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01-03-2017 | Original Contributions

Optimizing Bariatric Surgery Multidisciplinary Follow-up: a Focus on Patient-Centered Care

Authors: Mary-Anne Aarts, Nardhana Sivapalan, Seyed-Ehsan Nikzad, Kristin Serodio, Sanjeev Sockalingam, Lesley Gotlib Conn

Published in: Obesity Surgery | Issue 3/2017

Abstract

Background

Failure to follow-up post-bariatric surgery has been associated with higher postoperative complications, lower percentage weight loss and poorer nutrition.

Objective

This study aimed to understand the patient follow-up experience in order to optimize follow-up care within a comprehensive bariatric surgery program.

Methods

Qualitative telephone interviews were conducted in patients who underwent surgery through a publically funded multidisciplinary bariatric surgery program in 2011, in Ontario, Canada. Inductive thematic analysis was used.

Results

Of the 46 patients interviewed, 76.1 % were female, mean age was 50, and 10 were lost to follow-up within 1 year postsurgery. Therapeutic continuity was the most important element of follow-up care identified by patients and was most frequently established with the dietician, as this team member was highly sought and accessible. Patients who attended regularly (1) appreciated the specialized care, (2) favoured ongoing monitoring and support, (3) were committed to the program and (4) felt their family doctor had insufficient experience/knowledge to manage their follow-up care. Of the 36 people who attended the clinic regularly, 8 were not planning to return after 2 years due to (1) perceived diminishing usefulness, (2) system issues, (3) confidence that their family physician could continue their care or (4) higher priority personal/health issues. Patients lost to follow-up stated similar barriers.

Conclusion

Patients believe the follow-up post-bariatric surgery is essential in providing the support required to maintain their diet and health. More personalized care focusing on continuity and relationships catering to individual patient needs balanced with local healthcare resources may redefine and reduce attrition rates.

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Title: Optimizing Bariatric Surgery Multidisciplinary Follow-up: a Focus on Patient-Centered Care
Authors: Mary-Anne Aarts
Nardhana Sivapalan
Seyed-Ehsan Nikzad
Kristin Serodio
Sanjeev Sockalingam
Lesley Gotlib Conn
Publication date: 01-03-2017
Publisher: Springer US
Published in: Obesity Surgery / Issue 3/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-016-2354-2

At a glance: The STEP trials

Springer Medicine

Optimizing Bariatric Surgery Multidisciplinary Follow-up: a Focus on Patient-Centered Care

Abstract

Background

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Objective

Methods

Results

Conclusion

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