ArticleObesity surgery2025
Freedom of Choice in the United States: Patient Autonomy Is Driving Decision-Making in Bariatric Surgery.
Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed.
- Obesity pillars roundtable: Better together - combined obesity medicine and metabolic surgery care for the treatment of obesity.Obesity pillars · 2026Article
- One-anastomosis gastric bypassWorld journal of gastrointestinal surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity affects over 650 million adults worldwide, with bariatric surgery being the most effective long-term treatment. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most commonly performed procedures in the USA. Increased access to online information allows patients to self-educate, often leading to predetermined surgical choices. This study evaluates how self-education influences decision-making and whether specialist consultation alters patient preferences.
methodsA prospective cohort study (May 2021-May 2022) included adults eligible for SG or RYGB. Patients completed surveys on surgical preferences and educational sources before receiving standardized consultations. Those with diabetes were presented with an evidence-based diabetes remission calculator (Cleveland Clinic, Individualized Metabolic Surgery Score). Final surgical choices were analyzed before and after consultation.
resultsAmong 429 patients, 74.1% had a predetermined surgical choice, with 81.4% preferring SG. Internet searches influenced 67%, and 51% self-referred via online research. Despite evidence-based recommendations, only 34% of diabetic patients changed their predetermined choice after consulting a specialist. Many remained committed to their preference despite objective data suggesting a more optimal option.
conclusionsPatient self-education, often based on non-evidence-based sources, significantly influences surgical decision-making, sometimes contradicting medical recommendations. This presents a challenge for healthcare providers striving to balance patient autonomy with evidence-based care. More patients are arriving with predetermined surgical choices, effective strategies are needed to navigate these dynamics, enhance patient understanding, and optimize both surgical outcomes and satisfaction.
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Registered trials
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.