The knowledge of Polish primary care physicians about bariatric surgery.

Major, Piotr; Stefura, Tomasz; Jezierska-Kazberuk, Monika; Wysocki, Michał; Pędziwiatr, Michał; Pisarska, Magdalena; Małczak, Piotr; Kacprzyk, Artur; Budzyński, Andrzej

doi:10.5114/wiitm.2016.62446

Cited by 6 publications

(7 citation statements)

References 22 publications

(29 reference statements)

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“…The number of bariatric procedures performed yearly is steadily growing [5, 6]. Nevertheless, it seems that there is constantly a great disproportion between the number of patients requiring surgical treatment of obesity and those being referred to the bariatric surgeon [7]. Due to growing demand for surgical treatment of obesity, there is a need for creating and improving bariatric centers in our country.…”

Section: Introductionmentioning

confidence: 99%

Challenges associated with bariatric surgery - a multi-center report.

Stefura

Skomarovska

Wysocki

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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IntroductionDue to the constantly growing demand for surgical treatment of obesity, it is necessary to create new bariatric centers and further improve presently active ones.AimTo identify which stages of conducting peri-operative care and organizing a modern bariatric center currently pose the greatest challenge.Material and methodsAn anonymous survey was designed and distributed to bariatric surgeons. Our questionnaire was divided into three parts: demographic characteristics, difficulties associated with peri-operative care for bariatric patients (assessed on a scale of 1–5) and difficulties associated with organization or running of bariatric centers in which participants are currently working (assessed on a scale of 1–5).ResultsOverall, 70 surgeons and surgical residents from 17 surgical centers participated in our survey. The most difficult element of the pre-operative care was compliance with the recommendation to cease smoking (3.47 ±1.28). The most difficult obstacle during the postoperative care period was implementation of the enhanced recovery after surgery (ERAS) protocol (2.27 ±1.31). Funding for the bariatric treatment was obtained exclusively from the National Health Fund by 60 (85.7%) respondents working in 15 different bariatric centers (88.2%). Among elements of bariatric infrastructure access to operating theater equipment sized for morbidly obese patients was reported to be the most difficult (3.8 ±1.68).ConclusionsPre-operative recommendations including smoking, physical activity or weight loss, as well as introducing ERAS protocol based peri-operative care, are difficult to execute in bariatric departments. Future specialized bariatric centers should be included in the centralized register and equipped with specialized infrastructure for morbidly obese patients.

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Section: Introductionmentioning

confidence: 99%

Challenges associated with bariatric surgery - a multi-center report.

Stefura

Skomarovska

Wysocki

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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“…It may seem that the lack of awareness of the problem of obesity among GPs may be important, as it is reflected by the very low proportion of patients who are referred by GPs to specialist treatment, and the actual number of patients who have indications for such treatment. However, as can be proved by the epidemiological studies by Major et al [11], as many as 96.6% of GPs surveyed declared they had had knowledge on the efficacy and possibilities of surgical treatment of obesity. In the presented study, the majority of patients were referred by public health care centres.…”

Section: Discussionmentioning

confidence: 96%

Withdrawal from bariatric treatment – an analysis under various demographic conditions

Szeliga

Kupczyk

et al. 2016

Ann Agric Environ Med.

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Poland is high on a list of countries affected by epidemics of obesity, a problem that has especially suddenly increased in the post-transformation period. Materials and method. Documentation of 115 subsequent patients diagnosed with grade 3 obesity, considered eligible for surgical treatment, was analysed since 2015. A subgroup of 68 patients was selected from this group and the included patients who decided to cancel their treatment at various stages. Their history since presentation at the obesity treatment centre, BMI with its history, age, education and place of residence were analysed, followed by a telephone survey. 42 patients were finally contacted. Special attention was placed on the analysis of patients taking into account their place of residence. Patients were divided into inhabitants of rural and urban areas. Results. In the study group of 68 patients, 19 (27.9%) were inhabitants of rural areas and 49 (72.1%) of urban areas. Women accounted for 67.6%, and men for 32.4%. The mean age of patients when they presented for treatment was 43 years. On average, men presented 5 years later compared to women. The mean BMI on qualification for treatment of obesity was 47.6 kg/m 2. The mean BMI max-49.6 kg/m 2. There were no differences regarding education in both populations. Despite the lack of differences regarding changes in the BMI since withdrawal from treatment, as many as 63% of patients from rural areas reached the BMI max in this time. Conclusions. There were demographic differences between the degree of obesity observed among patients receiving bariatric treatment, and inhabitants of urban areas were favoured. Patients from rural areas who withdrew from bariatric treatment and were left without medical care significantly more often achieved their maximum body weight, when compared to those living in urban areas. The active participation of physicians, both specialists and general practitioners, in the life of obese patients is imperative.

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“…obesity and depression [ 25 ]. However, obesity treatment involves dietary approaches, lifestyle intervention, pharmacotherapy, endoscopic intragastric balloon and increasingly bariatric surgery (BMI ≥ 40 kg/m 2 ) [ 26 ]. The statement, originating from many research results [ 27 , 28 ], that physical activity can be treated as the universal way of treatment of body mass disorders seems justified in this study.…”

Section: Discussionmentioning

confidence: 99%

Telemedical assessment of the level of energy expenditure in overweight and obese individuals.

Saran

Owoc

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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IntroductionIncreasing the energy expenditure above the elementary level of metabolism by undertaking regular physical activity causes body mass reduction and its maintenance at a healthy level.AimTo remote assessment of the level of physical activity in a group of overweight and obese individuals.Material and methodsThe research was conducted in the Department of Rehabilitation at the Institute of Rural Health, Lublin, Poland, and included a group of 514 volunteers of both genders (38 ±12 years). The examined group was divided into three subgroups depending on the body mass index (BMI) level (I – normal, II – overweight, III – obese). The level of physical activity at home was assessed based of the short version of the International Physical Activity Questionnaire (IPAQ), conducted by means of a mobile application, and was compared with data registered by the accelerometer of a smartphone.ResultsThe IPAQ-assessed level of the physical activity expressed in MET-min/week amounted to the following values: group I: 5190.38 ±6629.84, group II: 5099.53 ±6380.97, group III: 3939.31 ±4000.73; and the caloric cost (cal × week–1) amounted to: group I: 5825.47 ±7512.99, group II: 7204.09 ±9187.96), and group III: 7002.10 ±7296.22. Registered levels of physical activity (MET-min/week) were lower than IPAQ-assessed: in group I (3741.24 ±3958.29), in group II (2447.72 ±2156.44) and in group III (1927.42 ±1790.85) (p < 0.05).ConclusionsThe average values of energy expenditure showed a declining tendency, together with an increase in the BMI. On the other hand, the total weekly caloric cost showed the lowest average values in the group with normal body mass.

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The knowledge of Polish primary care physicians about bariatric surgery.

Cited by 6 publications

References 22 publications

Challenges associated with bariatric surgery - a multi-center report.

Challenges associated with bariatric surgery - a multi-center report.

Withdrawal from bariatric treatment – an analysis under various demographic conditions

Telemedical assessment of the level of energy expenditure in overweight and obese individuals.

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