Evidence map›Paper›PMID 41076616›Full record

ArticleObesity surgery2025

Perspectives of Patients Seeking Bariatric Surgery: The Impact of Early Patient-Provider Communication on Bariatric Surgery Utilization.

Nitin Srinivasan, Jamil Samaan, Nithya Rajeev, Agnes Premkumar, Kelvin Alvarez, Lucy Harvey, Stephanie Nguyen, Ashley Tran, Kamran Samakar

Abstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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. Article
  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

9 authors.

Nitin SrinivasanUniversity of Southern California, Los Angeles, United States.
Jamil SamaanCedars-Sinai Medical Center, Los Angeles, United States.
Nithya RajeevUniversity of Southern California, Los Angeles, United States.
Agnes PremkumarCreighton University Medical Center, Omaha, United States.
Kelvin AlvarezUniversity of Southern California, Los Angeles, United States.
Lucy HarveyUniversity of Southern California, Los Angeles, United States.
Stephanie NguyenUniversity of Southern California, Los Angeles, United States.
Ashley TranUniversity of Southern California, Los Angeles, United States.
Kamran SamakarUniversity of Southern California, Los Angeles, United States. kamran.samakar@med.usc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBariatric surgery (BS) is an effective and durable long-term treatment for severe obesity, yet less than 1% of eligible patients undergo surgery. Thus, we explored the perceptions and experiences of patients with obesity seeking BS prior to obtaining a referral for surgery.

methodsA survey was prospectively administered to patients who were referred to our institution from March 25, 2023, to May 28, 2024. Questions assessed patients' initial exposure to BS, perceptions of its safety and efficacy, who initiated referral discussions, and whether patients would have considered surgery earlier if prompted by their healthcare provider. Statistical analyses included Chi-square test. Qualitative analysis using thematic analysis was conducted for free-text responses.

resultsOut of 327 patients invited, 118 completed the survey (36.1%). The majority of participants (57.9%) initiated discussions about BS with their provider, and 79.7% would have considered BS sooner if approached earlier. Respondents had considered BS for 3.8 years on average (standard deviation = 5.3). The most important contributions of BS for patients were "improved health" (94.1%) and "improved appearance" (31.6%). The most commonly reported barriers to obtaining a referral included cost (55.1%), followed by safety (45.8%) and efficacy (33.1%) concerns. DISCUSSION: Our findings underscore the importance of proactive and early engagement between providers and patients regarding BS referrals. Addressing safety and efficacy concerns through comprehensive patient education by providers may improve BS referral rates by removing patients' perceived barriers to care. Financial concerns remain a significant barrier to BS utilization and should be further investigated and addressed.

Indexed as

Bariatric SurgeryCommunicationObesity, MorbidPatient Acceptance of Health CarePhysician-Patient RelationsAdultFemaleHumansMaleMiddle AgedProspective StudiesReferral and ConsultationSurveys and QuestionnairesBariatric surgeryObesity stigmaPatient perception

Identifiers

PMID41076616
PMCPMC12594654

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.