Impaired Family Functioning Affects 6-Month and 12-Month Postoperative Weight Loss
Purpose Prior cross-sectional research details the high rate of impaired family functioning, a measure of the overall family environment, among adult bariatric surgery patients; however, family functioning has not been explored in relation to adult patient’s postoperative outcomes. The objective of...
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Veröffentlicht in: | Obesity surgery 2021-08, Vol.31 (8), p.3598-3605 |
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creator | Pratt, Keeley J. Kiser, Haley Ferber, Megan Ferriby Whiting, Riley Needleman, Bradley Noria, Sabrena |
description | Purpose
Prior cross-sectional research details the high rate of impaired family functioning, a measure of the overall family environment, among adult bariatric surgery patients; however, family functioning has not been explored in relation to adult patient’s postoperative outcomes. The objective of this study was to determine how family functioning affects postoperative patient outcomes including readmission rates, early complications, and 6- and 12-month percent total weight loss (%TWL).
Materials and Methods
An observational design at a single-academic medical center was employed. The sample comprised 98 patients, living with ≥1 family member, who enrolled in one of two concurrent studies at the Center. Patients were followed from their surgical intake through 12 months postsurgery; family functioning was assessed within 2 months of their date of surgery. Chi-square and independent
t
tests determined significant associations between family functioning with readmission and complication rates. Average family functioning was an independent variable in multivariate linear regression models to determine significant correlates of %TWL at 6 and 12 months postsurgery. Patient age, race, and insurance status were included as covariates.
Results
Patients with higher impaired family functioning had significantly less %TWL at 6 (
p
=.004) and 12 months (
p
=.030). Black patients also had significantly lower %TWL at 6 (
p
=.003) and 12 months (
p
=.009).
Conclusion
Family functioning and patient race were both correlates of weight loss at 6 months and 12 months. Future research should explore additional family factors as correlates of patient outcomes following bariatric surgery.
Graphical abstract |
doi_str_mv | 10.1007/s11695-021-05448-0 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2520852623</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2520852623</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-d35e78d524896dae523f1cdbd4b9c8bae43e4f4fdf250ac9ccc1cacc7c5959603</originalsourceid><addsrcrecordid>eNp9kMtKAzEUhoMotlZfwIUMuHEzmutMsizFaqGiiOIyZJJMO2VuJjNC397UqQouXCXhfPnPOR8A5wheIwjTG49QIlgMMYoho5TH8ACMUQrDhWJ-CMZQJDDmApMROPF-AwOZYHwMRoQIghEXY_C8qFpVOGuiuaqKchvN-1p3RVMX9Sqa5rnVnY-S-KGpu3WkahMhvH88Nb5rWutUV3zY6M0Wq3UXLRvvT8FRrkpvz_bnBLzOb19m9_Hy8W4xmy5jTVLWxYYwm3LDMOUiMcoyTHKkTWZoJjTPlKXE0pzmJscMKi201kgrrVPNBAuLkQm4GnJb17z31neyKry2Zalq2_ReYoYhZzjBJKCXf9BN07s6TBcoKjjhGKJA4YHSLqzhbC5bV1TKbSWCcmdcDsZl8Ci_jMvdFBf76D6rrPn58q04AGQAfCjVK-t-e_8T-wkM-Yss</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2549838201</pqid></control><display><type>article</type><title>Impaired Family Functioning Affects 6-Month and 12-Month Postoperative Weight Loss</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Pratt, Keeley J. ; Kiser, Haley ; Ferber, Megan Ferriby ; Whiting, Riley ; Needleman, Bradley ; Noria, Sabrena</creator><creatorcontrib>Pratt, Keeley J. ; Kiser, Haley ; Ferber, Megan Ferriby ; Whiting, Riley ; Needleman, Bradley ; Noria, Sabrena</creatorcontrib><description>Purpose
Prior cross-sectional research details the high rate of impaired family functioning, a measure of the overall family environment, among adult bariatric surgery patients; however, family functioning has not been explored in relation to adult patient’s postoperative outcomes. The objective of this study was to determine how family functioning affects postoperative patient outcomes including readmission rates, early complications, and 6- and 12-month percent total weight loss (%TWL).
Materials and Methods
An observational design at a single-academic medical center was employed. The sample comprised 98 patients, living with ≥1 family member, who enrolled in one of two concurrent studies at the Center. Patients were followed from their surgical intake through 12 months postsurgery; family functioning was assessed within 2 months of their date of surgery. Chi-square and independent
t
tests determined significant associations between family functioning with readmission and complication rates. Average family functioning was an independent variable in multivariate linear regression models to determine significant correlates of %TWL at 6 and 12 months postsurgery. Patient age, race, and insurance status were included as covariates.
Results
Patients with higher impaired family functioning had significantly less %TWL at 6 (
p
=.004) and 12 months (
p
=.030). Black patients also had significantly lower %TWL at 6 (
p
=.003) and 12 months (
p
=.009).
Conclusion
Family functioning and patient race were both correlates of weight loss at 6 months and 12 months. Future research should explore additional family factors as correlates of patient outcomes following bariatric surgery.
Graphical abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-021-05448-0</identifier><identifier>PMID: 33932189</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Bariatric Surgery ; Clinical outcomes ; Cross-Sectional Studies ; Gastrointestinal surgery ; Humans ; Medicine ; Medicine & Public Health ; Obesity, Morbid - surgery ; Original Contributions ; Patients ; Postoperative Complications ; Postoperative Period ; Retrospective Studies ; Surgery ; Treatment Outcome ; Weight Loss</subject><ispartof>Obesity surgery, 2021-08, Vol.31 (8), p.3598-3605</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d35e78d524896dae523f1cdbd4b9c8bae43e4f4fdf250ac9ccc1cacc7c5959603</citedby><cites>FETCH-LOGICAL-c375t-d35e78d524896dae523f1cdbd4b9c8bae43e4f4fdf250ac9ccc1cacc7c5959603</cites><orcidid>0000-0002-8800-4326</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/s11695-021-05448-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-021-05448-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33932189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pratt, Keeley J.</creatorcontrib><creatorcontrib>Kiser, Haley</creatorcontrib><creatorcontrib>Ferber, Megan Ferriby</creatorcontrib><creatorcontrib>Whiting, Riley</creatorcontrib><creatorcontrib>Needleman, Bradley</creatorcontrib><creatorcontrib>Noria, Sabrena</creatorcontrib><title>Impaired Family Functioning Affects 6-Month and 12-Month Postoperative Weight Loss</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Purpose
Prior cross-sectional research details the high rate of impaired family functioning, a measure of the overall family environment, among adult bariatric surgery patients; however, family functioning has not been explored in relation to adult patient’s postoperative outcomes. The objective of this study was to determine how family functioning affects postoperative patient outcomes including readmission rates, early complications, and 6- and 12-month percent total weight loss (%TWL).
Materials and Methods
An observational design at a single-academic medical center was employed. The sample comprised 98 patients, living with ≥1 family member, who enrolled in one of two concurrent studies at the Center. Patients were followed from their surgical intake through 12 months postsurgery; family functioning was assessed within 2 months of their date of surgery. Chi-square and independent
t
tests determined significant associations between family functioning with readmission and complication rates. Average family functioning was an independent variable in multivariate linear regression models to determine significant correlates of %TWL at 6 and 12 months postsurgery. Patient age, race, and insurance status were included as covariates.
Results
Patients with higher impaired family functioning had significantly less %TWL at 6 (
p
=.004) and 12 months (
p
=.030). Black patients also had significantly lower %TWL at 6 (
p
=.003) and 12 months (
p
=.009).
Conclusion
Family functioning and patient race were both correlates of weight loss at 6 months and 12 months. Future research should explore additional family factors as correlates of patient outcomes following bariatric surgery.
Graphical abstract</description><subject>Adult</subject><subject>Bariatric Surgery</subject><subject>Clinical outcomes</subject><subject>Cross-Sectional Studies</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Patients</subject><subject>Postoperative Complications</subject><subject>Postoperative Period</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMtKAzEUhoMotlZfwIUMuHEzmutMsizFaqGiiOIyZJJMO2VuJjNC397UqQouXCXhfPnPOR8A5wheIwjTG49QIlgMMYoho5TH8ACMUQrDhWJ-CMZQJDDmApMROPF-AwOZYHwMRoQIghEXY_C8qFpVOGuiuaqKchvN-1p3RVMX9Sqa5rnVnY-S-KGpu3WkahMhvH88Nb5rWutUV3zY6M0Wq3UXLRvvT8FRrkpvz_bnBLzOb19m9_Hy8W4xmy5jTVLWxYYwm3LDMOUiMcoyTHKkTWZoJjTPlKXE0pzmJscMKi201kgrrVPNBAuLkQm4GnJb17z31neyKry2Zalq2_ReYoYhZzjBJKCXf9BN07s6TBcoKjjhGKJA4YHSLqzhbC5bV1TKbSWCcmdcDsZl8Ci_jMvdFBf76D6rrPn58q04AGQAfCjVK-t-e_8T-wkM-Yss</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Pratt, Keeley J.</creator><creator>Kiser, Haley</creator><creator>Ferber, Megan Ferriby</creator><creator>Whiting, Riley</creator><creator>Needleman, Bradley</creator><creator>Noria, Sabrena</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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</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>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8800-4326</orcidid></search><sort><creationdate>20210801</creationdate><title>Impaired Family Functioning Affects 6-Month and 12-Month Postoperative Weight Loss</title><author>Pratt, Keeley J. ; Kiser, Haley ; Ferber, Megan Ferriby ; Whiting, Riley ; Needleman, Bradley ; Noria, Sabrena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d35e78d524896dae523f1cdbd4b9c8bae43e4f4fdf250ac9ccc1cacc7c5959603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Clinical outcomes</topic><topic>Cross-Sectional Studies</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Patients</topic><topic>Postoperative Complications</topic><topic>Postoperative Period</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pratt, Keeley J.</creatorcontrib><creatorcontrib>Kiser, Haley</creatorcontrib><creatorcontrib>Ferber, Megan Ferriby</creatorcontrib><creatorcontrib>Whiting, Riley</creatorcontrib><creatorcontrib>Needleman, Bradley</creatorcontrib><creatorcontrib>Noria, Sabrena</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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</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>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</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><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pratt, Keeley J.</au><au>Kiser, Haley</au><au>Ferber, Megan Ferriby</au><au>Whiting, Riley</au><au>Needleman, Bradley</au><au>Noria, Sabrena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impaired Family Functioning Affects 6-Month and 12-Month Postoperative Weight Loss</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>31</volume><issue>8</issue><spage>3598</spage><epage>3605</epage><pages>3598-3605</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Purpose
Prior cross-sectional research details the high rate of impaired family functioning, a measure of the overall family environment, among adult bariatric surgery patients; however, family functioning has not been explored in relation to adult patient’s postoperative outcomes. The objective of this study was to determine how family functioning affects postoperative patient outcomes including readmission rates, early complications, and 6- and 12-month percent total weight loss (%TWL).
Materials and Methods
An observational design at a single-academic medical center was employed. The sample comprised 98 patients, living with ≥1 family member, who enrolled in one of two concurrent studies at the Center. Patients were followed from their surgical intake through 12 months postsurgery; family functioning was assessed within 2 months of their date of surgery. Chi-square and independent
t
tests determined significant associations between family functioning with readmission and complication rates. Average family functioning was an independent variable in multivariate linear regression models to determine significant correlates of %TWL at 6 and 12 months postsurgery. Patient age, race, and insurance status were included as covariates.
Results
Patients with higher impaired family functioning had significantly less %TWL at 6 (
p
=.004) and 12 months (
p
=.030). Black patients also had significantly lower %TWL at 6 (
p
=.003) and 12 months (
p
=.009).
Conclusion
Family functioning and patient race were both correlates of weight loss at 6 months and 12 months. Future research should explore additional family factors as correlates of patient outcomes following bariatric surgery.
Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33932189</pmid><doi>10.1007/s11695-021-05448-0</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8800-4326</orcidid></addata></record> |
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issn | 0960-8923 1708-0428 |
language | eng |
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source | MEDLINE; SpringerNature Journals |
subjects | Adult Bariatric Surgery Clinical outcomes Cross-Sectional Studies Gastrointestinal surgery Humans Medicine Medicine & Public Health Obesity, Morbid - surgery Original Contributions Patients Postoperative Complications Postoperative Period Retrospective Studies Surgery Treatment Outcome Weight Loss |
title | Impaired Family Functioning Affects 6-Month and 12-Month Postoperative Weight Loss |
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