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BARIATRIC SURGERY OUTCOMES AS A FUNCTION OF PATIENT CHARACTERISTICS AND SUBJECTIVE EXPERIENCE

Jamil S Samaan, BS, Evan T Alicuben, MD, Elaine Qian, BS, Kulmeet Sandhu, MD, Adrian Dobrowolsky, MD, Kamran Samakar, MD. University of Southern California

INTRODUCTION:  Primary outcomes of bariatric surgery are often defined as excess weight loss and comorbidity resolution.  Sparse literature exists on the relationship between psychosocial characteristics and patient outcomes.  Similarly, little is known about the relationship between patient satisfaction after surgery and psychosocial characteristics.  We sought to examine subjective measures of satisfaction as a function of personal and behavioral characteristics.

METHODS AND PROCEDURES: A retrospective chart review was conducted on patients who underwent laparoscopic sleeve gastrectomy (LSG) and roux-en-y gastric bypass (RYGB) from August 2002 to November 2017 at a single institution, multi-surgeon, tertiary care academic hospital.  Preoperative surveys were reviewed and a telephone questionnaire was performed for gathering demographic and personal data. The telephone survey consisted of a standardized satisfaction survey using a leikert scale to assess response to the following statements: bariatric surgery improved my quality of life (Q), I am satisfied with my surgical outcomes (S), I would undergo bariatric surgery again (A).  Inclusion criteria was patients who completed a telephone interview.  Exclusion criteria was those who did not complete the interview.  Fishers exact test was used for statistical analysis. 

RESULTS: A total of 514 patients were included. 76% were female, 71% underwent RYGB and 29% underwent LSG. Median age at time of surgery was 47.0 (95% Cl 45.6-48.8). Average follow up was 6.99 years (SD=4.30).

CONCLUSION:  Bariatric surgery patients are overwhelmingly satisfied largely independent of psychosocial characteristics.  There were some notably interesting findings that predicted lower satisfaction scores including preoperative smoking status and the reasons for overeating. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 95754

Program Number: P078

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

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