Impact of Spanish-language information sessions on Spanish-speaking patients seeking bariatric surgery

Martin, Allison N.; Marino, Miguel; Killerby, Marie E.; Rosselli-Risal, Liliana; Isom, Kellene; Robinson, Malcolm K.

doi:10.1016/j.soard.2017.01.009

Cited by 6 publications

(6 citation statements)

References 23 publications

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“…Not including the review, 15/16 of these studies were based in the United States, and the remaining study was conducted in Australia. Holding private insurance predicted progression to surgery, 37,49,52 while having public insurance was associated with non‐progression in samples of African–American and Hispanic patients 69,70 . In addition, participants were deterred from surgery because of insurance denial and complications, 42,54,66 with Xie et al 77 further identifying that more surgery non‐completers, relative to completers, were uninsured.…”

Section: Resultsmentioning

confidence: 96%

Factors associated with progression or non‐progression to bariatric surgery in adults: A systematic review

Majstorovic,

Chur‐Hansen,

Andrews

et al. 2024

Obesity Reviews

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SummaryAccess to bariatric surgery is limited, and the factors related to undergoing or not undergoing the procedure are poorly understood.To this end, a systematic review of PubMed, Embase, PsycINFO, and CINAHL was conducted to deduce the factors associated with progression or non‐progression to bariatric surgery. Quantitative and qualitative English‐language articles ranging in date from database conception to September 2023 were included. Eligible studies employed adult participants (18 years of age or above) who had been referred for bariatric surgery.A total of 57 studies were identified. Fifteen key factors were found, alongside six less frequently studied factors: age, sex, BMI, race and ethnicity, distance to clinic, socio‐economic status, insurance coverage, physical health, psychological health, eating history and habits, substance use and smoking, social influence and relationships, pre‐surgery process and requirements, surgery‐related concerns, choice of surgery, and others (emergency room visitation, COVID‐19 virus, health literacy, appearance perceptions, time‐off work, and stigma related to surgery).No factors were found to be reliably associated with progression or non‐progression to bariatric surgery; however, the nature of these findings is tentative considering methodological flaws and limited research. Further studies are required to elucidate potential inequities in bariatric surgery access and educate policymakers and health professionals.

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Section: Resultsmentioning

confidence: 96%

Factors associated with progression or non‐progression to bariatric surgery in adults: A systematic review

Majstorovic,

Chur‐Hansen,

Andrews

et al. 2024

Obesity Reviews

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“…These covariates were chosen because previous studies have suggested they are associated with behaviors surrounding MBS utilization. [19][20][21][22][23][24][25][26][27][28][29]…”

Section: Discussionmentioning

confidence: 99%

“…Covariates included the following sociodemographic factors: age (continuous variable), sex (man or woman), self-reported race and ethnicity (Hispanic/Latinx, non-Hispanic Black, non-Hispanic White, and other race or ethnicity [including American Indian or Alaska Native, Asian, Native Hawaiian or other Pacific Islander, and >1 race or ethnicity]), payer status (government insurance, private insurance, or no insurance), and BMI [<30.0, 30.0-34.9, 35.0-39.9, 40.0-49.9, or ≥50.0]). These covariates were chosen because previous studies have suggested they are associated with behaviors surrounding MBS utilization …”

Section: Methodsmentioning

confidence: 99%

“…Lack of insurance coverage for MBS, perceived invasiveness and irreversibility, concerns about surgical complications, 16 nutritional deficiencies, and the lack of physicians who speak the patient's native language, primarily Spanish, are reasons cited to date for this attrition. [17][18][19][20][21][22][23] There is also a growing interest in the role the patientphysician relationship plays in treating obesity, because patients have been shown to be generally highly receptive to health advice from their physicians in other domains (eg, smoking). [24][25][26] Miscommunication with the primary care physician has been cited as a barrier to MBS completion abroad, [27][28][29] but this has not been examined across racially and ethnically diverse patient groups in the US, which has prompted the call for more research in this area.…”

Section: Introductionmentioning

confidence: 99%

“…However, the personal rationale for the low utilization rate of MBS is largely unknown, and even less is known about why these rates vary so much by ethnicity. Lack of insurance coverage for MBS, perceived invasiveness and irreversibility, concerns about surgical complications, nutritional deficiencies, and the lack of physicians who speak the patient’s native language, primarily Spanish, are reasons cited to date for this attrition . There is also a growing interest in the role the patient-physician relationship plays in treating obesity, because patients have been shown to be generally highly receptive to health advice from their physicians in other domains (eg, smoking) .…”

Section: Introductionmentioning

confidence: 99%

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Association Between Patient Satisfaction With Their Patient-Physician Relationship and Completion of Bariatric Surgery by Race and Ethnicity Among US Adults

et al. 2022

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ImportanceMetabolic and bariatric surgery (MBS) is an effective and safe treatment for obesity and its comorbidities, but less than 50% of those who are eligible and referred for MBS complete the procedure. The patient-physician relationship could be a decisive factor in the decision to complete MBS; however, this relationship has not been explored, particularly among racially and ethnically diverse populations.ObjectiveTo examine the association between patient-reported satisfaction with their patient-physician relationship and MBS completion by self-reported racial and ethnic group.Design, Setting, and ParticipantsThis prospective cohort study included 408 patients who were referred to a bariatric surgeon or obesity medicine program between July 24, 2019, and May 19, 2022.ExposurePatient satisfaction with their physician was measured by 7 dimensions (general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with physician, and accessibility and convenience) using the Patient Satisfaction Questionnaire Short Form.Main Outcomes and MeasuresCompletion status for MBS (yes or no).ResultsA total of 408 patients (mean [SD] age, 47.3 [11.6] years; among 366 with data available, 317 [86.6%] women and 49 [13.4%] men) were included in the study. Of 363 patients with data available on race and ethnicity, 66 were Hispanic/Latinx (18.2%), 136 (37.5%) were non-Hispanic Black, 146 (40.2%) were non-Hispanic White, and 15 (4.1%) were other race or ethnicity. A total of 124 patients (30.4%) completed MBS. Overall, the mean (SD) patient satisfaction score was significantly greater in MBS completers vs noncompleters (3.86 [0.56] vs 3.61 [0.64]; P &lt; .001). Multivariable logistic regression analysis showed technical quality was the most significant factor for MBS completion (adjusted odds ratio [aOR], 1.99 [95% CI, 1.24-3.19]), followed by communication (aOR, 1.78 [95% CI, 1.16-2.72]) and accessibility and convenience (aOR, 1.61 [95% CI, 1.03-2.53]). The interaction between racial and ethnic groups and patient satisfaction was not significant (eg, mean [SD] score for Hispanic/Latinx completers, 3.95 [0.55] vs 3.77 [0.60] for non-Hispanic White completers; P = .46 for interaction).Conclusions and RelevanceThese findings suggest that there is an association between patient satisfaction with the patient-physician relationship and the decision to complete MBS regardless of race and ethnicity. These findings have important implications for strategies to improve the proportion of qualified patients who complete MBS to achieve improved health outcomes.

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Barriers impacting an individuals decision to undergo bariatric surgery: A systematic review

Iuzzolino

Kim

2020

Obesity Research & Clinical Practice

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Impact of Spanish-language information sessions on Spanish-speaking patients seeking bariatric surgery

Cited by 6 publications

References 23 publications

Factors associated with progression or non‐progression to bariatric surgery in adults: A systematic review

Factors associated with progression or non‐progression to bariatric surgery in adults: A systematic review

Association Between Patient Satisfaction With Their Patient-Physician Relationship and Completion of Bariatric Surgery by Race and Ethnicity Among US Adults

Barriers impacting an individuals decision to undergo bariatric surgery: A systematic review

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