Abstract
Purpose
There is limited research about the prevalence of patients initiating metabolic and bariatric surgery (MBS) who also know someone who had MBS, referred to as having a social history of MBS. Evidence about the specific relationship of these individuals to the patient, how having a social history of MBS is associated with patients’ choice of surgical procedure, and how having a social history of MBS is associated with patients’ postoperative outcomes can be used to inform future preoperative assessments. The objective was to (a) define the number of people patients knew who had MBS and relationship to patient, (b) assess congruence between those who had MBS with patients’ procedure selection, and (c) explore associations between social history of MBS and postoperative outcomes.
Materials and Methods
The sample included 123 patients who had MBS in 2021 (83.7% female; 44.7% Sleeve Gastrectomy, 55.3% Gastric Bypass). For up to 5 people, patients provided their relationship and surgical procedure, and completed the Family Assessment Device (FAD). Bivariate analyses assessed congruence in type of procedure, and social history of MBS with complications, readmissions, and %TWL. Three mixed multilevel models were conducted with (1) close friend, (2) coworker, and (3) close family history of MBS including the FAD on change in %TWL over 12 months with surgical procedure as a covariate.
Results
Ninety-one percent of patients knew someone who had MBS, average 2.66±1.45. Patients reported a close friend (56.1%), close family member (43.9%), and coworker (19.5%) who had MBS. Patients with a close family member who had MBS and reported healthy vs impaired family functioning had greater %TWL over 12 months (p=0.016). Patients with a close friend who had MBS had less %TWL (p=0.015), and patients with a coworker who had MBS had greater %TWL (p=0.012), which did not change over time.
Conclusion
Patients with coworkers or close family members with healthy family functioning with a history of MBS had more weight loss, whereas those with close friends with a history of MBS had less weight loss.
Graphical abstract
Similar content being viewed by others
Data Availability
Data is not publicly available.
References
Altaf A, Abbas MM. Public perception of bariatric surgery. Saudi Med J. 2019;40(4):379–84. https://doi.org/10.15537/smj.2019.4.24050.
Lynch CS, Chang JC, Ford AF, et al. Obese African-American women’s perspectives on weight loss and bariatric surgery. J Gen Intern Med. 2007;22(7):908–14. https://doi.org/10.1007/s11606-007-0218-0.
Rebibo L, Verhaeghe P, Cosse C, et al. Does longitudinal sleeve gastrectomy have a family “halo effect”? A case-matched study. Surg Endosc. 2013;27(5):1748–53. https://doi.org/10.1007/s00464-012-2673-x.
Corral I, Landrine H. Racial differences in the predictors of interest in bariatric surgery in the rural, southeastern USA. J Racial Ethn Health Disparities. 2019;6(3):481–6. https://doi.org/10.1007/s40615-018-00546-9.
Sharman MJ, Venn AJ, Jose KA, et al. The support needs of patients waiting for publically funded bariatric surgery – implications for health service planners. Clinical Obesity. 2016;7(1):46–53. https://doi.org/10.1111/cob.12169.
Roberson DW, Neil JA, Pories ML, et al. Tipping point: factors influencing a patient’s decision to proceed with bariatric surgery. Surg Obes Relat Dis. 2016;12(5):1086–90. https://doi.org/10.1016/j.soard.2016.01.009.
Lupher V, Lynch A, Zalesin KC. Health, weight loss, and surgery beliefs: why patients choose to undergo bariatric surgery and what influences their choice of surgical procedure. Bariatr Surg Pract Patient Care. 2022;17(1):2–8. https://doi.org/10.1089/bari.2020.0111.
Opozda M, Wittert G, Chur-Hansen A. Patients’ reasons for and against undergoing Roux-en-Y gastric bypass, adjustable gastric banding, and vertical sleeve gastrectomy. Surg Obes Relat Dis. 2017;13(11):1887–96. https://doi.org/10.1016/j.soard.2017.07.013.
Sloan KS, Roberson DW, Neil JA. Family influences on patients’ decisions to undergo bariatric surgery. AORN. 2020;111(2):180–6. https://doi.org/10.1002/aorn.12928.
Slotman Gastric bypass: a family affair – 41 families in which multiple members underwent bariatric surgery. SOARD. 2011;7(5):592–8. https://doi.org/10.1016/j.soard.2011.04.230.
Pratt KJ, Ferriby M, Brown CL, et al. Adult weight management patients’ perceptions of family dynamics and weight status. Clin Obes. 2019;9(5):e12326.
Tymoszuk U, Kumari M, Pucci A, et al. Is pre-operation social connectedness associated with weight loss up to 2 years post bariatric surgery? Obes Surg. 2018;28(11):3524–30.
Pratt KJ, Kiser H, Ferriby Ferber M, et al. Impaired family functioning affects 6- and 12-month postoperative weight loss. Obes Surg. 2021:1–8. https://doi.org/10.1007/s11695-021-05448-0.
Pratt KJ, Jalilvand A, Needleman B, et al. Postoperative outcomes based on patient participation in a presurgery education and weight management program. Surg Obes Relat Dis. 2018;14(11):1714–23. https://doi.org/10.1016/j.soard.2018.08.006.
Brethauer SA, Kim J, El Chaar M, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Obes Surg. 2015;25(4):587–606. https://doi.org/10.1007/s11695-015-1645-3.
Epstein NB, Baldwin LM, Bishop DS. The McMaster Family Assessment Device. J Marital Fam Ther. 1983;9(2):171–80. https://doi.org/10.1111/j.1752-0606.1983.tb01497.x.
Ryan CE. Evaluating and treating families: the McMaster approach. Routledge. 2005. http://osu.worldcat.org.proxy.lib.ohio-state.edu/title/evaluating-and-treating-families-the-mcmaster-approach/oclc/56672075&referer=brief_results
Pratt KJ, Ferriby M, Noria S, et al. Perceived child weight status, family structure and functioning, and support for health behaviors in a sample of bariatric surgery patients. Fam Syst Health. 2020;38(3):300–9. https://doi.org/10.1037/fsh0000317.
Raudenbush SW, Bryk AS. Hierarchical linear models: applications and data analysis methods. 1st ed. Newbury Park, CA: Sage; 1992.
Courcoulas AP, King WC, Belle SH, et al. Seven-year weight trajectories and health outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) study. JAMA Surg. 2018;153(5):427–34. https://doi.org/10.1001/jamasurg.2017.5025.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Consent to Participate
Informed consent was obtained from all individual participants included in the study.
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Key Points
1. Ninety-one percent of patients knew someone who had MBS, and most patients knew at least two people who had MBS.
2. Patients most often reported knowing a close friend, close family member, or coworker who had MBS.
3. Patients with a close family member who had MBS and reported healthy vs impaired family functioning had greater %TWL over 12 months.
4. Patients with a close friend who had MBS had less %TWL, and patients with a coworker who had MBS had greater %TWL, which did not change over time.
Rights and permissions
About this article
Cite this article
Pratt, K.J., Stroup, H.J., Breslin, L. et al. Social History of Bariatric Surgery: Relationship to Patient and Associations with Postoperative Outcomes. OBES SURG 33, 2762–2769 (2023). https://doi.org/10.1007/s11695-023-06738-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-023-06738-5