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Sociodemographic Factors Associated with Loss to Follow-Up After Bariatric Surgery

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Abstract

Purpose

Despite the importance of follow-up and multidisciplinary care after bariatric surgery, many patients do not attend postoperative appointments, particularly those with the medical team. The present study aimed to identify factors associated with loss to follow-up after bariatric surgery.

Materials and Methods

We recruited patients who underwent bariatric surgery between 01/01/2012 and 31/12/2013. Data were collected on demographic and socioeconomic information and comorbidities. Ten baseline psychological evaluations were blindly reviewed to evaluate the relationship between emotions and compliance with follow-up. During the 3-year postoperative period, we defined frequent attendees as those who attended at least two visits, whereas non-attendees were those who attended one visit or none. We evaluated baseline variables associated with non-adherence with follow-up schedules.

Results

Among 92 patients, 41 patients (44.6%) attended at least two postoperative appointments, while 51 (55.4%) were classified as non-attendees. Among the non-attendees, significantly more were younger than 45 years compared with attendees. No other statistically significant differences were found in terms of socioeconomic variables. Multivariate logistic regression revealed male gender and psychological issued related to obesity to be independent predictors of poor compliance with follow-up. Blinded psychological evaluation of ten patients did not suggest that psychological factors are predictive of follow-up attendance.

Conclusion

Identifying factors associated with loss to follow-up after bariatric surgery is challenging. However, this is important in order to enable the design of personalized follow-up plans, especially for younger patients and those with psychological issues.

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Acknowledgement

The authors would like to thank Enago (http://www.enago.com) for the English language review.

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Authors and Affiliations

  1. Department of Endocrinology, Diabetology, Metabolic Disease, AP-HP, Avicenne Hospital, 127 route de Stalingrad, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, Bobigny, France

    Ines Barka, Perle Sayedoff, Nathalie Garnier, Camille Cussac-Pillegand & Hélène Bihan

  2. Bariatric and Metabolic Surgery Unit, AP-HP, Avicenne Hospital, 127 route de Stalingrad, Paris 13 University, Sorbonne Paris Cité, CRNH-IdF, Bobigny, France

    Christophe Barrat

  3. Sorbonne Paris Cité, Epidemiology and Biostatistics Research Center, Nutritional Epidemiology Research Team (EREN), Inserm U1153, INRA U1125, CNAM, Paris 13, 7 and 5 University, 74 rue Marcel Cachin, 93009, Bobigny, Cedex, France

    Hélène Bihan

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  1. Ines Barka
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  2. Perle Sayedoff
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  3. Nathalie Garnier
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  4. Camille Cussac-Pillegand
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  5. Christophe Barrat
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Corresponding author

Correspondence to Hélène Bihan.

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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.

Informed Consent

Informed consent was obtained from all individual participants included in the study. The patients were all included in the program which was defined as an education program authorized by the Regional Agency of Health (Authorization ETP10425).

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The authors declare no competing interests.

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Barka, I., Sayedoff, P., Garnier, N. et al. Sociodemographic Factors Associated with Loss to Follow-Up After Bariatric Surgery. OBES SURG 31, 2701–2708 (2021). https://doi.org/10.1007/s11695-021-05326-9

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  • DOI: https://doi.org/10.1007/s11695-021-05326-9

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