Patients’ perceptions of waiting for bariatric surgery: a qualitative study

Gregory, Deborah M.; Newhook, Julia Temple; Twells, Laurie

doi:10.1186/1475-9276-12-86

Cited by 38 publications

(33 citation statements)

References 41 publications

(56 reference statements)

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“…14 As one might expect, Canadian patients awaiting bariatric surgery describe the experience as stressful, anxiety-provoking and frustrating, with many expressing anger toward the health care system. 21 At present, there is no universally accepted and judicious approach to triaging patients for bariatric surgery. In a recent survey of patients awaiting bariatric surgery, most patients felt that those with more functional impairment and greater clinical severity should have a higher priority on the wait list.…”

Section: Discussionmentioning

confidence: 99%

Cause of death in patients awaiting bariatric surgery

Lakoff

Ellsmere

Ransom

2015

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Background: Obesity is associated with increased mortality. Bariatric surgery is becoming an important treatment modality for obesity, with an associated reduction in mortality. There are few data available on the incidence and cause of death in referred patients while they are waiting for bariatric surgery. Methods:We retrospectively examined all cases of death in patients who were referred for bariatric surgery assessment but who had not yet undergone bariatric surgery at a tertiary care centre in Halifax, Nova Scotia. The wait list comprised patients referred for surgery between March 2008 and May 2013. All cases of death were reviewed to determine age, sex, time of referral, time spent on the wait list, cause of death, comorbidities and body mass index (BMI). Results:Of the 1399 patients referred, 22 (1.57%) died before receiving surgery. The mean age of these patients was 62.7 (range of 32-70) years. The average time from referral to death was 21.6 months, and the average BMI was 51.5. The most frequent cause of death was cancer, followed by cardiac and infectious causes. Conclusion:This study provides useful information about mortality and causes of death among patients awaiting bariatric surgery at our centre. Our results will help guide the development of a judicious system for triage in light of long wait times.Contexte : L'obésité est associée à une mortalité accrue. La chirurgie bariatrique devient une modalité thérapeutique importante pour traiter l'obésité et elle est associée à une réduction de la mortalité. On dispose de peu de données sur l'incidence et la cause du décès chez les patients référés qui sont en attente d'une chirurgie bariatrique.Méthodes : Nous avons examiné rétrospectivement tous les cas de patients référés qui sont décédés en attente d'une chirurgie bariatrique dans un centre de soins tertiaires de Halifax (Nouvelle-Écosse). La liste d'attente comprenait des patients référés pour chirurgie entre mars 2008 et mai 2013. Nous avons passé en revue tous les décès pour déterminer l'âge, le sexe, la date de la référence, le temps passé sur la liste d'attente, la cause du décès, les comorbidités et l'indice de masse corporelle (IMC).

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Section: Discussionmentioning

confidence: 99%

Cause of death in patients awaiting bariatric surgery

Lakoff

Ellsmere

Ransom

2015

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“…The author revealed that most of the findings were reported from a majority of female cohorts. Where female patients undergoing surgery make up 80% of this population group (Gregory, Temple Newhook, & Twells, 2013), it stands for reason that most of the participants in these studies were female. The role of gender and its impact on shaping meaning to obesity and seeking bariatric surgery is almost nonexistent in the literature.…”

Section: Introductionmentioning

confidence: 99%

Personal Descriptions of Life Before and After Bariatric Surgery From Overweight or Obese Men

et al. 2016

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Bariatric surgery is now a common weight loss solution for morbidly obese men where meaningful weight reduction and improvements in quality of life have been identified postsurgery. As the majority of surgical candidates are female, there exists a paucity of literature relating to the experience of males undergoing bariatric surgery. In this study, a qualitative descriptive-exploratory design was used to explore body image descriptions, adaptation of a new lifestyle, new boundaries postsurgery, and any barriers seeking consultation for surgery. Six males who had undergone bariatric surgery were recruited in Australia. Data were collected and analyzed using NVivo between May and October 2014. The themes emerging from the data included living in an obese body, life before surgery, decision making for surgery, and life after surgery. The participants collectively reported that life before surgery was challenging. They described the changes the surgery had made in their lives including positive changes to their health, body image, social lives, and self-esteem. Some participants preferred not to tell others their intentions for surgery due to perceived stigma. The men in this study also described a lack of information available to them depicting male perspectives, a possible barrier for men seeking weight loss surgery options. Implications for practice highlighted in these results relate to a greater need for accessible information specific to men based on real-life experiences.

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“…Empirically, it has been demonstrated that waiting leads to physical and psychosocial consequences that make it more difficult for patients to stay motivated and engaged in maintaining their current health as they prepare for surgery. 34 The nature of administrative data with regard to completeness of information and accurate coding of procedures pose limitations in the analysis of our data. When a procedure is conducted in hospital, it is given a particular procedure code for system identification.…”

Section: Discussionmentioning

confidence: 99%

Quantitative analysis of bariatric procedure trends 2001–13 in South Australia: implications for equity in access and public healthcare expenditure

Meyer

Booth²,

Gray³

et al. 2015

Aust. Health Review

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Objectives. The aims of the present study were to: (1) identify trends in bariatric surgery in South Australia (SA) from 2001 to 2013; and (2) compare public and private hospitals, and so discuss the implications of these trends as they relate to equity in access to bariatric procedures and public system healthcare expenditure.Methods. An analysis of retrospective data of all bariatric procedures in public and private hospitals in SA was conducted using all SA public and private hospital administrative records between 2001 and 2013.Results. Of all procedures conducted in SA, 22.6% were revisions or reversals. The number of revisions or reversals conducted in SA has increased at a rate higher than weight loss procedures (6.4-vs 3.8-fold increase). An increasing proportion of public surgeries are revisions or reversals of weight loss procedures that occurred outside of the SA public system (interstate or in the private system).Conclusion. Further investigation is necessary to identify the pathways patients navigate to access bariatric surgery, the utilisation of public services following private procedures and why rates of revisions or reversals of bariatric procedures are increasing in SA.What is known about the topic? Rates of bariatric surgery are increasing internationally as a treatment for obesity. What does this paper add? Trends in bariatric procedures in SA have not been published. We have identified that: (1) rates of bariatric revisions or reversals in SA far surpass the rate at which bariatric weight loss procedures are increasing; (2) rates of revisions or reversals are increasing in public hospitals; and (3) an increasing number of the revision or reversal procedures in public hospitals are for weight loss procedures that have occurred outside the public system. What are the implications for practitioners? The data have implications for practitioners caring for patients interested in undergoing bariatric surgery for the treatment of obesity. The data suggest that rates of revisions or reversals are increasing in public hospitals, which suggests that further information is needed regarding the effectiveness of weight loss procedures and the implications of revision or reversal increases on waiting times for patients seeking weight loss treatment in a system with limited resources.

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Patients’ perceptions of waiting for bariatric surgery: a qualitative study

Cited by 38 publications

References 41 publications

Cause of death in patients awaiting bariatric surgery

Cause of death in patients awaiting bariatric surgery

Personal Descriptions of Life Before and After Bariatric Surgery From Overweight or Obese Men

Quantitative analysis of bariatric procedure trends 2001–13 in South Australia: implications for equity in access and public healthcare expenditure

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