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Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients.

Publication ,  Journal Article
McVay, MA; Friedman, KE; Applegate, KL; Portenier, DD
Published in: Surg Obes Relat Dis
2013

BACKGROUND: Multidisciplinary care after bariatric surgery is important for long-term safety and optimal weight loss, yet many patients do not attend follow-up appointments. We sought to identify demographic, psychosocial, and weight-related variables that were associated with medical and behavioral health appointment attendance after bariatric surgery. METHODS: A retrospective chart review was conducted with consecutive patients (n=538) obtaining first-time Roux-en-Y gastric bypass surgery between August 2009 and August 2010. Demographic and psychosocial data were compared between high (>50%) and low (≤50%) medical appointment attendees and high (>50%) and low (≤50%) behavioral health group attendees in their first postoperative year. Percentage excess weight loss at 6 months after surgery was evaluated as a predictor of 12-month appointment attendance. RESULTS: High medical appointment attendees were more likely to be older, be Caucasian, and have lower phobic anxiety than low medical appointment attendees. High behavioral health attendees had shorter travel distance to the clinic and lower levels of hostility, anxiety, and phobic anxiety compared with low attendees. In multivariate analyses, race/ethnicity and phobic anxiety remained significant predictors of medical attendance, while travel distance to clinic predicted behavioral health attendance. Six-month percent excess weight loss predicted medical appointment attendance at 12 months. CONCLUSION: The identified predictors of poor attendance at medical and behavioral bariatric surgery follow-up appointments should inform efforts to increase follow-up and improve surgical outcomes.

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Published In

Surg Obes Relat Dis

DOI

EISSN

1878-7533

Publication Date

2013

Volume

9

Issue

6

Start / End Page

956 / 962

Location

United States

Related Subject Headings

  • Time Factors
  • Surgery
  • Sex Factors
  • Risk Assessment
  • Retrospective Studies
  • Predictive Value of Tests
  • Patient Compliance
  • Obesity, Morbid
  • Monitoring, Physiologic
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
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McVay, M. A., Friedman, K. E., Applegate, K. L., & Portenier, D. D. (2013). Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients. Surg Obes Relat Dis, 9(6), 956–962. https://doi.org/10.1016/j.soard.2012.11.005
McVay, Megan A., Kelli E. Friedman, Katherine L. Applegate, and Dana D. Portenier. “Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients.Surg Obes Relat Dis 9, no. 6 (2013): 956–62. https://doi.org/10.1016/j.soard.2012.11.005.
McVay MA, Friedman KE, Applegate KL, Portenier DD. Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients. Surg Obes Relat Dis. 2013;9(6):956–62.
McVay, Megan A., et al. “Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients.Surg Obes Relat Dis, vol. 9, no. 6, 2013, pp. 956–62. Pubmed, doi:10.1016/j.soard.2012.11.005.
McVay MA, Friedman KE, Applegate KL, Portenier DD. Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients. Surg Obes Relat Dis. 2013;9(6):956–962.
Journal cover image

Published In

Surg Obes Relat Dis

DOI

EISSN

1878-7533

Publication Date

2013

Volume

9

Issue

6

Start / End Page

956 / 962

Location

United States

Related Subject Headings

  • Time Factors
  • Surgery
  • Sex Factors
  • Risk Assessment
  • Retrospective Studies
  • Predictive Value of Tests
  • Patient Compliance
  • Obesity, Morbid
  • Monitoring, Physiologic
  • Middle Aged