ArticleCanadian journal of surgery. Journal canadien de chirurgie
Outcomes and experiences of Indigenous patients in Newfoundland and Labrador's bariatric surgery program: a pilot study.
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIndigenous Peoples in Canada have higher obesity rates (30%-51%) than non-Indigenous populations (12%-31%), and the Truth and Reconciliation Commission of Canada (TRC) has called for expanded health research to address disparities between Indigenous and non-Indigenous communities. We sought to compare bariatric surgery outcomes and patient experiences in Newfoundland and Labrador's bariatric surgery program among Indigenous versus non-Indigenous patients.
methodsWe conducted a mixed-methods retrospective cohort study, including patients who underwent bariatric surgery in the province's bariatric surgery program between 2011 and 2022. We assessed metabolic outcomes through chart review and captured patient experiences with phone survey questionnaires.
resultsAmong the 30 included patients (8 Indigenous, 22 non-Indigenous), there were no significant differences in excess weight loss (45% v. 48%,
conclusionAs a response to TRC's Calls to Action, our study shows bariatric surgery outcomes in Newfoundland and Labrador were similar for Indigenous and non-Indigenous patients. Given their lower satisfaction with postoperative decrease in weight, Indigenous patients may benefit from being offered metabolic procedures with greater expected weight loss, such as Roux-en-Y gastric bypass and duodenal switch.
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