ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2017
Patient travel for bariatric surgery: does distance matter?
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The trial behind it
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Who cites it
10 citing papers in PubMed.
- Follow-up Strategies in Metabolic and Bariatric Surgery: Current strategies and Challenges.Journal of metabolic and bariatric surgery · 2026Review
- The Impact of Patient Distance from Hospital on Length of Stay and Postoperative Outcomes Following Bariatric Surgery.Obesity surgery · 2025Article
- Variation of metabolic and bariatric surgery utilization by neighborhood socioeconomic status in Maryland.PloS one · 2025Article
- Travel distance reduces follow-up compliance but has no effect on long-term weight loss success in bariatric patients.Surgical endoscopy · 2021Article
- Improving Access to Bariatric Surgery for Rural and Remote Patients: Experiences from a State-Wide Bariatric Telehealth Service in Australia.Obesity surgery · 2020Article
- Pre-operative aerobic exercise on metabolic health and surgical outcomes in patients receiving bariatric surgery: A pilot trial.PloS one · 2020Article
- Travel distance and regional access to cardiac valve surgery.Journal of cardiac surgery · 2019Article
- A model for geographic and sociodemographic access to care disparities for adults with congenital heart disease.Congenital heart disease · 2019Article
- Exploring the Effects of Telemedicine on Bariatric Surgery Follow-up: a Matched Case Control Study.Obesity surgery · 2019Article
- Pre-operative Bariatric Clinic Attendance Is a Predictor of Post-operative Clinic Attendance and Weight Loss Outcomes.Obesity surgery · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundIncreasingly, patients are faced with greater travel distances to undergo bariatric surgery at high-volume centers.
objectivesThis study sought to evaluate the impact of travel distance on access to care and outcomes after bariatric surgery.
settingPatients who underwent Roux-en-Y gastric bypass at an academic bariatric surgery center from 1985 to 2004 were examined and stratified by patient travel distance.
methodsUnivariate analyses were performed for preoperative risk factors, 30-day complications, and long-term (10-yr) weight loss between "local," defined as<1 hour of travel time, and "regional," defined as>1 hour of travel time. Survival analysis was performed with Kaplan-Meier and Cox proportional hazards models.
resultsA total of 650 patients underwent Roux-en-Y gastric bypass, of whom 316 (48.6%) traveled<1 hour to undergo surgery and 334 (51.4%) traveled>1 hour. Median body mass index was equivalent between the groups (local, 52.9 kg/m
conclusionsA majority of patients who underwent bariatric surgery at our center traveled>1 hour. Despite longer travel time for care, 30-day complications and long-term weight loss were equivalent with that of local patients. As expected, patients who lived in close proximity were more likely to adhere to yearly follow-up in surgery clinic. Travel time was an independent predictor of risk-adjusted reduced long-term survival.
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