Predictors of poor follow-up after bariatric surgery
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200159 |
Resumo: | 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). |
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Revista do Colégio Brasileiro de Cirurgiões |
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Predictors of poor follow-up after bariatric surgeryObesityBariatric surgeryGastric BypassGastrectomyLost 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).Colégio Brasileiro de Cirurgiões2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200159Revista do Colégio Brasileiro de Cirurgiões v.45 n.2 2018reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20181779info:eu-repo/semantics/openAccessBELO,GISELLE DE QUEIROZ MENEZES BATISTASIQUEIRA,LUCIANA TEIXEIRA DEMELO FILHO,DJALMA A. AGRIPINOKREIMER,FLÁVIORAMOS,VÂNIA PINHEIROFERRAZ,ÁLVARO ANTÔNIO BANDEIRAeng2018-05-22T00:00:00Zoai:scielo:S0100-69912018000200159Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2018-05-22T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Predictors of poor follow-up after bariatric surgery |
title |
Predictors of poor follow-up after bariatric surgery |
spellingShingle |
Predictors of poor follow-up after bariatric surgery BELO,GISELLE DE QUEIROZ MENEZES BATISTA Obesity Bariatric surgery Gastric Bypass Gastrectomy Lost to Follow-Up. |
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 |
author |
BELO,GISELLE DE QUEIROZ MENEZES BATISTA |
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_role |
author |
author2 |
SIQUEIRA,LUCIANA TEIXEIRA DE MELO FILHO,DJALMA A. AGRIPINO KREIMER,FLÁVIO RAMOS,VÂNIA PINHEIRO FERRAZ,ÁLVARO ANTÔNIO BANDEIRA |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
BELO,GISELLE DE QUEIROZ MENEZES BATISTA SIQUEIRA,LUCIANA TEIXEIRA DE MELO FILHO,DJALMA A. AGRIPINO KREIMER,FLÁVIO RAMOS,VÂNIA PINHEIRO FERRAZ,ÁLVARO ANTÔNIO BANDEIRA |
dc.subject.por.fl_str_mv |
Obesity Bariatric surgery Gastric Bypass Gastrectomy Lost to Follow-Up. |
topic |
Obesity Bariatric surgery Gastric Bypass Gastrectomy Lost to Follow-Up. |
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). |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200159 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200159 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20181779 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.45 n.2 2018 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209214119542784 |