Evidence map›Paper›PMID 31678938›Full record

ArticleBMJ open2019

Preoperative bariatric surgery programme barriers facing Pacific patients in Auckland, New Zealand as perceived by health sector professionals: a qualitative study.

Tamasin Taylor, Wendy Wrapson, Ofa Dewes, Nalei Taufa, Richard J Siegert

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Trial
  2. Access to bariatric surgery in Aotearoa, New Zealand - a scoping review.International journal for equity in health · 2026
    Article
  3. Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  4. Article
  5. Article
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

5 authors.

Tamasin TaylorFaculty of Heath and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand tamasin.taylor@aut.ac.nz.
Wendy WrapsonFaculty of Heath and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Ofa DewesMaurice Wilkins Centre for Molecular Biodiscovery, University of Auckland, Auckland, New Zealand.
Nalei TaufaSchool of Population Health, University of Auckland, Auckland, New Zealand.
Richard J SiegertFaculty of Heath and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minority ethnic patient groups typically have the highest bariatric surgery preoperative attrition rates and lowest surgery utilisation worldwide. Eligible patients of Pacific Island ethnicity (Pacific patients) in New Zealand (NZ) follow this wider trend.

objectivesThe present study explored structural barriers contributing to Pacific patients' disproportionately high preoperative attrition rates from publicly-funded bariatric surgery in Auckland, NZ.

settingPublicly-funded bariatric surgery programmes based in the wider Auckland area, NZ.

designSemi-structured interviews with health sector professionals (n=21) were conducted.Data were analysed using an inductive thematic approach.

resultsTwo primary themes were identified: (1)

conclusionsHealth professionals' accounts indicated that Pacific patients face substantial levels of disconnection in bariatric surgery programmes. Increasing representation of Pacific ethnicity by employing more Pacific health professionals in bariatric teams and finding novel solutions to implement preoperative programme components have the potential to reduce this disconnect. Addressing cultural competency of staff, increasing consultancy times and working in community settings may enable staff to better support Pacific patients and their families. Programme structures could be more accommodating to practical barriers of attending appointments, managing patients' preoperative health goals and improving patients' health literacy. Given that Pacific populations, and other patients from minority ethnic backgrounds living globally, also face high rates of obesity and barriers accessing bariatric surgery, our findings are likely to have broader applicability.

Indexed as

Professional-Patient RelationsAdultBariatric SurgeryFemaleHealthcare DisparitiesHealth LiteracyHealth Services AccessibilityHumansMaleMiddle AgedMinority GroupsNew ZealandObesityQualitative ResearchTime-to-Treatmentbariatric surgeryethnic disparitiespacific healthPreoperative bariatric surgery attritionStructural barriersSurgery attrition

Identifiers

PMID31678938
PMCPMC6830665

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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.