Evidence map›Paper›PMID 27256014›Full record

ArticleObesity surgery2017

Factors Leading to Self-Removal from the Bariatric Surgery Program After Attending the Orientation Session.

Kai Yang, Binghao Zhang, Patti Kastanias, Wei Wang, Allan Okraniec, Sanjeev Sockalingam

Abstract read
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Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kai YangFaculty of Medicine, University of Toronto, Toronto, M5S 1A8, Canada.
Binghao ZhangFaculty of Engineering and Applied Science, University of Toronto, Toronto, M5S 1A4, Canada.
Patti KastaniasBariatric Surgery Program, Department of General Surgery, Toronto Western Hospital, Toronto, M5T 2S8, Canada.
Wei WangBariatric Surgery Program, Department of General Surgery, Toronto Western Hospital, Toronto, M5T 2S8, Canada.
Allan OkraniecBariatric Surgery Program, Department of General Surgery, Toronto Western Hospital, Toronto, M5T 2S8, Canada.
Sanjeev SockalingamCentre for Mental Health, Department of Psychiatry, University Health Network, University of Toronto, Toronto, Canada. sanjeev.sockalingam@uhn.ca.
Toronto Western Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery orientation sessions are often the first point of contact and a recommended component of pre-bariatric surgery assessment. Self-removal rates after bariatric program orientation are as high as 25 % despite the proven efficacy of this procedure. The objective of this study was to identify factors contributing to patient self-removal after orientation using a mixed method approach.

methodsPatients who attended the Toronto Western Hospital Bariatric Surgery Program orientation between 2012 and 2013 and then self-removed from the program (N = 216) were included in the study. Subjects were interviewed via telephone using a semi-structured interview guide, generating both quantitative and qualitative data. Factors leading to discontinuation were rated on a five-point Likert scale. Qualitative data was analyzed using constant comparative methodology.

resultsThe response rate was 59 % with a 40.7 % completion rate (N = 88). Concerns about potential surgical risks and complications and the ability to adapt to changes in eating and drinking post-operatively were identified as the top two factors for patients' self-removal from the program. Thematic analysis uncovered 11 major themes related to patient self-removal. Unexpected themes include perceived personal suitability for the surgery, family impact of surgery, miscommunication with the family physician, and fears related to the orientation information.

conclusionsThis is one of the first studies examining barriers to bariatric surgery in the pre-operative setting and offers new insights into the reasons patients self-remove from bariatric surgery programs. This study may inform bariatric orientation program changes resulting in improved access to this effective surgical intervention.

Indexed as

Bariatric SurgeryChoice BehaviorPatient Education as TopicTreatment RefusalAdultFemaleHumansMaleMiddle AgedObesity, MorbidPerceptionPostoperative PeriodRisk FactorsSelf ConceptSocioeconomic FactorsBariatric surgeryOrientationSelf-removal

Identifiers

PMID27256014
OpenAlexW2410129648

What OpenQuestion holds

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Registered trials

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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.