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24-02-2024 | Bariatric Surgery | Review

Experiences and Outcomes of Indigenous Patients Undergoing Bariatric Surgery: a Mixed-Method Scoping Review

Authors: Marta Whyte, Felicia Daeninck, Janice Linton, Melinda Fowler-Woods, Amanda Fowler-Woods, Geraldine Shingoose, Ashley Vergis, Wenjing He, Krista Hardy

Published in: Obesity Surgery | Issue 4/2024

Abstract

Obesity and type 2 diabetes (T2D) are growing global health concerns. Evidence suggests that Indigenous peoples are at higher lifetime risk of obesity and its associated conditions. Obesity increases the risk of T2D, cardiovascular disease, and all-cause mortality. Bariatric surgery is the most sustained and effective intervention for treating obesity-associated medical problems. This review aims to explore the experiences and outcomes of Indigenous peoples undergoing bariatric surgery in Canada, the USA, Australia, and New Zealand (CANZUS). Analysis of quantitative data revealed that Indigenous patients had fewer bariatric procedures, poorer clinic attendance, similar weight loss outcomes and slightly higher post-operative complication rates. Qualitative data analysis revealed that Indigenous patients living with obesity have a desire to improve their health and quality of life.

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Statistics Canada [online]. Body composition of Canadian adults, 2009–2011. Available from: https://www150.statcan.gc.ca/n1/pub/82-625-x/2012001/article/11708-eng.htm#:~:text=Archived%20Content&text=In%202009%20to%202011%2C%2067,health%20of%20individuals%20and%20populations. [accessed 2021 Mar 10].

World Health Organization [online]. Controlling the global obesity epidemic; c2021. Available from: https://www.who.int/activities/controlling-the-global-obesity-epidemic. [accessed 2021 Mar 10].

Sharma AM, Lau DCW. Obesity and type 2 diabetes mellitus. Can J Diabetes. 2013;37(2):63–4. https://doi.org/10.1016/j.jcjd.2013.03.360.CrossRefPubMed

Kaila B, Maitreyi R. Obesity: a review of pathogenesis and management strategies. Can J Gastroenterol. 2008;22(1):61–8. https://doi.org/10.1155/2008/609039.CrossRefPubMedPubMedCentral

Buchwald H, Estok R, Fahrbach K, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009;122(3):248–56. https://doi.org/10.1016/j.amjmed.2008.09.041.CrossRefPubMed

Rice K, Te Hiwi B, Zwarenstein M, et al. Best practices for the prevention and management of diabetes and obesity-related chronic disease among Indigenous peoples in Canada: a review. Can J Diabetes. 2016;40(3):216–25. https://doi.org/10.1016/j.jcjd.2015.10.007.CrossRefPubMed

World Health Organization [online]. Obesity and overweight Factsheet 2017; c2021. Available from: https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight. [accessed 2021 Mar 10].

Batal M, Decelles S. A scoping review of obesity among Indigenous peoples in Canada. J Obes 2019;9741090. https://doi.org/10.1155/2019/9741090

Yanovski S, Yanovski J. Obesity. N Engl J Med. 2002;346(8):591–602. https://doi.org/10.1056/NEJMra012586.CrossRefPubMed

10.

Cheng J, Gao J, Shuai X, et al. The comprehensive summary of surgical versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomized controlled trials. Oncotarget. 2016;7(26):39216–30. https://doi.org/10.18632/oncotarget.9581.CrossRefPubMedPubMedCentral

11.

Ikramuddin S, Korner J, Lee WJ, et al. Roux-en-Y gastric bypass vs intensive medical management for the control of type 2 diabetes, hypertension, and hyperlipidemia: the diabetes surgery study randomized clinical trial. JAMA. 2013;309(21):2240–9. https://doi.org/10.1001/jama.2013.5835.CrossRefPubMedPubMedCentral

12.

Courcoulas AP, Goodpaster BH, Eagleton JK, et al. Surgical vs medical treatments for type 2 diabetes mellitus: a randomized clinical trial. JAMA Surg. 2014;149(7):707–15. https://doi.org/10.1001/jamasurg.2014.467.CrossRefPubMedPubMedCentral

13.

Courcoulas AP, Belle SH, Neiberg RH, et al. Three-year outcomes of bariatric surgery vs lifestyle intervention for type 2 diabetes mellitus treatment a randomized clinical trial. JAMA Surg. 2015;150(10):931–40. https://doi.org/10.1001/jamasurg.2015.1534.CrossRefPubMedPubMedCentral

14.

Ding S, Simonson DC, Wewalka M, et al. Adjustable gastric band surgery or medical management in patients with type 2 diabetes: a randomized clinical trial. J Clin Endocrinol Metab. 2015;100(7):2546–56. https://doi.org/10.1210/jc.2015-1443.CrossRefPubMedPubMedCentral

15.

Dixon JB, O’Brien PE, Playfair J, et al. Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA. 2008;299(3):316–23. https://doi.org/10.1001/jama.299.3.316.CrossRefPubMed

16.

Mingrone G, Panunzi S, De Gaetano A, et al. Bariatric surgery versus conventional medical therapy for obese patients with type 2 diabetes: a meta-analysis. N Engl J Med. 2012;366(17):1577–85. https://doi.org/10.1056/NEJMoa1200111.CrossRefPubMed

17.

Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f5934. https://doi.org/10.1136/bmj.f5934.CrossRefPubMedPubMedCentral

18.

Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes - 3-year outcomes. N Engl J Med. 2014;370(21):2002–13. https://doi.org/10.1056/NEJMoa1401329.CrossRefPubMedPubMedCentral

19.

Sanchis P, Frances C, Nicolau J, et al. Cardiovascular risk profile in Mediterranean patients submitted to bariatric surgery and intensive lifestyle intervention: impact of both interventions after 1 year of follow-up. Obes Surg. 2015;25(1):97–108. https://doi.org/10.1007/s11695-014-1321-z.CrossRefPubMed

20.

Panunzi S, Carlsson L, De Gaetano A, et al. Determinants of diabetes remission and glycemic control after bariatric surgery. Diabetes Care. 2016;39(1):166–74. https://doi.org/10.2337/dc15-0575.CrossRefPubMed

21.

Halperin F, Ding SA, Simonson DC, et al. Roux-en-Y gastric bypass surgery or lifestyle with intensive medical management in patients with type 2 diabetes: feasibility and 1-year results of a randomized clinical trial. JAMA Surg. 2014;149(7):716–26. https://doi.org/10.1001/jamasurg.2014.514.CrossRefPubMedPubMedCentral

22.

Cooke M, Mitrou F, Lawrence D, et al. Indigenous well-being in four countries: an application of the UNDP’S Human Development Index to Indigenous peoples in Australia, Canada, New Zealand, and the United States. BMC Int Health Hum Rights. 2007;7:1–11. https://doi.org/10.1186/1472-698X-7-9.CrossRef

23.

Schünemann H, Brożek J, Guyatt G, et al. Handbook for grading the quality of evidence and the strength of recommendations using the GRADE approach [online]. 2013 Available from: https://www.nlm.nih.gov/bsd/uniform_requirements.html#electronic. [cited 2021 Mar 10].

24.

Programme CAS. CASP Qualitative Checklist 2018. https://casp-uk.net/casp-tools-checklists/. Accessed 10 Mar 2021

25.

Rahiri J-L, Gillon A, Furukawa S, et al. Media portrayal of Maori and bariatric surgery in Aotearoa/New Zealand. N Z Med J. 2018;131(1479):72–80.PubMed

26.

Heather B. Big gains in weight loss procedures - surgeons. Stuff. 2014. https://doi.org/10.1001/archsurg.2009.209.CrossRef

27.

Taylor T, Wrapson W, Dewes O, et al. Preoperative bariatric surgery programme barriers facing Pacific patients in Auckland, New Zealand as perceived by health sector professionals: a qualitative study. BMJ Open. 2019;9(11):e029525. https://doi.org/10.1136/bmjopen-2019-029525.CrossRefPubMedPubMedCentral

28.

Rahiri J-L, Tuhoe J, MacCormick AD, et al. Exploring motivation for bariatric surgery among Indigenous Māori women. Obes Res Clin Pract. 2019;13:486–91. https://doi.org/10.1016/j.orcp.2019.09.004.CrossRefPubMed

29.

Lovrics O, Doumouras AG, Gmora S, et al. Metabolic outcomes after bariatric surgery for Indigenous patients in Ontario. Surg Obes Relat Dis. 2019;15(8):1340–7. https://doi.org/10.1016/j.soard.2019.05.035.CrossRefPubMed

30.

Wallace AE, Young-Xu Y, Hartley D, et al. Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery. Obes Surg. 2010;20(10):1354–60. https://doi.org/10.1007/s11695-009-0054-x.CrossRefPubMed

31.

Lam ECF, Murariu D, Takahashi E, et al. Prescription drug cost reduction in Native Hawaiians after laparoscopic Roux-en-Y gastric bypass. Hawaii J Med Public Health. 2013;72(2):40–3.PubMedPubMedCentral

32.

Amirian H, Torquati A, Omotosho P. Racial disparity in 30-day outcomes of metabolic and bariatric surgery. Obes Surg 2019. https://doi.org/10.1007/s11695-019-04282-9.

33.

Ochner CN, et al. Effect of preoperative body mass index on weight loss after obesity surgery. Surg Obes Relat Dis. 2013;9(3):423–7.CrossRefPubMedPubMedCentral

34.

Murphy R, et al. Effect of banded Roux-en-Y gastric bypass versus sleeve gastrectomy on diabetes remission at 5 years among patients with obesity and type 2 diabetes: a blinded randomized clinical trial. Diabetes Care. 2022;45(7):1503–11.CrossRefPubMedPubMedCentral

35.

Jacklin KM, Henderson RI, Green ME, et al. Health care experiences of Indigenous people living with type 2 diabetes in Canada. CMAJ. 2017;189:E106–12. https://doi.org/10.1503/cmaj.161098.CrossRefPubMedPubMedCentral

36.

Anderson K, Elder-Robinson E, Gall A, Ngampromwongse K, Connolly M, Letendre A, et al. Aspects of wellbeing for Indigenous youth in CANZUS countries: a systematic review. Int J Environ Res Public Health 2022;19. https://doi.org/10.3390/ijerph192013688.

37.

McConkey S. Indigenous access barriers to health care services in London. Ontario Univ West Ont Med J. 2017;86(2):6–9.CrossRef

38.

Avord LA. The Scalpel and the Silver Bear. New York: Bantam Books; 1999.

39.

Rahiri J-L, Tuhoe J, Gillon A, et al. Enhancing responsiveness to Maori in a publicly funded bariatric service in Aotearoa New Zealand. ANZ J Surg. 2020;90(4):508–13. https://doi.org/10.1111/ans.15610.CrossRefPubMed

40.

Rahiri JL, Tuhoe J, MacCormick AD, et al. Exploring motivation for bariatric surgery among Indigenous Māori women. Obes Res Clin Pract. 2019;13(5):486–91. https://doi.org/10.1016/j.orcp.2019.09.004.CrossRefPubMed

41.

Sukala WR, Page RA, Rowlands DS, et al. Exercise intervention in New Zealand Polynesian peoples with type 2 diabetes: cultural considerations and clinical trial recommendations. Australas Med J. 2012;5(8):429–35. https://doi.org/10.4066/AMJ.2012.1311.CrossRefPubMedPubMedCentral

Title: Experiences and Outcomes of Indigenous Patients Undergoing Bariatric Surgery: a Mixed-Method Scoping Review
Authors: Marta Whyte
Felicia Daeninck
Janice Linton
Melinda Fowler-Woods
Amanda Fowler-Woods
Geraldine Shingoose
Ashley Vergis
Wenjing He
Krista Hardy
Publication date: 24-02-2024
Publisher: Springer US
Keywords: Bariatric Surgery
Bariatric Surgery
Obesity
Obesity
Type 2 Diabetes
Published in: Obesity Surgery / Issue 4/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-024-07089-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Experiences and Outcomes of Indigenous Patients Undergoing Bariatric Surgery: a Mixed-Method Scoping Review

Abstract

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Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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