Evidence map›Paper›PMID 31084487›Full record

ArticleInternational journal of qualitative studies on health and well-being2019

Exploring isolation, self-directed care and extensive follow-up: factors heightening the health and safety risks of bariatric surgery abroad among Canadian medical tourists.

Carly Jackson, Jeremy Snyder, Valorie A Crooks, M Ruth Lavergne

Open access · goldAbstract read
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of patient and clinician experiences of bariatric tourism.Annals of the Royal College of Surgeons of England · 2026
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
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

4 authors at 1 institution in 1 country.

Carly Jacksona Faculty of Health Sciences , Simon Fraser University , Burnaby , British Columbia , Canada.ORCID http://orcid.org/0000-0002-7116-9466
Jeremy Snydera Faculty of Health Sciences , Simon Fraser University , Burnaby , British Columbia , Canada.ORCID http://orcid.org/0000-0002-8236-2923
Valorie A Crooksb Department of Geography , Simon Fraser University , Burnaby , British Columbia , Canada.
M Ruth Lavergnea Faculty of Health Sciences , Simon Fraser University , Burnaby , British Columbia , Canada.
Simon Fraser University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis article explores first-hand accounts of Canadian bariatric patients' experiences of seeking and obtaining weight loss surgery abroad through the practice of medical tourism. While researchers have identified many of the challenges and associated health and safety risks imposed on patients by engaging in medical tourism generally, little is known about the specific challenges experienced by Canadians seeking bariatric surgery abroad.

methodTo better understand these challenges, we conducted thematic analysis on interviews conducted with 20 former Canadian bariatric tourists.

resultsOur analysis illuminated three key challenges Canadians face in obtaining bariatric care: (1) stigma and isolation from friends, family and medical professionals; (2) self-directed navigation of domestic and destination health care systems; and (3) challenges with obtaining adequate follow-up care in Canada.

conclusionsWhile these challenges identified by participants may occur in other forms of medical tourism, it appears that these challenges are occurring simultaneously in cases of bariatric tourism by Canadians. These challenges appear to work in conjunction to heighten the health and safety risks potential Canadian bariatric tourists may be exposed to. Unless structural changes occur to increase domestic availability of bariatric surgery, Canadians are likely to continue seeking this care abroad.

Indexed as

AftercareBariatric SurgeryHealth BehaviorMedical TourismSafetySelf CareSocial SupportCanadaDelivery of Health CareFamilyFriendsHealth PersonnelHumansPatient Acceptance of Health CareProspective StudiesSocial Isolationbariatric surgeryCanadachallengesMedical tourismrisk

Identifiers

PMID31084487
PMCPMC6522967
OpenAlexW2944821466

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.