ABSTRACT
PURPOSE: The COVID-19 outbreak has forced a 2-month lockdown (LD) in Spain. We aimed to assess how that had affected our cohort of bariatric patients waiting for surgery. METHODS: A review of electronic records and a structured phone interview with each patient were conducted. Changes in severity of obesity were analyzed using the Obesity Surgery Score (OSS) and changes in health-related quality of life (HRQoL) using the validated EQ-5D questionnaire. Other miscellaneous questions about behavior modifications and surgical risk perception were also analyzed. RESULTS: All 51 patients fully answered the questionnaires. Mean age was 47 years and mean time on waiting list 91 days. Mean BMI increased during LD (42.7 vs 43.2; p < 0.001). Both OSS (2.84 vs 3; p = 0.011) and EQ-5D (69 vs 64; p < 0.001) mildly worsened during LD, mainly due to psychosocial issues. Twenty-seven patients (53%) thought that perioperative risks were higher under the current circumstances but they were as willing to undergo surgery as those who believed that the risks had not increased (74% vs 87%, p = 0.2). CONCLUSIONS: COVID-19 LD had a significant but mild effect on our cohort of bariatric surgery waiting list patients. Although perioperative risk perception had increased, patients were still willing to undergo their planned surgeries.
Subject(s)
Bariatric Surgery , COVID-19/prevention & control , Communicable Disease Control , Obesity/psychology , Obesity/surgery , Waiting Lists , Adult , COVID-19/diagnosis , COVID-19/epidemiology , Cohort Studies , Female , Humans , Male , Middle Aged , Obesity/complications , Quality of Life , Risk Assessment , Self Concept , Spain , Surveys and QuestionnairesABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Hernia, Diaphragmatic/complications , Gastric Dilatation/complications , Gastroplasty/methods , Esophagectomy/adverse effects , Hernia, Diaphragmatic/diagnostic imaging , Esophagectomy/methods , Postoperative ComplicationsABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/etiology , Hernia, Diaphragmatic/complications , Hernia, Diaphragmatic/diagnostic imaging , Intestinal Obstruction/pathology , Radiography, Thoracic , Laparoscopy/methodsABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Bile Reflux/surgery , Biliopancreatic Diversion , Cholangitis/surgery , Cholelithiasis/surgery , Duodenum/surgery , Postoperative Complications/surgery , Obesity, Morbid/surgery , Choledochostomy , Abdominal Pain/etiologyABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Carcinoma, Renal Cell/diagnostic imaging , Carcinoma, Renal Cell/secondary , Carcinoma, Renal Cell/surgery , Thyroid Nodule/diagnostic imaging , Prognosis , Tomography, X-Ray Computed/methodsABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Aged , Hemobilia/etiology , Aneurysm, False/complications , Cholecystitis, Acute/complications , Laparoscopy/methods , Hematemesis/etiology , Melena/etiologyABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Intussusception/complications , Lipoma/diagnostic imaging , Lipoma/surgery , Laparoscopy/methods , Gastrostomy/methods , Gastrointestinal Neoplasms/diagnostic imaging , Gastrointestinal Neoplasms/surgery , Tomography, Emission-Computed/methodsABSTRACT
BACKGROUND: In the last decades, we have experienced an increase in the prevalence of obesity in western countries with a higher demand for bariatric surgery and consequently prolonged waiting times. Currently, in many public hospitals, the only criterion that establishes priority for bariatric surgery is waiting time regardless of obesity severity. METHODS: We propose a new, simple, and homogeneous clinical prioritization system, the Obesity Surgery Score (OSS), which takes into account simultaneously and equitably the time on surgical waiting list and the obesity severity based on three variables: body mass index, obesity-related comorbidities, and functional limitations. We have reviewed the current literature related to obesity clinical staging systems, and we have carried out an analysis of our patients in waiting list and divided their characteristics according to their degree of severity (A, B, or C) in the OSS. Patients with OSS grade C have a higher mean BMI, greater severity in comorbidities, and greater socio-labor impact. The current surgery waiting time of our series is of 26 months. Currently, 27 patients (51.9%) with OSS grade B and 15 patients (51.7%) with OSS grade C have been on our waiting list for more than 1 year. CONCLUSION: Since the obesity severity, the waiting time and its clinical consequences are associated with an increase in morbidity and mortality, it is important to apply a structured prioritization system for bariatric surgery waiting list. This allows prioritization of patients at greater risk, improves patient prognosis, and optimizes costs and available health resources.
Subject(s)
Bariatric Surgery , Obesity, Morbid/surgery , Waiting Lists , Humans , Obesity, Morbid/diagnosis , Severity of Illness IndexABSTRACT
No disponible
