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01-10-2018 | Original Contributions

Predictors for Adherence to Multidisciplinary Follow-Up Care after Sleeve Gastrectomy

Authors: Ariela Goldenshluger, R. Elazary, M. J. Cohen, M. Goldenshluger, T. Ben-Porat, J. Nowotni, H. Geraisi, M. Amun, A. J. Pikarsky, L. Keinan-Boker

Published in: Obesity Surgery | Issue 10/2018

Abstract

Introduction

A considerable proportion of patients who undergo bariatric surgeries (BS) do not attend routine postoperative follow-up despite recommendations for such. Data are sparse regarding the various aspects of patient adherence to consultations following sleeve gastrectomy (SG).

Objectives

To examine predictors of adherence to SG follow-up, reasons for attrition from follow-up, and the relationship between adherence to follow-up and weight loss results.

Methods

A retrospective cohort study was performed with a mean follow-up of 3 years. Data were collected from electronic medical records and telephone questionnaires. Adherence was defined both as a numerical variable (ranking 0–9 according to the number of pre-scheduled postoperative visits) and as a dichotomous variable (adherent and non-adherent groups).

Results

Of 178 patients, 46.63% were defined as “adherent,” according to the dichotomous definition. Compared to the “non-adherent group,” patients in the “adherent group” more regularly used vitamin D after the surgery, had fewer rehospitalizations, and reported a lower intake of sweetened beverages. The main reasons for attrition were work-related and difficulties in mobility. Adherence to postoperative follow-up was not found to be correlated to weight loss. Older age (OR = 1.04; p = 0.026) and postoperative side effects (OR = 2.33; p = 0.035) were found to be positive predictors for adherence, whereas rehospitalizations (OR = 0.08; p = 0.028) and ethnical minority status were negative predictors (OR = 0.42; p = 0.019).

Conclusion

Adherence to postoperative follow-up was found to be associated with positive lifestyle behaviors; however, no correlation was found to mid-term weight loss outcomes.

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Title: Predictors for Adherence to Multidisciplinary Follow-Up Care after Sleeve Gastrectomy
Authors: Ariela Goldenshluger
R. Elazary
M. J. Cohen
M. Goldenshluger
T. Ben-Porat
J. Nowotni
H. Geraisi
M. Amun
A. J. Pikarsky
L. Keinan-Boker
Publication date: 01-10-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 10/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3296-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictors for Adherence to Multidisciplinary Follow-Up Care after Sleeve Gastrectomy

Abstract

Introduction

Objectives

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Objectives

Methods

Results

Conclusion

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