AI Article Synopsis
- - In the Netherlands, patients seeking bariatric surgery must first complete a 6-month mandatory weight loss program (MWP), based on the belief that this leads to better outcomes.
- - A study examined weight loss differences between two patient groups: those who completed the MWP before surgery (immediate group) and those who did not qualify until afterward (delayed group), finding the immediate group had a higher percentage of weight loss during the MWP.
- - Ultimately, after analyzing data from over 2,600 patients, the study concluded that delaying qualification for surgery does not significantly affect weight loss three years post-surgery, suggesting that the MWP's impact on long-term outcomes may be minimal.
Article Abstract
Background: In the Netherlands, patients only qualify for bariatric surgery when they have followed a 6-month mandatory weight loss program (MWP), also called the "last resort" criterion. One of the rationales for this is that MWPs result in greater weight loss.
Objectives: To determine weight loss during MWPs and the effect of delayed versus immediate qualification on weight loss 3 years after bariatric surgery.
Setting: Outpatient clinic.
Methods: This is a nationwide, retrospective study with prospectively collected data. All patients who underwent a primary bariatric procedure in 2016 were included. We compared weight loss between patients who did not qualify according to the last resort criterion at screening (delayed group) with patients that qualified (immediate group).
Results: In total 2628 patients were included. Mean age was 44.4 years, 81.3% were female, and baseline BMI was 42.3 kg/m. Roux-en-Y gastric bypass (RYGB) was the most frequently performed surgery (77.0%), followed by sleeve gastrectomy (15.8%) and banded RYGB (7.3%). The delayed group (n = 831; 32%) compared with immediate group (n = 1797; 68%), showed less percentage of total weight loss (%TWL) during the MWP (1.7% versus 3.9%, P < .001) and time between screening and surgery was longer (42.3 versus 17.5 wk, P < .001). Linear mixed model analysis showed no significant difference in %TWL at 18- (P = .291, n = 2077), 24- (P = .580, n = 1993) and 36-month (P = .325, n = 1743) follow-up.
Conclusion: This study shows that delayed qualification for bariatric surgery compared with immediate qualification does not have a clinically relevant impact on postoperative weight loss 3 years after bariatric surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.soard.2020.11.033 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!