ArticleMedical care2020
Do Insurance-mandated Precertification Criteria and Insurance Plan Type Determine the Utilization of Bariatric Surgery Among Individuals With Private Insurance?
Article in Medical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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.
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Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- Obesity Treatments and Weight Changes in Clinical Practice After Discontinuation of Semaglutide or Tirzepatide.Diabetes, obesity & metabolism · 2026Article
- Trends in Use of Obesity Medications and Metabolic and Bariatric Surgery Among All of Us Participants From 2003 to 2023.Obesity (Silver Spring, Md.) · 2026Article
- Socio-demographic and clinical factors associated with the receipt of anti-obesity medication prescriptions and metabolic and bariatric surgery among eligible all of Us participants.Diabetes, obesity & metabolism · 2025Article
- Analysis of Online Crowdfunding Among Patients Pursuing Metabolic and Bariatric Surgery in the United States.Obesity surgery · 2025Article
- Variation of metabolic and bariatric surgery utilization by neighborhood socioeconomic status in Maryland.PloS one · 2025Article
- Association of patient characteristics and insurance type with anti-obesity medications prescribing and fills.Diabetes, obesity & metabolism · 2024Article
- Factors influencing the bariatric surgery treatment of bariatric surgery candidates in underdeveloped areas of China.BMC surgery · 2024Article
- Additional preparation program for bariatric surgery: Two-year results of a large cohort study.Obesity science & practice · 2023Article
- A qualitative analysis describing attrition from bariatric surgery to identify strategies for improving retention in patients who desire treatment.Surgical endoscopy · 2023Article
- Addressing insurance-related barriers to novel antiobesity medications: Lessons to be learned from bariatric surgery.Obesity (Silver Spring, Md.) · 2022Article
- Use of primary bariatric surgery among patients with obesity and diabetes. Insights from the Diabetes Collaborative Registry.International journal of obesity (2005) · 2022Article
- Variation in pre-operative insurance requirements for bariatric surgery.Surgical endoscopy · 2022Article
- Moving Toward Health Policy that Respects Both Science and People Living with Obesity.The Nursing clinics of North America · 2021Review
- Role of weight bias and patient-physician communication in the underutilization of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Review
- The role of health insurance characteristics in utilization of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAccess to bariatric surgery is restricted by insurers in numerous ways, including by precertification criteria such as 3-6 months preoperative supervised medical weight management and documented 2-year weight history.
objectivesTo investigate if there is an association between the aforementioned precertification criteria, insurance plan type, and the likelihood of undergoing bariatric surgery, after controlling for potential sociodemographic confounders. RESEARCH
designThe study was conducted using the Pennsylvania Health Care Cost Containment Council's data in 5 counties of Pennsylvania in 2016 and records of preoperative insurance requirements maintained by the Temple University Bariatric Surgery Program.Privately insured bariatric surgery patients and individuals who met the eligibility criteria but did not undergo surgery were identified and 1:1 matched by sex, race, age group, and zip code (n=1054). Univariate tests and logistic regression analysis were utilized for data analysis.
resultsThe insurance requirement for 3-6 months preoperative supervised medical weight management was associated with smaller odds of undergoing surgery [odds ratio (OR)=0.459; 95% confidence interval (CI), 0.253-0.832; P=0.010], after controlling for insurance plan type and the requirement for documented weight history.Preferred provider organization (OR=1.422; 95% CI, 1.063-1.902; P=0.018) and fee-for-service (OR=1.447; 95% CI, 1.021-2.050; P=0.038) plans were associated with greater odds of undergoing surgery, compared with health maintenance organization plans, after controlling for the studied precertification requirements. The documented weight history requirement was not a significant predictor of the odds of undergoing surgery (P=0.132).
conclusionsThere is a need for consideration of insurance benefits design as a determinant of access to bariatric surgery.
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Registered trials
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.