The avoidable delay in weight loss surgery for those with BMI over 50
Background Many insurance companies mandate medically supervised weight loss programs (MSWLPs) prior to bariatric surgery. This retrospective study aims to elucidate whether the average 6-month preoperative medical-management period decreases preoperative BMI for those with BMI ≥ 50. Methods All adu...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2023-04, Vol.37 (4), p.3069-3072 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 3072 |
|---|---|
| container_issue | 4 |
| container_start_page | 3069 |
| container_title | Surgical endoscopy |
| container_volume | 37 |
| creator | Vu, Alexander Hien Hoang, Chau Lim, Derek Qian, Yunzhi Tchokouani, Loic Tursunova, Nilufar Ferzli, George |
| description | Background
Many insurance companies mandate medically supervised weight loss programs (MSWLPs) prior to bariatric surgery. This retrospective study aims to elucidate whether the average 6-month preoperative medical-management period decreases preoperative BMI for those with BMI ≥ 50.
Methods
All adult patients with bariatric consultation at any time at the New York University Langone Health campuses during the period 2015 to 2021 were evaluated via electronic medical records. Only patients with ≥ BMI 50, without previous bariatric surgeries, and those with 6-month insurance-mandated medical visits were included. A paired
t
-test was performed on the difference in BMI and percent-weight loss among the subjects at least 6 months before surgery and on the day of surgery.
Results
Of the 130 patients with BMI ≥ 50, undergoing preoperative 6-month office weigh-ins, the mean difference in BMI was − 1.51 (
P
|
| doi_str_mv | 10.1007/s00464-022-09484-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2797452764</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2797452764</sourcerecordid><originalsourceid>FETCH-LOGICAL-c293t-6aa8e8db75522899d0c3c117bf8e52fdb6fb87dfc02d42795197df1ad62bf9d13</originalsourceid><addsrcrecordid>eNp9kMFOwzAMhiMEYmPwAhxQJM4BJ03a5ghowKQhLuMcpU2ydurWkXSb9vZkdMCNk2X582_rQ-iawh0FyO4DAE85AcYISJ5zwk_QkPKEEcZofoqGIBMgLJN8gC5CWEDkJRXnaJAIyUBSOkTjWWWx3ra10UVjsbGN3uN6hXe2nlcdbtoQcNj4ufV77FqPu6oNFu_qrsKPbxPcbq3HAi7RmdNNsFfHOkIfz-PZ0yuZvr9Mnh6mpGQy6UiqdW5zU2RCMJZLaaBMSkqzwuVWMGeK1BV5ZlwJzPD4t6AydlSblBVOGpqM0G2fu_bt58aGTi3ajV_FkyriGRcsS3mkWE-VPr7vrVNrXy-13ysK6mBO9eZUNKe-zanD0s0xelMsrfld-VEVgaQHQhytopC_2__EfgHvcHe5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2797452764</pqid></control><display><type>article</type><title>The avoidable delay in weight loss surgery for those with BMI over 50</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Vu, Alexander Hien ; Hoang, Chau ; Lim, Derek ; Qian, Yunzhi ; Tchokouani, Loic ; Tursunova, Nilufar ; Ferzli, George</creator><creatorcontrib>Vu, Alexander Hien ; Hoang, Chau ; Lim, Derek ; Qian, Yunzhi ; Tchokouani, Loic ; Tursunova, Nilufar ; Ferzli, George</creatorcontrib><description>Background
Many insurance companies mandate medically supervised weight loss programs (MSWLPs) prior to bariatric surgery. This retrospective study aims to elucidate whether the average 6-month preoperative medical-management period decreases preoperative BMI for those with BMI ≥ 50.
Methods
All adult patients with bariatric consultation at any time at the New York University Langone Health campuses during the period 2015 to 2021 were evaluated via electronic medical records. Only patients with ≥ BMI 50, without previous bariatric surgeries, and those with 6-month insurance-mandated medical visits were included. A paired
t
-test was performed on the difference in BMI and percent-weight loss among the subjects at least 6 months before surgery and on the day of surgery.
Results
Of the 130 patients with BMI ≥ 50, undergoing preoperative 6-month office weigh-ins, the mean difference in BMI was − 1.51 (
P
< 0.01). The mean total body weight loss was 4.8% (
P
< 0.01). There were no intraoperative complications nor 30-day complications or mortality in the group.
Conclusions
We found that there was weight loss during the 6-month insurance-mandated medical management prior to surgery, but the amount (4.8%) did not reach the goal target of 10% of body weight. We found that there were no complications and question the need for prolonged delay to surgery.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-022-09484-4</identifier><identifier>PMID: 35920911</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2022 SAGES Oral ; Abdominal Surgery ; Adult ; Antihypertensives ; Bariatric Surgery ; Body Mass Index ; Diabetes ; Endoscopy ; Gastroenterology ; Gastrointestinal surgery ; Gynecology ; Hepatology ; Humans ; Hyperlipidemia ; Hypertension ; Insulin ; Medical records ; Medicine ; Medicine & Public Health ; Mortality ; Patients ; Proctology ; Retrospective Studies ; Sleep apnea ; Surgery ; Surgical anastomosis ; Surgical site infections ; Systemic diseases ; Treatment Outcome ; Variables ; Weight control ; Weight Loss</subject><ispartof>Surgical endoscopy, 2023-04, Vol.37 (4), p.3069-3072</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c293t-6aa8e8db75522899d0c3c117bf8e52fdb6fb87dfc02d42795197df1ad62bf9d13</cites><orcidid>0000-0002-7408-6076</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-022-09484-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-022-09484-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35920911$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vu, Alexander Hien</creatorcontrib><creatorcontrib>Hoang, Chau</creatorcontrib><creatorcontrib>Lim, Derek</creatorcontrib><creatorcontrib>Qian, Yunzhi</creatorcontrib><creatorcontrib>Tchokouani, Loic</creatorcontrib><creatorcontrib>Tursunova, Nilufar</creatorcontrib><creatorcontrib>Ferzli, George</creatorcontrib><title>The avoidable delay in weight loss surgery for those with BMI over 50</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Many insurance companies mandate medically supervised weight loss programs (MSWLPs) prior to bariatric surgery. This retrospective study aims to elucidate whether the average 6-month preoperative medical-management period decreases preoperative BMI for those with BMI ≥ 50.
Methods
All adult patients with bariatric consultation at any time at the New York University Langone Health campuses during the period 2015 to 2021 were evaluated via electronic medical records. Only patients with ≥ BMI 50, without previous bariatric surgeries, and those with 6-month insurance-mandated medical visits were included. A paired
t
-test was performed on the difference in BMI and percent-weight loss among the subjects at least 6 months before surgery and on the day of surgery.
Results
Of the 130 patients with BMI ≥ 50, undergoing preoperative 6-month office weigh-ins, the mean difference in BMI was − 1.51 (
P
< 0.01). The mean total body weight loss was 4.8% (
P
< 0.01). There were no intraoperative complications nor 30-day complications or mortality in the group.
Conclusions
We found that there was weight loss during the 6-month insurance-mandated medical management prior to surgery, but the amount (4.8%) did not reach the goal target of 10% of body weight. We found that there were no complications and question the need for prolonged delay to surgery.</description><subject>2022 SAGES Oral</subject><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Antihypertensives</subject><subject>Bariatric Surgery</subject><subject>Body Mass Index</subject><subject>Diabetes</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Hyperlipidemia</subject><subject>Hypertension</subject><subject>Insulin</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Patients</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Sleep apnea</subject><subject>Surgery</subject><subject>Surgical anastomosis</subject><subject>Surgical site infections</subject><subject>Systemic diseases</subject><subject>Treatment Outcome</subject><subject>Variables</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kMFOwzAMhiMEYmPwAhxQJM4BJ03a5ghowKQhLuMcpU2ydurWkXSb9vZkdMCNk2X582_rQ-iawh0FyO4DAE85AcYISJ5zwk_QkPKEEcZofoqGIBMgLJN8gC5CWEDkJRXnaJAIyUBSOkTjWWWx3ra10UVjsbGN3uN6hXe2nlcdbtoQcNj4ufV77FqPu6oNFu_qrsKPbxPcbq3HAi7RmdNNsFfHOkIfz-PZ0yuZvr9Mnh6mpGQy6UiqdW5zU2RCMJZLaaBMSkqzwuVWMGeK1BV5ZlwJzPD4t6AydlSblBVOGpqM0G2fu_bt58aGTi3ajV_FkyriGRcsS3mkWE-VPr7vrVNrXy-13ysK6mBO9eZUNKe-zanD0s0xelMsrfld-VEVgaQHQhytopC_2__EfgHvcHe5</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Vu, Alexander Hien</creator><creator>Hoang, Chau</creator><creator>Lim, Derek</creator><creator>Qian, Yunzhi</creator><creator>Tchokouani, Loic</creator><creator>Tursunova, Nilufar</creator><creator>Ferzli, George</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-7408-6076</orcidid></search><sort><creationdate>20230401</creationdate><title>The avoidable delay in weight loss surgery for those with BMI over 50</title><author>Vu, Alexander Hien ; Hoang, Chau ; Lim, Derek ; Qian, Yunzhi ; Tchokouani, Loic ; Tursunova, Nilufar ; Ferzli, George</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-6aa8e8db75522899d0c3c117bf8e52fdb6fb87dfc02d42795197df1ad62bf9d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>2022 SAGES Oral</topic><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Antihypertensives</topic><topic>Bariatric Surgery</topic><topic>Body Mass Index</topic><topic>Diabetes</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Hyperlipidemia</topic><topic>Hypertension</topic><topic>Insulin</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Patients</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Sleep apnea</topic><topic>Surgery</topic><topic>Surgical anastomosis</topic><topic>Surgical site infections</topic><topic>Systemic diseases</topic><topic>Treatment Outcome</topic><topic>Variables</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vu, Alexander Hien</creatorcontrib><creatorcontrib>Hoang, Chau</creatorcontrib><creatorcontrib>Lim, Derek</creatorcontrib><creatorcontrib>Qian, Yunzhi</creatorcontrib><creatorcontrib>Tchokouani, Loic</creatorcontrib><creatorcontrib>Tursunova, Nilufar</creatorcontrib><creatorcontrib>Ferzli, George</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vu, Alexander Hien</au><au>Hoang, Chau</au><au>Lim, Derek</au><au>Qian, Yunzhi</au><au>Tchokouani, Loic</au><au>Tursunova, Nilufar</au><au>Ferzli, George</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The avoidable delay in weight loss surgery for those with BMI over 50</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>37</volume><issue>4</issue><spage>3069</spage><epage>3072</epage><pages>3069-3072</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Many insurance companies mandate medically supervised weight loss programs (MSWLPs) prior to bariatric surgery. This retrospective study aims to elucidate whether the average 6-month preoperative medical-management period decreases preoperative BMI for those with BMI ≥ 50.
Methods
All adult patients with bariatric consultation at any time at the New York University Langone Health campuses during the period 2015 to 2021 were evaluated via electronic medical records. Only patients with ≥ BMI 50, without previous bariatric surgeries, and those with 6-month insurance-mandated medical visits were included. A paired
t
-test was performed on the difference in BMI and percent-weight loss among the subjects at least 6 months before surgery and on the day of surgery.
Results
Of the 130 patients with BMI ≥ 50, undergoing preoperative 6-month office weigh-ins, the mean difference in BMI was − 1.51 (
P
< 0.01). The mean total body weight loss was 4.8% (
P
< 0.01). There were no intraoperative complications nor 30-day complications or mortality in the group.
Conclusions
We found that there was weight loss during the 6-month insurance-mandated medical management prior to surgery, but the amount (4.8%) did not reach the goal target of 10% of body weight. We found that there were no complications and question the need for prolonged delay to surgery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35920911</pmid><doi>10.1007/s00464-022-09484-4</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-7408-6076</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2023-04, Vol.37 (4), p.3069-3072 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_journals_2797452764 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | 2022 SAGES Oral Abdominal Surgery Adult Antihypertensives Bariatric Surgery Body Mass Index Diabetes Endoscopy Gastroenterology Gastrointestinal surgery Gynecology Hepatology Humans Hyperlipidemia Hypertension Insulin Medical records Medicine Medicine & Public Health Mortality Patients Proctology Retrospective Studies Sleep apnea Surgery Surgical anastomosis Surgical site infections Systemic diseases Treatment Outcome Variables Weight control Weight Loss |
| title | The avoidable delay in weight loss surgery for those with BMI over 50 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T02%3A28%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20avoidable%20delay%20in%20weight%20loss%20surgery%20for%20those%20with%20BMI%20over%2050&rft.jtitle=Surgical%20endoscopy&rft.au=Vu,%20Alexander%20Hien&rft.date=2023-04-01&rft.volume=37&rft.issue=4&rft.spage=3069&rft.epage=3072&rft.pages=3069-3072&rft.issn=0930-2794&rft.eissn=1432-2218&rft_id=info:doi/10.1007/s00464-022-09484-4&rft_dat=%3Cproquest_cross%3E2797452764%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2797452764&rft_id=info:pmid/35920911&rfr_iscdi=true |