Evidence map›Paper›PMID 33515181›Full record

ArticleObesity surgery2021

Self-Pay Payer Status Predicts Long-Term Loss to Follow-Up After Bariatric Surgery.

Paige L Martinez, Larissa A McGarrity, Natalie A Turner, Eric T Volckmann, Rebecca M Kohler, Ellen H Morrow, Anna R Ibele

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Paige L MartinezDepartment of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA.
Larissa A McGarrityDivision of Physical Medicine & Rehabilitation, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA.
Natalie A TurnerDepartment of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA.
Eric T VolckmannDepartment of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA.
Rebecca M KohlerDepartment of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA.
Ellen H MorrowDepartment of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA.
Anna R IbeleDepartment of Surgery, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA. Anna.ibele@hsc.utah.edu.ORCID http://orcid.org/0000-0002-8850-3141

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

purposeIn spite of widespread recommendations for lifelong patient follow-up with a bariatric provider after bariatric surgery, attrition to follow-up is common. Over the past two decades, many programs have sought to expand access to care for patients lacking insurance coverage for bariatric surgery by offering "self-pay" packages; however, the impact of this financing on long-term follow-up is unclear. We sought to determine whether payer status impacts loss to follow-up within 1 year after bariatric surgery. MATERIALS AND

methodsRecords of 554 consecutive patients undergoing bariatric surgery who were eligible for 1-year post-surgical follow-up between 2014 and 2019 were retrospectively reviewed. Multiple logistic regression examined the relationship between demographics, psychological variables, payer status, and loss to follow-up.

resultsSelf-pay status more than tripled the odds of loss to follow-up (OR = 3.44, p < 0.01) at 1 year following surgery. Males had more than double the odds of attrition (OR = 2.43, p < 0.01), and members of racial and ethnic minority groups (OR = 2.51, p < 0.05) were more likely to experience loss.

conclusionsSelf-pay patients, males and members of racial and ethnic minority groups, may face additional barriers to long-term access to postoperative bariatric care. Further investigation is greatly needed to develop strategies to overcome barriers to and disparities in long-term post-surgical care for more frequently lost groups.

Indexed as

Bariatric SurgeryObesity, MorbidEthnicityFollow-Up StudiesHumansMaleMinority GroupsRetrospective StudiesAttritionBariatric surgeryDisparitiesEthnicityGenderInsuranceLoss to follow-upOutcomesPayerSelf-pay

Identifiers

PMID33515181

What OpenQuestion holds

Textmetadata
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.