ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
Physicians' attitudes about referring their type 2 diabetes patients for bariatric surgery.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Italian guidelines for the management of adult individuals with overweight and obesity and metabolic comorbidities that are resistant to behavioral treatment.Journal of endocrinological investigation · 2024Guideline
- Providers' Knowledge and Perceptions of Bariatric Surgery: a Systematic Review.Obesity surgery · 2023Pooled it
- Factors influencing primary care provider referral for bariatric surgery: Systematic review.Canadian family physician Medecin de famille canadien · 2022Pooled it
- Attitudes about the safety and efficacy of bariatric surgery among patients with type 2 diabetes and a body mass index of 30-40 kg/m2.Surgery for obesity and related diseases : official journal of the American Society for Bariatric SurgeryTrial
- Post-Operative Safety Outcomes and 5-Year Healthcare Utilisation After Bariatric Surgery vs. Other Elective Types of Surgical Treatments - A Retrospective Observational Cohort Study.Obesity surgery · 2026Observational
- Integrative Strategies in Primary Care: Addressing Recurrent Weight Gain Post-Metabolic and Bariatric Surgery.Obesity science & practice · 2025Review
- The Impact of Bias and Stigma on Patient Referral for Metabolic/Bariatric Surgery: An Algerian Experience.Obesity surgery · 2025Review
- Disparities in Complication Rates Among Ethnic Minorities Undergoing Bariatric Surgery in the UK.Obesity surgery · 2025Article
- Primary Care Physicians' Knowledge, Attitude, and Potential Referral Barriers towards Bariatric Surgery: A Northern Saudi Study.Medicina (Kaunas, Lithuania) · 2022Article
- The US Prevalence of Metabolic Surgery in Patients with Obesity and Type 2 Diabetes Has Not Increased Despite Recommendations from the American Diabetes Association.Obesity surgery · 2022Article
- Role of weight bias and patient-physician communication in the underutilization of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Review
- Turkish primary care physicians' attitudes and knowledge of obesity and bariatric surgery: a survey study.Turkish journal of surgery · 2021Article
- Primary care physicians' knowledge, attitudes and concerns about bariatric surgery and the association with referral patterns: a Swedish survey study.BMC endocrine disorders · 2021Article
- Primary Care Physicians' Perceptions of Bariatric Surgery and Major Barriers to Referral.Obesity surgery · 2020Article
- Reasons for underutilization of bariatric surgery: The role of insurance benefit design.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019Review
- Mindset and Communication Barriers in the Diffusion of Bariatric Surgery.Current atherosclerosis reports · 2018Review
- The effect of an online referral system on referrals to bariatric surgery.Surgical endoscopy · 2017Article
- Stigma and Knowledge as Determinants of Recommendation and Referral Behavior of General Practitioners and Internists.Obesity surgery · 2016Article
- Current practices of obesity pharmacotherapy, bariatric surgery referral and coding for counselling by healthcare professionals.Obesity science & practice · 2016Article
- The stigma of obesity surgery: negative evaluations based on weight loss history.Obesity surgery · 2013Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDespite increasing evidence about the beneficial effects of bariatric surgery, little is known about physicians' attitudes toward it as a treatment of type 2 diabetes. Our objective was to investigate physicians' attitudes about referring patients with type 2 diabetes for bariatric surgery.
methodsPhysicians were identified from the Pennsylvania Integrated Clinical and Administrative Research Database and other databases. Physicians at an academic medical center (n = 142) and community-based physicians (n = 197) in the Philadelphia area in specialties likely to treat type 2 diabetes were sent a survey about their perceptions of the safety and efficacy of bariatric surgery as a treatment for obesity and type 2 diabetes.
resultsOf the physicians, 93 returned the survey, for a combined response rate of 27.4%. Respondents reported having positive impressions of bariatric surgery as a treatment for obesity and type 2 diabetes (79.6% and 67.4%, respectively). Only 20.8% of respondents indicated that they would be likely to refer their patients with type 2 diabetes with a body mass index of 30-34.9 kg/m(2) to a randomized research trial of bariatric surgery.
conclusionIn general, physicians who treat patients with type 2 diabetes had favorable impressions about bariatric surgery as a treatment for obesity and type 2 diabetes. However, only a few were willing to refer their patients with type 2 diabetes and a body mass index of 30-34.9 kg/m(2) to randomized research trials of bariatric surgery. This reluctance to refer patients represents an important barrier to the successful completion of studies of the efficacy of bariatric surgery for those with type 2 diabetes and a body mass index <35 kg/m(2).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.