ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2018
Factors associated with bariatric surgery utilization among eligible candidates: who drops out?
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- One size does not fit all: Qualitative interviews with individuals with overweight or obesity and healthcare providers on navigating and supporting weight management.Obesity pillars · 2026Article
- Barriers to bariatric surgery completion: A narrative review of preoperative attrition and its determinants.Turkish journal of surgery · 2026Article
- Metabolic bariatric surgery pays off: a longitudinal analysis of weight loss and HbA1c changes in real-world patients data in the West of Scotland.International journal of obesity (2005) · 2026Article
- Factors Associated with Preoperative Attrition from a Large, Racially and Ethnically Representative Bariatric Program in the USA: A Single-Center Retrospective, Cohort Study.Obesity surgery · 2025Article
- Characterization of trends in preoperative hemoglobin A1c testing prior to metabolic and bariatric surgery: a retrospective, observational study.Perioperative medicine (London, England) · 2025Article
- Analysis of Online Crowdfunding Among Patients Pursuing Metabolic and Bariatric Surgery in the United States.Obesity surgery · 2025Article
- Bariatric surgery: trends in utilization, complications, conversions and revisions.Surgical endoscopy · 2024Article
- Association of program-specific variation in bariatric surgery volume for Medicaid patients and access to care: a tale of inequality?Surgical endoscopy · 2023Article
- Preoperative Follow-up in Bariatric Surgery: Why They Give Up? Rate, Causes, and Economic Impact of Dropout.Obesity surgery · 2023Article
- A qualitative analysis describing attrition from bariatric surgery to identify strategies for improving retention in patients who desire treatment.Surgical endoscopy · 2023Article
- Sleeve gastrectomy morphology and long-term weight-loss and gastroesophageal reflux disease outcomes.Surgical endoscopy · 2023Article
- Variation in pre-operative insurance requirements for bariatric surgery.Surgical endoscopy · 2022Article
- How do Patients Access Bariatric Surgery? An Analysis of Referrals to a Large Academic Medical Center.Obesity surgery · 2021Article
- Comment on: Life during "lockdown": a cautionary tale of the impact of environment on access to bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Article
- Convergent Mixed Methods Exploration of Telehealth in Bariatric Surgery: Maximizing Provider Resources and Access.Obesity surgery · 2021Article
- Improving obesity treatment through telemedicine: increasing access to bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Article
- Impact of Statewide Essential Health Benefits on Utilization of Bariatric Surgery.Obesity surgery · 2020Article
- Impact of insurance plan design on bariatric surgery utilization.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019Article
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6 authors.
Funding
Abstract
backgroundBariatric surgery is underutilized.
objectivesTo identify factors associated with eligible patient dropout from bariatric surgery.
settingUniversity hospital, United States.
methodsEligible candidates were identified after a multidisciplinary review committee (MRC) of all patients (n = 484) who attended a bariatric surgery informational session (BIS) at a single-center academic institution in 2015. We compared patients who underwent surgery within 2 years of BIS with those who did not (i.e., dropped out) by evaluating patient, insurance, and program-specific variables. Univariate analyses and multivariable regressions were performed to identify factors associated with patient dropout among eligible candidates.
resultsWe identified 307 (63%) patients who underwent MRC. Thirty-three (11%) patients were deemed poor candidates and surgery was not recommended. Among eligible candidates, 82 (30%) dropped out from the program. Factors independently associated with eligible patient dropout included coronary artery disease (odds ratio [OR] .13 [.02-.66]; P = .014), hypertension (OR .46 [.24-.87]; P = .017), time from BIS to MRC (OR .99 [.99-.99]; P = .002), 3 months of medically supervised weight loss documentation (OR .09 [.02-.51]; P = .007), endocrinology clearance (OR .26 [.09-.76]; P = .014), hematology clearance (OR .37 [.14-.95]; P = .039), urine drug screen testing (OR .31 [.13-.72]; P = .006), additional psychological evaluation (OR .43 [.20-.93]; P = .031), and required extra sessions with the dietician (OR .39 [.17-.92]; P = .032). Thirty-three (6.8%) patients underwent surgery at another institution, and 42% of these patients lived more than 50 miles from attended BIS site.
conclusionsTwenty-seven percent of patients did not undergo bariatric surgery at their initial site of evaluation despite being considered eligible candidates after MRC. Dropout was independently associated with patient, insurance, and program-specific variables that may represent barriers to care amenable to improvement.
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