ArticleAnnals of surgery2025
Trends in Utilization of Services for Mental Health and Substance Use Disorders Before and After Bariatric Surgery.
Article in Annals of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
7 authors.
Funding
Abstract
objectiveThe objective of this study was to analyze changes in mental health services utilization and substance use treatment following bariatric surgery from a large commercial insurance claims database. BACKGROUND DATA: Mental health and substance use screenings are important components of evaluation prior to bariatric surgery. Long-term mental health services and substance use treatment utilization trends post-operatively have not been previously examined.
methodsUsing the Merative MarketScan database of commercial health insurance claims from 2011-2019, bariatric surgery patients were assessed for patterns of mental health and substance treatment utilization over 3 time points: pre-surgery (first MarketScan claim to 6 months before surgery), peri-surgery (6 months before-6 months after surgery), and post-surgery (>6 months after surgery). Rates of outpatient mental health visits, psychiatric medication prescription, inpatient psychiatric services, and substance use disorder treatment were extracted. We calculated standardized rates in person-months (pms) and ran generalized estimating equations with Poisson distribution to test for differences at each time interval.
resultsThere were modest increases in the incidence rate ratio from the pre- to-post-surgical period for inpatient psychiatric encounters (1.721 (1.481-2.00)), community mental health visits (1.325 (1.005-1.748)), outpatient psychiatrist visits (1.311 (1.255-1.37)), therapist visits (1.281(1.233-1.341)), antidepressant refills (1.154 (1.139-1.169)) and anxiolytic refills (1.418 (1.376-1.462)). However, there was a dramatic increase in encounters for substance use treatment (3.795 (3.289-4.378).
conclusionsHealth service utilization rates for substance use disorder treatment significantly increased postoperatively. Further investigation is needed to understand how to reduce risks and best to support these patients, particularly in the long-term post-operative period.
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