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.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Coleman KJ,Schlundt DG,Bonnet KR,Holmquist KJ,Dunne J,Crull E,Hanaoka BY,Lent MR,Nadglowski J,Sylvia L,Venkatachalam S,Xanthakos SA,Zeiger R,Arterburn D,Williams N,Courcoulas A,Anau J,McTigue KM,Blalock C,Malanga Edoi
10.1007/s11695-020-04404-8subject
Has Abstractpub_date
2020-05-01 00:00:00pages
1837-1847issue
5eissn
0960-8923issn
1708-0428pii
10.1007/s11695-020-04404-8journal_volume
30pub_type
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