ArticleObesity surgery2016
Stigma and Knowledge as Determinants of Recommendation and Referral Behavior of General Practitioners and Internists.
Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- 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
- Using a brief web-based 5A intervention to improve weight management in primary care: results of a cluster-randomized controlled trial.BMC family practice · 2021Trial
- Disparities in Complication Rates Among Ethnic Minorities Undergoing Bariatric Surgery in the UK.Obesity surgery · 2025Article
- How Weight Bias and Stigma Undermine Healthcare Access and Utilization.Current obesity reports · 2025Review
- Patient-Related Predictors for Seeking and Receiving Obesity Surgery.Obesity facts · 2023Article
- Stigma Toward Bariatric Surgery in the Netherlands, France, and the United Kingdom: Protocol for a Cross-cultural Mixed Methods Study.JMIR research protocols · 2022Article
- Current Knowledge and Perceptions of Bariatric Surgery among Diabetologists and Internists in Poland.Journal of clinical medicine · 2022Article
- General Practitioner's Knowledge about Bariatric Surgery Is Associated with Referral Practice to Bariatric Surgery Centers.International journal of environmental research and public health · 2021Article
- Factors Impacting Physician Referral To and Patient Attendance at Weight Management Programs Within a Large Integrated Health System.Journal of general internal medicine · 2021Article
- Article
- Influence of Body Mass Index and Gender on Stigmatization of Obesity.Obesity surgery · 2020Article
- Attitudes and treatment practice of general practitioners towards patients with obesity in primary care.BMC family practice · 2020Article
- Primary Care Physicians' Perceptions of Bariatric Surgery and Major Barriers to Referral.Obesity surgery · 2020Article
- Perceived Barriers in the Decision for Bariatric and Metabolic Surgery: Results from a Representative Study in Germany.Obesity surgery · 2019Article
- [Bariatric surgery: Expectations and therapeutic goals-a contradiction?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Review
- [Referral behavior of general physicians for patients with obesity].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Review
- General Practitioners and Bariatric Surgery in France: Are They Ready to Face the Challenge?Obesity surgery · 2018Article
- Mindset and Communication Barriers in the Diffusion of Bariatric Surgery.Current atherosclerosis reports · 2018Review
- Changes in Attitudes Towards Bariatric Surgery After 5 Years in the German General Public.Obesity surgery · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite reported effectiveness, weight loss surgery (WLS) still remains one of the least preferred options for outpatient providers, especially in Germany. The aim of this study was to examine the effect of stigma and knowledge on recommendation of WLS and referral to a surgeon by general practitioners (GPs) and internists.
methodThe sample consists of 201 GPs and internists from Germany. The questionnaire included questions on the perceived effectiveness of WLS, the frequency of recommendations of WLS, and the frequency of referral to WLS. Stigma, as well as knowledge was also assessed in this context. Linear and logistic regression models were conducted. A mediation analysis was carried out within post hoc analysis.
resultsKnowledge (b = 0.258, p < 0.001) and stigma towards surgery (b = -0.129, p = 0.013) were related to the frequency of recommendation of WLS. Additionally, respondents, who were more likely to express negative attitudes towards WLS, were less likely to recommend WLS and thus refer patients to WLS (b = -0.107, p < 0.05). Furthermore, respondents with more expertise on WLS were more likely to recommend and thus refer patients to WLS (b = 0.026, p < 0.05).
conclusionThis study showed that stigma plays a role when it comes to defining treatment pathways for patients with obesity. The question remains how this might influence the patients and their decision regarding their treatment selection. Interventions are required to make treatment decisions by physicians or patients independent of social pressure due to stigma.
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Registered trials
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