Evidence map›Paper›PMID 40300862›Full record

ArticleClinical obesity2025

Making do in the absence of specialist support: Exploring healthcare professionals' views, experiences and behaviours around long-term post-bariatric surgery follow-up care in the United Kingdom.

Ross Watkins, Laura L Jones, Kenneth Clare, Karen D Coulman, Colin J Greaves, Kate Jolly, Emma Shuttlewood, Helen M Parretti

Abstract read
In one paragraph

Article in Clinical obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

8 authors.

Ross WatkinsLifespan Health Centre, Norwich Medical School, University of East Anglia, Norwich, UK.ORCID https://orcid.org/0000-0001-8191-3335
Laura L JonesDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0002-4018-3855
Kenneth ClareObesity Institute, Leeds Beckett University, Leeds, UK.ORCID https://orcid.org/0000-0001-7054-444X
Karen D CoulmanBristol Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0003-0510-4290
Colin J GreavesSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0003-4425-2691
Kate JollyDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0002-6224-2115
Emma ShuttlewoodSpecialist Weight Management Service, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Helen M ParrettiLifespan Health Centre, Norwich Medical School, University of East Anglia, Norwich, UK.ORCID https://orcid.org/0000-0002-7184-269X

Funding

Health Education England (HEE)/National Institute for Health Research (NIHR) Clinical Lectureship ICA-CL-2018-04-ST2-008National Institute for Health and Care Research NIHR204217NIHR Applied Research Collaboration West MidlandsNIHR Bristol Biomedical Research Centre BRC-1215-20011Royal College of Surgeons Bristol Centre for Surgical ResearchUniversity of Bristol
6 · The paper itself

Abstract

Bariatric surgery is an effective treatment for obesity, but long-term can lead to health-related issues. Guidelines highlight the importance of long-term post-bariatric surgery follow-up. However, in the UK, there is currently no specific funding to support the delivery of this care. Our aim was to understand the views and experiences of healthcare professionals (HCPs) around long-term post-bariatric surgery follow-up, and barriers and enablers to care. Semi-structured interviews with HCPs in UK primary care or specialist weight management services were conducted. The topic guide was theoretically informed by the Capability-Opportunity-Motivation-Behaviour model and the Theoretical Domains Framework. Thematic analysis was undertaken. Twenty-six HCPs were interviewed. Three core themes were interpreted: Existing Challenges, Mediating Factors and Future Directions. While there was agreement on the need for long-term support, current provision was variable and hampered by a paucity of referral options. Follow-up care could be contingent upon the patients' surgical pathway and the culture and expertise within the general practitioner surgery. Participants discussed potential ways to improve care, including using technology, adapting approaches used in other chronic conditions, shared care models and harnessing the potential for peer-based support to improve wellbeing and quality of life. Healthcare professionals' views and experiences shared in this study highlight the complex issues associated with long-term bariatric surgery follow-up. The findings will inform future research to design and implement care pathways that are urgently needed to improve service provision for these patients.

Indexed as

AftercareAttitude of Health PersonnelBariatric SurgeryHealth PersonnelObesity, MorbidAdultFemaleHumansMaleMiddle AgedQualitative ResearchUnited Kingdombariatric surgeryfollow‐uphealthcare professionalsinterviewsobesityqualitative

Identifiers

PMID40300862
PMCPMC12289401

What OpenQuestion holds

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LicenceCC BY
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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.