Evidence map›Paper›PMID 34963509›Full record

ArticleAmerican journal of surgery2022

Individual-level barriers to bariatric surgery from patient and provider perspectives: A qualitative study.

Jacqueline A Murtha, Esra Alagoz, Catherine R Breuer, Alex Finn, Susan D Raffa, Corrine I Voils, Luke M Funk

Abstract read
In one paragraph

Article in American journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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.

Jacqueline A MurthaDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA.
Esra AlagozDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA.
Catherine R BreuerDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA.
Alex FinnDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA.
Susan D RaffaDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 905 W Main St, Durham, NC, 27701, USA; Veterans Health Administration National Center for Health Promotion and Disease Prevention, 3022 Croasdaile Dr, Durham, NC, 27705, USA.
Corrine I VoilsDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA; William S. Middleton Memorial Veterans Administration, 2500 Overlook Terrace, Madison, WI, 53705, USA.
Luke M FunkDepartment of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA; William S. Middleton Memorial Veterans Administration, 2500 Overlook Terrace, Madison, WI, 53705, USA. Electronic address: luke.funk@va.gov.

Funding

TRAINING IN NUTRITIONT32DK007665 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI GUY E GROBLEWSKI, Chi- Liang Eric Yen · 1993 to 2026
$9.2M
Impact of Financing on Outcomes of Methadone MaintenanceR01DA015060 · NIDA · RMC RESEARCH CORPORATION · PI DECK, DENNIS D · 2002 to 2004
$1.4M
Identifying and Addressing Barriers to Bariatric Surgery within VAIK2HX002064 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI FUNK, LUKE M · 2018 to 2020
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HSRD VA IK2 HX002064NIDA NIH HHS R01 DA015060NIDDK NIH HHS T32 DK007665
6 · The paper itself

Abstract

backgroundLess than 1% adults in the United States who meet body mass index criteria undergo bariatric surgery. Our objective was to identify patient and provider perceptions of individual-level barriers to undergoing bariatric surgery.

methodsAdults with severe obesity and obesity care providers described their experiences with the bariatric surgery care process in semi-structured interviews. Using conventional content analysis, individual-level barriers were identified within Andersen's Behavioral Model of Health Services Use.

resultsOf the 73 individuals interviewed, 36 (49%) were female, and 15 (21%) were non-white. Six individual-level barriers were identified: fear of surgery, fear of lifestyle change, perception that weight had not reached its "tipping point," concerns about dietary changes, lack of social support, and patient characteristics influencing referral.

conclusionsPatient and provider education should address patient fears of surgery and the belief that surgery is a "last resort." Bariatric surgery programs should strengthen social support networks for patients.

Indexed as

Bariatric SurgeryObesity, MorbidAdultBody Mass IndexFemaleHumansMaleQualitative ResearchSocial SupportUnited StatesBariatric surgeryIndividual-level barriersPatient barriersPatient perceptionsProvider perceptions

Identifiers

PMID34963509
PMCPMC9218004

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Registered trials

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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.