ArticleCanadian family physician Medecin de famille canadien2021
Patients eligible and referred for bariatric surgery in southeastern Ontario: Retrospective cohort study.
Article in Canadian family physician Medecin de famille canadien, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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
6 citing papers in PubMed.
- Integrated Care Model of Adiposity-Related Chronic Diseases.Current hypertension reports · 2022Review
- A Canadian survey of medical students and undergraduate deans on the management of patients living with obesity.BMC medical education · 2022Article
- Screening Patterns of Nonalcoholic Fatty Liver Disease in Children with Obesity in Canadian Primary Care: A Cross-Sectional Study.Canadian journal of gastroenterology & hepatology · 2022Article
- Survey of perceptions and educational needs of primary care providers regarding management of patients with class II and III obesity in Ontario, Canada.BMC family practice · 2021Article
- Article
- Safety and outcomes of performing laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy at an ambulatory site of a tertiary care hospital in Ontario.Canadian journal of surgery. Journal canadien de chirurgieArticle
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the proportion of eligible individuals, within one health region in Ontario, who were referred for publicly funded medical and surgical weight-loss interventions (MSWLI).
designA retrospective cohort study that used primary care data from the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) and referral data from the Ontario Bariatric Network (OBN).
settingPrimary care practices within southeastern Ontario that contribute data to CPCSSN.
participantsPatients with class II (body mass index [BMI] 35.0 to 39.9 kg/m
main outcome measuresPrimary care data about patients within the CPCSSN database were linked to referral records within the OBN database using 3 indirect identifiers to determine the proportion of patients with class II and III obesity who were referred to the OBN for MSWLI. An adjusted multivariate logistic regression model was used to determine the most significant predictors of referral.
resultsOf the 87 276 patients within one health region in Ontario, 15 526 (17.8%) patients had class II or III obesity and were eligible for referral for MSWLI. Only 966 out of those 15 526 (6.2%) patients were actually referred for MSWLI. In the multivariate regression analysis, BMI had the strongest association with referral in terms of adjusted odds ratio (AOR), varying from 2.50 (95% CI 2.04 to 3.06) for a BMI of 40.0 to 44.9 kg/m
conclusionWithin one health region in Ontario, the referral rate of patients with class II and III obesity for MSWLI was low. Our findings highlight the need for further research to understand and address the barriers to referral of patients with class II and III obesity for MSWLI.
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