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Are long waiting lists for bariatric surgery detrimental to patients? A single-centre experience
Canadian Journal of Surgery, suppl 6 Suppl 2 ; 65, 2022.
Article in English | ProQuest Central | ID: covidwho-2255054
ABSTRACT

Background:

We aimed to evaluate the impact of surgical delays due to the COVID-19 pandemic on a cohort of bariatric surgery waiting list patients at a single high-volume, accredited bariatric centre in Canada.

Methods:

We identified all patients on the waiting list who had consented to a primary bariatric operation before June 2021. A review of medical records and a structured telephone interview with each patient was conducted. Changes in weight, body mass index (BMI) and use of antiobesity medications were analyzed. Questions regarding patient experience on the waiting list were also analyzed.

Results:

Of 123 patients identified on the bariatric surgery waiting list, 97 (78.9%) participated in the survey and were enrolled in this study. Most patients were female (74.2%), with a mean age of 45.2 ± 10.6 years. The length of time on the waiting list was 8-33 months (mean 13.3 ± 4.8 months). The proportion of patients on antiobesity medications increased from 59.8% to 72.2%, although this was not statistically significant (p > 0.05). There was a small but statistically significant decrease in weight (140.0 ± 35.6 kg v. 135.5 ± 35.5 kg,p < 0.0001) and BMI (49.3 ± 9.9 kg/m2 v. 47.7 ± 10.2 kg/m2, p < 0.0001). However, there was no significant change in weight and BMI in the subgroup of patients who were not on antiobesity medications. In terms of patient experience, 39.2% of patients felt that they were negatively impacted by the length of time on the waiting list, and 16.5% were willing to travel out of province for their bariatric surgery.

Conclusion:

Patients on the bariatric surgery waiting list remained weight stable despite delays secondary to the COVID-19 pandemic. However, extended waiting times for bariatric surgery have had a negative impact on patient satisfaction.
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Collection: Databases of international organizations Database: ProQuest Central Language: English Journal: Canadian Journal of Surgery, suppl 6 Suppl 2 Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: ProQuest Central Language: English Journal: Canadian Journal of Surgery, suppl 6 Suppl 2 Year: 2022 Document Type: Article