ArticleObesity surgery2023
Preoperative Follow-up in Bariatric Surgery: Why They Give Up? Rate, Causes, and Economic Impact of Dropout.
Article in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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
7 citing papers in PubMed, 6 citations in OpenAlex.
- Preoperative Use of a Mobile Application Within the Multidisciplinary Team Approach - A Randomized Controlled Clinical Trial.Obesity surgery · 2026Trial
- Barriers to bariatric surgery completion: A narrative review of preoperative attrition and its determinants.Turkish journal of surgery · 2026Article
- Preoperative Patient Attrition in Metabolic Bariatric Surgery: A Retrospective Monocentric Study.Obesity surgery · 2025Article
- The impact of social determinants of health (SDOH) on completing bariatric surgery at a single academic institution.Surgical endoscopy · 2025Article
- The Role of Informal Social Support for Patients Undergoing Bariatric Surgery.Obesity surgery · 2024Article
- Investigation of homocysteine level after bariatric metabolic surgery, effect on vitamin B12 and folate levels.BMC endocrine disorders · 2024Article
- Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperative attrition is highly prevalent in patients referred for bariatric surgery. Little information is available neither on reasons reported by patients for attrition in knowledge nor costs of attrition in a publicly funded health system.
objectivesTo assess the reasons for the attrition of bariatric candidates and calculate its economic impact on a population with obesity in a public hospital in France.
methodsThis is a retrospective study including all bariatric surgery candidates between 2014 and 2018 in our Center of Excellence in Obesity Care. Data were extracted from the hospital information system, and patient-related outcomes were collected via a standardized questionnaire. Economic analysis was performed. Primary outcome was to analyze the rate of preoperative attrition. Secondary outcome was reasons for discontinuation and their economic impact.
resultsIn total, 1360 patients were referred for bariatric surgery at our hospital, and 1225 were included in the study. Attrition rate in preoperative phase was 46.8%. Three factors were significantly associated with follow-up fragmentation risk: unemployment (OR 0.52, 95% CI 0.29-0.7, p < 0.001), active smoking (OR 2.24, 95% CI 1.53-5.15, p < 0.001), and body mass index (OR 0.98, 95% CI 0.97-1.00, p = 0.036). Average cost to the healthcare system was €792 for each patient who dropped out.
conclusionsWe identified predictors and patient-reported factors that seem to be beyond the possibility of removal by health professionals. We should consider and address preventable factors, through the development of care pathways tailored to the individual profile of a patient.
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