Top

Published in:

01-03-2021 | Obesity | Original Article

Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Authors: Marc Beisani, Ramon Vilallonga, Carlos Petrola, Asunción Acosta, José Antonio Casimiro Pérez, Amador García Ruiz de Gordejuela, Carlos Fernández Quesada, Oscar Gonzalez, Arturo Cirera de Tudela, Enric Caubet, Manel Armengol, José Manuel Fort

Published in: Langenbeck's Archives of Surgery | Issue 2/2021

Abstract

Purpose

The COVID-19 outbreak has forced a 2-month lockdown (LD) in Spain. We aimed to assess how that had affected our cohort of bariatric patients waiting for surgery.

Methods

A review of electronic records and a structured phone interview with each patient were conducted. Changes in severity of obesity were analyzed using the Obesity Surgery Score (OSS) and changes in health-related quality of life (HRQoL) using the validated EQ-5D questionnaire. Other miscellaneous questions about behavior modifications and surgical risk perception were also analyzed.

Results

All 51 patients fully answered the questionnaires. Mean age was 47 years and mean time on waiting list 91 days. Mean BMI increased during LD (42.7 vs 43.2; p < 0.001). Both OSS (2.84 vs 3; p = 0.011) and EQ-5D (69 vs 64; p < 0.001) mildly worsened during LD, mainly due to psychosocial issues. Twenty-seven patients (53%) thought that perioperative risks were higher under the current circumstances but they were as willing to undergo surgery as those who believed that the risks had not increased (74% vs 87%, p = 0.2).

Conclusions

COVID-19 LD had a significant but mild effect on our cohort of bariatric surgery waiting list patients. Although perioperative risk perception had increased, patients were still willing to undergo their planned surgeries.

Brethauer SA, Poulose BK, Needleman BJ, Sims C, Arnold M, Washburn K et al (2020) Redesigning a department of surgery during the COVID-19 Pandemic. J Gastrointest Surg. https://doi.org/10.1007/s11605-020-04608-4

Torzilli G, Vigano L, Galvanin J, Castoro C, Quagliuolo V, Spinelli A et al (2020) A snapshot of elective oncological surgery in Italy during COVID-19 emergency: pearls, pitfalls, and perspectives. Ann Surg. https://doi.org/10.1097/SLA.0000000000004081

Yang W, Wang C, Shikora S, Kow L (2020) Recommendations for metabolic and bariatric surgery during the COVID-19 pandemic from IFSO. Obes Surg 30(6):2071–2073. https://doi.org/10.1007/s11695-020-04578-1CrossRefPubMed

Sanchez-Cordero S, Vilallonga R, Rangarajan M, Rodríguez-Luna MR, Beisani M, Armengol M (2020) Management of morbidly obese patients during the outbreak of new coronavirus pandemic: commentary and recommendations from a specialist center in Spain. Bariatric Surg Pract Patient Care 15:110–113. https://doi.org/10.1089/bari.2020.0032CrossRef

Arteaga-González IJ, Martín-Malagón AI, Ruiz de Adana JC, de la Cruz Vigo F, Torres-García AJ, Carrillo-Pallares AC (2018) Bariatric surgery waiting lists in Spain. Obes Surg 28:3992–3996. https://doi.org/10.1007/s11695-018-3453-zCrossRefPubMed

Christou NV, Efthimiou E (2009) Bariatric surgery waiting times in Canada. Can J Surg 52:229–234PubMedPubMedCentral

Padwal RS, Majumdar SR, Klarenbach S, Birch DW, Karmali S, McCargar L et al (2012) Health status, quality of life, and satisfaction of patients awaiting multidisciplinary bariatric care. BMC Health Serv Res 12:139. https://doi.org/10.1186/1472-6963-12-139CrossRefPubMedPubMedCentral

Kolotkin RL, Andersen JR (2017) A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clin Obes 7:273–289. https://doi.org/10.1111/cob.12203CrossRefPubMedPubMedCentral

Taylor VH, Forhan M, Vigod SN, McIntyre RS, Morrison KM (2013) The impact of obesity on quality of life. Best Pract Res Clin Endocrinol Metab 27:139–146. https://doi.org/10.1016/j.beem.2013.04.004CrossRefPubMed

10.

Daigle CR, Augustin T, Wilson R, Schulz K, Fathalizadeh A, Laktash A et al (2020) A structured approach for safely reintroducing bariatric surgery in a COVID-19 environment. Obes Surg. https://doi.org/10.1007/s11695-020-04733-8

11.

Rubino F, Cohen R, Mingrone G, le Roux CW, Mechanick JI, Arterburn DE et al (2020) Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of access to surgery. Lancet Diabetes Endocrinol 8587:1–9. https://doi.org/10.1016/S2213-8587(20)30157-1CrossRef

12.

Durand MA, Carpenter L, Dolan H, Bravo P, Mann M, Bunn F et al (2014) Do interventions designed to support shared decision- making reduce health inequalities? A systematic review and meta-analysis. PLoS One 9(4):e94670. https://doi.org/10.1371/journal.pone.0094670CrossRefPubMedPubMedCentral

13.

Stacey D, Légaré F, Lewis K, Mj B, Cl B, Kb E, et al. (2017) Decision aids for people facing health treatment or screening decisions (Review) Summary of findings for the main comparison. Cochrane Database Syst Rev 1–242. https://doi.org/10.1002/14651858.CD001431.pub5.www.cochranelibrary.com.

14.

Rodriguez-Gutierrez R, Gionfriddo MR, Ospina NS, Maraka S, Tamhane S, Montori VM et al (2016) Shared decision making in endocrinology: present and future directions. Lancet Diabetes Endocrinol 4:706–716. https://doi.org/10.1016/S2213-8587(15)00468-4CrossRefPubMed

15.

Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P et al (2012) Shared decision making: a model for clinical practice. J Gen Intern Med 27:1361–1367. https://doi.org/10.1007/s11606-012-2077-6CrossRefPubMedPubMedCentral

16.

Casimiro Pérez JA, Fernández Quesada C, del Val Groba Marco M, Arteaga González I, Cruz Benavides F, Ponce J et al (2018) Obesity surgery score (OSS) for prioritization in the bariatric surgery waiting list: a need of public health systems and a literature review. Obes Surg 28:1175–1184. https://doi.org/10.1007/s11695-017-3107-6CrossRefPubMed

17.

Rabin R, de Charro F (2001) EQ-SD: a measure of health status from. Ann Med 33:337–343. https://doi.org/10.1111/j.1461-0248.2011.01689.xCrossRefPubMed

18.

Herdman M, Badia X, Berra S (2001) El EuroQol-5D: una alternativa sencilla para la medición de la calidad de vida relacionada con la salud en atención primaria. Aten Primaria 28:425–429. https://doi.org/10.1016/s0212-6567(01)70406-4CrossRefPubMedPubMedCentral

19.

Sharma AM, Kushner RF (2009) A proposed clinical staging system for obesity. Int J Obes 33:289–295. https://doi.org/10.1038/ijo.2009.2CrossRef

20.

Chiappetta S, Stier C, Squillante S, Theodoridou S, Weiner RA (2016) The importance of the Edmonton Obesity Staging System in predicting postoperative outcome and 30-day mortality after metabolic surgery. Surg Obes Relat Dis 12:1847–1855. https://doi.org/10.1016/j.soard.2016.02.042CrossRefPubMed

21.

Kuk JL, Ardern CI, Church TS, Sharma AM, Padwal R, Sui X et al (2011) Edmonton obesity staging system: Association with weight history and mortality risk. Appl Physiol Nutr Metab 36:570–576. https://doi.org/10.1139/h11-058CrossRefPubMed

22.

Padwal RS, Pajewski NM, Allison DB, Sharma AM (2011) Using the Edmonton obesity staging system to predict mortality in a population-representative cohort of people with overweight and obesity. Can Med Assoc J 183:E1059–E1066. https://doi.org/10.1503/cmaj.110387CrossRef

23.

Skulsky SL, Dang JT, Battiston A, Switzer NJ, Birch DW, Sharma AM et al (2019) Higher Edmonton Obesity Staging System scores are associated with complications following laparoscopic Roux-en-Y gastric bypass. Surg Endosc 34:3102–3109. https://doi.org/10.1007/s00464-019-07067-4CrossRefPubMed

24.

Aasheim ET, Aylwin SJB, Radhakrishnan ST, Sood AS, Jovanovic A, Olbers T et al (2011) Assessment of obesity beyond body mass index to determine benefit of treatment. Clin Obes 1:77–84. https://doi.org/10.1111/j.1758-8111.2011.00017.xCrossRefPubMed

25.

Valderhaug TG, Aasheim ET, Sandbu R, Jakobsen GS, Småstuen MC, Hertel JK et al (2016) The association between severity of King’s Obesity Staging Criteria scores and treatment choice in patients with morbid obesity: a retrospective cohort study. BMC Obes 3:1–7. https://doi.org/10.1186/s40608-016-0133-1CrossRef

26.

Almandoz JP, Xie L, Schellinger JN, Mathew MS, Gazda C, Ofori A et al (2020) Impact of COVID-19 stay-at-home orders on weight-related behaviors among patients with obesity. Clin Obes 10(5):e12386. https://doi.org/10.1111/cob.12386CrossRefPubMed

27.

Walędziak M, Różańska-Walędziak A, Pędziwiatr M, Szeliga J, Proczko-Stepaniak M, Wysocki M et al (2020) Bariatric surgery during COVID-19 pandemic from patients’ point of view—the results of a national survey. J Clin Med 9:1697. https://doi.org/10.3390/jcm9061697CrossRefPubMedCentral

28.

Moreno Gijón M, Díaz Vico T, Rodicio Miravalles JL, López-Negrete Cueto E, Suárez Sánchez A, Amoza Pais S et al (2020) Prospective analysis regarding health-related quality of life (HR-QOL) between morbid obese patients following bariatric surgery versus on a waiting list. Obes Surg. https://doi.org/10.1007/s11695-020-04652-8

29.

Messiah SE, Sacher PM, Yudkin J, Ofori A, Qureshi FG, Schneider B et al (2020) Application and effectiveness of eHealth strategies for metabolic and bariatric surgery patients: a systematic review. Dig Health 6:1–21. https://doi.org/10.1177/2055207619898987CrossRef

30.

Wang CD, Rajaratnam T, Stall B, Hawa R, Sockalingam S (2019) Exploring the effects of telemedicine on bariatric surgery follow-up: a matched case control study. Obes Surg 29:2704–2706. https://doi.org/10.1007/s11695-019-03930-4CrossRefPubMed

31.

Vilallonga R, Lecube A, Fort JM, Boleko MA, Hidalgo M, Armengol M (2013) Internet of things and bariatric surgery follow-up: comparative study of standard and IoT follow-up. Minim Invasive Ther Allied Technol 22:304–311. https://doi.org/10.3109/13645706.2013.779282CrossRefPubMed

Title: Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception
Authors: Marc Beisani
Ramon Vilallonga
Carlos Petrola
Asunción Acosta
José Antonio Casimiro Pérez
Amador García Ruiz de Gordejuela
Carlos Fernández Quesada
Oscar Gonzalez
Arturo Cirera de Tudela
Enric Caubet
Manel Armengol
José Manuel Fort
Publication date: 01-03-2021
Publisher: Springer Berlin Heidelberg
Keywords: Obesity
Obesity
Bariatric Surgery
Bariatric Surgery
COVID-19
Published in: Langenbeck's Archives of Surgery / Issue 2/2021
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-020-02040-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2021

Impact of the COVID-19 pandemic on appendicitis treatment in Germany—a population-based analysis

A simple prediction score for prolonged length of stay following elective colorectal cancer surgery

Feasibility and quality of life assessment of laparoscopic proximal gastrectomy using double-tract reconstruction

Esophagus two-step-cut overlap method in esophagojejunostomy after laparoscopic gastrectomy

Transversus abdominis plane block versus thoracic epidural analgesia in colorectal surgery: a systematic review and meta-analysis

Laparoscopic hand-sewn esophagojejunal anastomosis in laparoscopic proximal gastrectomy for early gastric cancer