 11 , 13 We included only complete questionnaires for data analysis.…”

Section: Methodsmentioning

confidence: 99%

Online survey on factors influencing patients' motivation to undergo bariatric surgery

et al. 2021

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Given the worldwide increasing prevalence of severe obesity and considering the amount of scientific evidence demonstrating the beneficial effects of bariatric surgery (BS), it is surprising that only a fraction of patients with obesity undergo BS. We therefore conducted an anonymized online survey among individuals with a history of BS to understand factors influencing the deciding process leading to BS. Respondents were recruited on a voluntary basis from obesity-related social media groups between April and June 2020. The selfdesigned, non-validated questionnaire consisted of 20 questions and was open to any participants with a history of BS. Of 851 participants who started the survey, 665 completed the questionnaire (completion rate of 78.1%). Five years after BS, still 70% of the surveyparticipants were very satisfied or satisfied with the surgical result. However, the majority (73.3%) would have undergone BS earlier. The main motivation to choose BS was related to health status or quality of life. Important characteristics for a bariatric surgeon to obtain patients' trust are "taking time and listen" (74.7%), empathy (64%) and sympathy (56%).Post-operative satisfaction with the surgical outcome was high and long-lasting in this large cohort of BS patients. However, most participants would retrospectively have undergone BS earlier. The main reason to choose BS as treatment for their obesity were impaired physical health or reduced quality of life. Nearby location to patients' residence and availability of surgeons with empathy were decisive motives for bariatric centre selection.

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“…The importance of a better understanding of factors that attenuate patient satisfaction was highlighted by Wallace et al [ 22 ]. The study was designed to explore the predictors of post decision dissonance following bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

Effect of Significant Postoperative Complications on Decision Regret After Laparoscopic Sleeve Gastrectomy: a Case–Control Study

2022

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Background Thus far, no data are available on decision regret about sleeve gastrectomy (SG), particularly in patients who experienced perioperative complications. This study aimed to assess whether patients with postoperative complications regret their decision to undergo laparoscopic SG more than patients with an uneventful postoperative course. Methods The study group comprised patients with complications after laparoscopic SG (cases). The control group comprised patients who did not experience any postoperative complications (controls). A telephone survey was conducted on all patients. Patients’ satisfaction regarding their decision to undergo surgery was assessed using the Decision Regret Scale. Results In total, 21 patients who experienced postoperative complications and 69 controls were included. The patients in the study and control groups achieved similar percentages of total weight loss (32.9 ± 11.9 vs. 33.8 ± 15.0, p = 0.717) and excessive body mass index loss (74.9 ± 30.7 vs. 73.1 ± 36.7, p = 0.398) at 1 year postoperatively. The difference in weight change at 12 months postoperatively was not significant in both groups. The mean regret scores in the study and control groups were 13.2 ± 1.2 (range, 28–63) and 13.3 ± 1.1 (range, 12–66) (p = 0.818), respectively. Moreover, no significant difference was found among patients who expressed regret between the study and control groups (regret score > 50; 4.76% vs. 4.35%) (p = 1.000). Conclusion This study suggests that patients with postoperative complications do not regret their decision to undergo SG more than patients with an uneventful postoperative course. Graphical abstract

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Buyer’s remorse: what predicts post-decision dissonance after bariatric surgery?

Cited by 8 publications

References 39 publications

Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

Online survey on factors influencing patients' motivation to undergo bariatric surgery

Effect of Significant Postoperative Complications on Decision Regret After Laparoscopic Sleeve Gastrectomy: a Case–Control Study

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