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- Title
Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study.
- Authors
Coleman, Karen J.; Schlundt, David G.; Bonnet, Kemberlee R.; Holmquist, Kimberly J.; Dunne, Jennifer; Crull, Elizabeth; Hanaoka, Beatrice Y.; Lent, Michelle R.; Nadglowski, Joe; Sylvia, Louisa; Venkatachalam, Shilpa; Xanthakos, Stavra A.; Zeiger, Roni; Arterburn, David; Williams, Neely; Courcoulas, Anita; Anau, Jane; McTigue, Kathleen M.; Blalock, Cynthia; Malanga, Elisha
- Abstract
Background: In 2016, the Patient-Centered Outcomes Research Institute funded the National Patient Centered Clinical Research Network (PCORnet) Bariatric Study (PBS). Understanding the experience of postoperative patients was a key component of this study. Methods: Nine focus groups were conducted in Southern California, Louisiana, Pennsylvania, and Ohio and in a national advocacy conference for patients with obesity. Participants were identified and recruited in both clinical and community settings. Focus group transcripts were analyzed using an iterative inductive-deductive approach to identify global overarching themes. Results: There were 76 focus group participants. Participants were mostly women (81.4%), had primarily undergone gastric sleeve (47.0%), were non-Hispanic white (51.4%), had some college education (44.3%), and made $100,000 annual income or less (65.7%). Qualitative findings included negative reactions patients received from friends, family, and co-workers once they disclosed that they had bariatric surgery to lose weight; and barriers to follow-up care included insurance coverage, emotional and situational challenges, and physical pain limiting mobility. Conclusions: These findings confirm the other qualitative findings in this area. The approach to bariatric surgery should be expanded to provide long-term comprehensive care that includes in-depth postoperative lifetime monitoring of emotional and physical health.
- Subjects
SOUTHERN California; LOUISIANA; GASTRIC banding; MENTAL health; BARIATRIC surgery; PATIENT advocacy; WEIGHT loss; RESEARCH institutes
- Publication
Obesity Surgery, 2020, Vol 30, Issue 5, p1837
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-04404-8