Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada
- Raj S PadwalAffiliated withDepartment of Medicine, 2F1.26 Walter C. Mackenzie Health Sciences Centre, University of AlbertaAlberta Diabetes Institute Email author
- , Hsui-Ju ChangAffiliated withDepartment of Medicine, 2F1.26 Walter C. Mackenzie Health Sciences Centre, University of Alberta
- , Scott KlarenbachAffiliated withDepartment of Medicine, 2F1.26 Walter C. Mackenzie Health Sciences Centre, University of Alberta
- , Arya M SharmaAffiliated withDepartment of Medicine, 2F1.26 Walter C. Mackenzie Health Sciences Centre, University of AlbertaAlberta Diabetes Institute
- , Sumit R MajumdarAffiliated withDepartment of Medicine, 2F1.26 Walter C. Mackenzie Health Sciences Centre, University of AlbertaAlberta Diabetes Institute
Bariatric surgery is the most effective current treatment for severe obesity. Capacity to perform surgery within Canada’s public health system is limited and potential candidates face protracted wait times. A better understanding of the gaps between demand for surgery and the capacity to provide it is required. The purpose of this study was to quantify and characterize the bariatric surgery-eligible population in Canada in comparison to surgery-ineligible subjects and surgical recipients.
Data from adult (age > 20) respondents of the 2007–09 nationally representative Canadian Health Measures Survey (CHMS) were analyzed to estimate the prevalence and characteristics of the surgery-eligible and ineligible populations. Federally mandated administrative healthcare data (2007–08) were used to characterize surgical recipients.
In 2007–09, an estimated 1.5 million obese Canadian adults met eligibility criteria for bariatric surgery. 19.2 million were surgery-ineligible (3.4 million obese and 15.8 million non-obese). Surgery-eligible Canadians had a mean BMI of 40.1 kg/m2 (95% CI 39.3 to 40.9 kg/m2) and, compared to the surgery-ineligible obese population, were more likely to be female (62 vs. 44%), 40–59 years old (55 vs. 48%), less educated (43 vs. 35%), in the lowest socioeconomic tertile (41 vs. 34%), and inactive (73 vs. 59%). Self-rated mental health and quality of life were lower and comorbidity was higher in surgery-eligible respondents compared with the ineligible populations. The annual proportion of Canadians eligible for surgery that actually underwent a publicly funded bariatric surgery between 2007–09 was 0.1%. Surgical recipients (n = 847) had a mean age of 43.6 years (SD 11.1) and 82% were female. With the exception of type 2 diabetes, obesity-related comorbidity prevalence was much lower in surgical recipients compared to those eligible for surgery.
The proportion of bariatric surgery-eligible Canadians that undergo publicly funded bariatric surgery is very low. There are notable differences in sociodemographic profiles and prevalence of comorbidities between surgery-eligible subjects and surgical recipients.
KeywordsCanada Bariatric surgery Health services research Population health Access
- Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
International Journal for Equity in Health
- Online Date
- September 2012
- Online ISSN
- BioMed Central
- Additional Links
- Bariatric surgery
- Health services research
- Population health
- Author Affiliations
- 1. Department of Medicine, 2F1.26 Walter C. Mackenzie Health Sciences Centre, University of Alberta, 8440-112th Street, Edmonton, T6G 2B7, Alberta, Canada
- 2. Alberta Diabetes Institute, Edmonton, Alberta, Canada