Patient Preferences for Metabolic Surgery: Do Patient Demographics Make a Difference?
Document Type
Article
Publication Date
12-27-2024
Publication Title
Journal of Surgical Research
Abstract
Introduction: Operative selection in metabolic surgery is a complex, collaborative process between patient and surgeon, considering factors such as risk, cost, desired weight loss, and resolution of associated comorbidities. This study aimed to explore the association of patient demographics and body mass index on operative selection. Materials and methods: Retrospective review of 388 patient surveys prior to initial surgical visit (2020-2023) was conducted at a single institution. Patient demographics as well as operation preference prior to the initial visit and procedure ultimately performed were evaluated. Categorical variables were summarized as frequency and percentage and compared using chi-square tests. Continuous measures were summarized as means and standard deviations and compared using analysis of variance. Proceeding with the originally preferred procedure was modeled using multivariable logistic regression. Results: Prior to the initial visit, 62.1% of patients indicated preference toward sleeve gastrectomy, while 14.9% indicated preference toward Roux-en-Y gastric bypass. Notably, initial patient preferences aligned with the actual procedure, with 69.3% of sleeve gastrectomy-desiring patients and 62.1% of Roux-en-Y gastric bypass-desiring patients receiving their preferred operation. Factors associated with actual procedure performed included male sex (OR 3.27 [1.04, 10.26]) and presence of preoperative sleep apnea (OR 0.41 [0.20,0.81]) and hypertension (OR 0.46 [0.22,0.96]). Other factors that showed an association with preference, but were not statistically significant, included body mass index. Conclusions: Patients' comorbidities and sex are associated with the likelihood of undergoing the preferred operation procedure. However, most patients underwent their preferred procedure, highlighting the importance of patients’ selection.
First Page
231
Last Page
236
PubMed ID
39937555
Volume
305
Recommended Citation
Megison, Hannah; Corpodean, Florina; Danos, Denise; Kachmar, Michael; Cook, Michael W.; Schauer, Philip R.; and Albaugh, Vance L., "Patient Preferences for Metabolic Surgery: Do Patient Demographics Make a Difference?" (2024). School of Medicine Faculty Publications. 3410.
https://digitalscholar.lsuhsc.edu/som_facpubs/3410
10.1016/j.jss.2024.11.040