Predictors of poor follow-up after bariatric surgery
ABSTRACT Objective: to identify predictive factors of loss of follow-up of patients submitted to Roux-en-Y gastric bypass and sleeve gastrectomy in a 48-month period. Methods: we conducted a retrospective, cohort study from January 2010 to December 2012. We analyzed thirteen variables and compared them to loss of follow-up. Results: among the 559 patients studied, there was a great reduction in the frequency (43.8%) of the consultations from the second postoperative year on, with a significant loss in the 4th year (70.8%). In the univariate analysis, only the variable “excess weight” was associated with loss of follow-up. The proportion of overweight (>49.95kg) was higher in the follow-up group with greater loss (>3 absences) (p=0.025). In the logistic regression, patients exposed to a greater excess weight (>49.95kg) presented a two-fold higher risk for loss of follow-up (>3 absences) (OR=2.04, 95% CI 1.15-3.62; p=0.015). In the univariate analysis, at the 48th postoperative month, only the variable “mesoregion of origin” was associated with loss of follow-up (p=0.012). Conclusion: there was a progressive loss of follow-up from the second postoperative year on. Among the factors analyzed, only the variable “excess weight” greater than 49.95kg in the preoperative period was associated with loss of medical-surgical follow-up. In the 48th month of the postoperative period, there was a higher prevalence of loss of medical-surgical follow-up for patients outside the perimeter of the city of Recife (51%, p=0.052).
Main Authors: | , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Colégio Brasileiro de Cirurgiões
2018
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200159 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0100-69912018000200159 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0100-699120180002001592018-05-22Predictors of poor follow-up after bariatric surgeryBELO,GISELLE DE QUEIROZ MENEZES BATISTASIQUEIRA,LUCIANA TEIXEIRA DEMELO FILHO,DJALMA A. AGRIPINOKREIMER,FLÁVIORAMOS,VÂNIA PINHEIROFERRAZ,ÁLVARO ANTÔNIO BANDEIRA Obesity Bariatric surgery Gastric Bypass Gastrectomy Lost to Follow-Up. ABSTRACT Objective: to identify predictive factors of loss of follow-up of patients submitted to Roux-en-Y gastric bypass and sleeve gastrectomy in a 48-month period. Methods: we conducted a retrospective, cohort study from January 2010 to December 2012. We analyzed thirteen variables and compared them to loss of follow-up. Results: among the 559 patients studied, there was a great reduction in the frequency (43.8%) of the consultations from the second postoperative year on, with a significant loss in the 4th year (70.8%). In the univariate analysis, only the variable “excess weight” was associated with loss of follow-up. The proportion of overweight (>49.95kg) was higher in the follow-up group with greater loss (>3 absences) (p=0.025). In the logistic regression, patients exposed to a greater excess weight (>49.95kg) presented a two-fold higher risk for loss of follow-up (>3 absences) (OR=2.04, 95% CI 1.15-3.62; p=0.015). In the univariate analysis, at the 48th postoperative month, only the variable “mesoregion of origin” was associated with loss of follow-up (p=0.012). Conclusion: there was a progressive loss of follow-up from the second postoperative year on. Among the factors analyzed, only the variable “excess weight” greater than 49.95kg in the preoperative period was associated with loss of medical-surgical follow-up. In the 48th month of the postoperative period, there was a higher prevalence of loss of medical-surgical follow-up for patients outside the perimeter of the city of Recife (51%, p=0.052).info:eu-repo/semantics/openAccessColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões v.45 n.2 20182018-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200159en10.1590/0100-6991e-20181779 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
BELO,GISELLE DE QUEIROZ MENEZES BATISTA SIQUEIRA,LUCIANA TEIXEIRA DE MELO FILHO,DJALMA A. AGRIPINO KREIMER,FLÁVIO RAMOS,VÂNIA PINHEIRO FERRAZ,ÁLVARO ANTÔNIO BANDEIRA |
spellingShingle |
BELO,GISELLE DE QUEIROZ MENEZES BATISTA SIQUEIRA,LUCIANA TEIXEIRA DE MELO FILHO,DJALMA A. AGRIPINO KREIMER,FLÁVIO RAMOS,VÂNIA PINHEIRO FERRAZ,ÁLVARO ANTÔNIO BANDEIRA Predictors of poor follow-up after bariatric surgery |
author_facet |
BELO,GISELLE DE QUEIROZ MENEZES BATISTA SIQUEIRA,LUCIANA TEIXEIRA DE MELO FILHO,DJALMA A. AGRIPINO KREIMER,FLÁVIO RAMOS,VÂNIA PINHEIRO FERRAZ,ÁLVARO ANTÔNIO BANDEIRA |
author_sort |
BELO,GISELLE DE QUEIROZ MENEZES BATISTA |
title |
Predictors of poor follow-up after bariatric surgery |
title_short |
Predictors of poor follow-up after bariatric surgery |
title_full |
Predictors of poor follow-up after bariatric surgery |
title_fullStr |
Predictors of poor follow-up after bariatric surgery |
title_full_unstemmed |
Predictors of poor follow-up after bariatric surgery |
title_sort |
predictors of poor follow-up after bariatric surgery |
description |
ABSTRACT Objective: to identify predictive factors of loss of follow-up of patients submitted to Roux-en-Y gastric bypass and sleeve gastrectomy in a 48-month period. Methods: we conducted a retrospective, cohort study from January 2010 to December 2012. We analyzed thirteen variables and compared them to loss of follow-up. Results: among the 559 patients studied, there was a great reduction in the frequency (43.8%) of the consultations from the second postoperative year on, with a significant loss in the 4th year (70.8%). In the univariate analysis, only the variable “excess weight” was associated with loss of follow-up. The proportion of overweight (>49.95kg) was higher in the follow-up group with greater loss (>3 absences) (p=0.025). In the logistic regression, patients exposed to a greater excess weight (>49.95kg) presented a two-fold higher risk for loss of follow-up (>3 absences) (OR=2.04, 95% CI 1.15-3.62; p=0.015). In the univariate analysis, at the 48th postoperative month, only the variable “mesoregion of origin” was associated with loss of follow-up (p=0.012). Conclusion: there was a progressive loss of follow-up from the second postoperative year on. Among the factors analyzed, only the variable “excess weight” greater than 49.95kg in the preoperative period was associated with loss of medical-surgical follow-up. In the 48th month of the postoperative period, there was a higher prevalence of loss of medical-surgical follow-up for patients outside the perimeter of the city of Recife (51%, p=0.052). |
publisher |
Colégio Brasileiro de Cirurgiões |
publishDate |
2018 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200159 |
work_keys_str_mv |
AT belogiselledequeirozmenezesbatista predictorsofpoorfollowupafterbariatricsurgery AT siqueiralucianateixeirade predictorsofpoorfollowupafterbariatricsurgery AT melofilhodjalmaaagripino predictorsofpoorfollowupafterbariatricsurgery AT kreimerflavio predictorsofpoorfollowupafterbariatricsurgery AT ramosvaniapinheiro predictorsofpoorfollowupafterbariatricsurgery AT ferrazalvaroantoniobandeira predictorsofpoorfollowupafterbariatricsurgery |
_version_ |
1756389375939182592 |