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Pre-Lap-Band group education in Medicaid population: does it really make a difference?

Publication ,  Journal Article
Talarico, JA; Torquati, A; McCarthy, EM; Bonomo, S; Lutfi, RE
Published in: Surg Obes Relat Dis
2010

BACKGROUND: The effect of group education classes before a Lap-Band procedure has not been well defined. We hypothesized that in a Medicaid population, the completion of a standardized 12-week multidisciplinary preoperative program (SMPP) would significantly improve the preoperative and early postoperative weight loss. All procedures were performed at a University-affiliated community hospital from 2006 to 2007. METHODS: A prospectively collected database of 292 patients who underwent Lap-Band placement was retrospectively reviewed. All patients in the study cohort were encouraged to participate in the SMPP, which included medical, psychological, and nutritional interventions. The patients were divided into 2 groups according to their participation in the SMPP program: SMPP compliant and non-SMPP compliant. The postoperative weight loss of these 2 groups was then compared using the general linear models for repeated measures statistical analysis. RESULTS: No significant difference was found in the mean baseline excess body weight between the 2 groups (74 +/- 20 kg in the SMPP-compliant and 76 +/- 20 kg in the non-SMPP-compliant participants). The mean baseline body mass index (47 +/- 7 versus 48 +/- 72 kg/m(2) for the SMPP-compliant and non-SMPP-compliant participants) was also similar in the 2 groups. The postoperative follow-up rate was 94.5% at 1 month, 72.3% at 6 months, and 52.7% at 12 months. The excess weight loss was significantly greater in the SMPP compliant group than in the noncompliant group during the observed 12-month follow-up period (P = .04, by general linear models for repeated measures). CONCLUSION: In a Medicaid population, implementation of an intensive preoperative SMPP resulted in a significant improvement in the short-term weight loss after Lap-Band placement.

Duke Scholars

Published In

Surg Obes Relat Dis

DOI

EISSN

1878-7533

Publication Date

2010

Volume

6

Issue

4

Start / End Page

356 / 360

Location

United States

Related Subject Headings

  • Young Adult
  • Weight Loss
  • United States
  • Surgery
  • Prospective Studies
  • Prognosis
  • Preoperative Period
  • Patient Education as Topic
  • Obesity, Morbid
  • Middle Aged
 

Citation

APA
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ICMJE
MLA
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Talarico, J. A., Torquati, A., McCarthy, E. M., Bonomo, S., & Lutfi, R. E. (2010). Pre-Lap-Band group education in Medicaid population: does it really make a difference? Surg Obes Relat Dis, 6(4), 356–360. https://doi.org/10.1016/j.soard.2009.11.021
Talarico, Joseph A., Alfonso Torquati, Erin M. McCarthy, Steven Bonomo, and Rami E. Lutfi. “Pre-Lap-Band group education in Medicaid population: does it really make a difference?Surg Obes Relat Dis 6, no. 4 (2010): 356–60. https://doi.org/10.1016/j.soard.2009.11.021.
Talarico JA, Torquati A, McCarthy EM, Bonomo S, Lutfi RE. Pre-Lap-Band group education in Medicaid population: does it really make a difference? Surg Obes Relat Dis. 2010;6(4):356–60.
Talarico, Joseph A., et al. “Pre-Lap-Band group education in Medicaid population: does it really make a difference?Surg Obes Relat Dis, vol. 6, no. 4, 2010, pp. 356–60. Pubmed, doi:10.1016/j.soard.2009.11.021.
Talarico JA, Torquati A, McCarthy EM, Bonomo S, Lutfi RE. Pre-Lap-Band group education in Medicaid population: does it really make a difference? Surg Obes Relat Dis. 2010;6(4):356–360.
Journal cover image

Published In

Surg Obes Relat Dis

DOI

EISSN

1878-7533

Publication Date

2010

Volume

6

Issue

4

Start / End Page

356 / 360

Location

United States

Related Subject Headings

  • Young Adult
  • Weight Loss
  • United States
  • Surgery
  • Prospective Studies
  • Prognosis
  • Preoperative Period
  • Patient Education as Topic
  • Obesity, Morbid
  • Middle Aged