Perception and Practice of Bariatric Surgery and Reproductive Health in Women: a Cross-sectional Study of Chinese Bariatric Surgeons
Background and Purpose Western studies have explored bariatric surgeons concerning their views on bariatric surgery (BS) and reproductive health, but Asian data were lacking. The aim of this study was to explore the perception and practice of bariatric surgeons on the reproductive health of female p...
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| Veröffentlicht in: | Obesity surgery 2023-05, Vol.33 (5), p.1545-1552 |
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| creator | Yang, Jun-Cheng Chen, Gang Leng, Cuo Du, Xiao |
| description | Background and Purpose
Western studies have explored bariatric surgeons concerning their views on bariatric surgery (BS) and reproductive health, but Asian data were lacking. The aim of this study was to explore the perception and practice of bariatric surgeons on the reproductive health of female patients who underwent BS in China to better guide clinical practice and improve clinical outcomes.
Method
An online questionnaire of 31 questions developed by bariatric surgeons was collected by sending to one online communication group (WeChat group) whose members are Chinese bariatric surgeons.
Result
A total of 87 bariatric surgeons from mainland China were surveyed. Almost all (97.7%, 85/87) surgeons considered the reproductive health conversation for women who underwent BS to be important or very important. Only 1/4 of surgeons routinely discuss reproductive health–related issues with patients, and only 56% of doctors always ask patients for postoperative contraception. Less than 20% of bariatric surgeons have full knowledge of postoperative contraception, and nearly 40% of them believe that gynecologists should be responsible for providing contraception. More than 35% of bariatric surgeons have never been involved in the co-management of pregnancy in patients with a history of BS.
Conclusion
Although most bariatric surgeons are aware of the importance of female reproductive health, there is a large gap in the perception and clinical practice of bariatric surgeons in terms of reproductive health. It is necessary to further strengthen the education of bariatric surgeons and enhance multidisciplinary cooperation with gynecology, obstetrics, and other disciplines to bring better clinical outcomes.
Graphical Abstract |
| doi_str_mv | 10.1007/s11695-023-06514-5 |
| format | Article |
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Western studies have explored bariatric surgeons concerning their views on bariatric surgery (BS) and reproductive health, but Asian data were lacking. The aim of this study was to explore the perception and practice of bariatric surgeons on the reproductive health of female patients who underwent BS in China to better guide clinical practice and improve clinical outcomes.
Method
An online questionnaire of 31 questions developed by bariatric surgeons was collected by sending to one online communication group (WeChat group) whose members are Chinese bariatric surgeons.
Result
A total of 87 bariatric surgeons from mainland China were surveyed. Almost all (97.7%, 85/87) surgeons considered the reproductive health conversation for women who underwent BS to be important or very important. Only 1/4 of surgeons routinely discuss reproductive health–related issues with patients, and only 56% of doctors always ask patients for postoperative contraception. Less than 20% of bariatric surgeons have full knowledge of postoperative contraception, and nearly 40% of them believe that gynecologists should be responsible for providing contraception. More than 35% of bariatric surgeons have never been involved in the co-management of pregnancy in patients with a history of BS.
Conclusion
Although most bariatric surgeons are aware of the importance of female reproductive health, there is a large gap in the perception and clinical practice of bariatric surgeons in terms of reproductive health. It is necessary to further strengthen the education of bariatric surgeons and enhance multidisciplinary cooperation with gynecology, obstetrics, and other disciplines to bring better clinical outcomes.
Graphical Abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-023-06514-5</identifier><identifier>PMID: 36869972</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bariatric Surgery - education ; Birth control ; Clinical outcomes ; Cross-Sectional Studies ; East Asian People ; Female ; Gastrointestinal surgery ; Humans ; Medicine ; Medicine & Public Health ; Obesity, Morbid - surgery ; Original Contributions ; Perception ; Pregnancy ; Reproductive health ; Reproductive Health - education ; Surgeons ; Surgery</subject><ispartof>Obesity surgery, 2023-05, Vol.33 (5), p.1545-1552</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) 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>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-98b15c79486be1ef4114a37ca26f3a5d160cea4848162f106e3e2e15f67fa323</citedby><cites>FETCH-LOGICAL-c375t-98b15c79486be1ef4114a37ca26f3a5d160cea4848162f106e3e2e15f67fa323</cites><orcidid>0000-0001-8129-0596</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/s11695-023-06514-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-023-06514-5$$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/36869972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Jun-Cheng</creatorcontrib><creatorcontrib>Chen, Gang</creatorcontrib><creatorcontrib>Leng, Cuo</creatorcontrib><creatorcontrib>Du, Xiao</creatorcontrib><title>Perception and Practice of Bariatric Surgery and Reproductive Health in Women: a Cross-sectional Study of Chinese Bariatric Surgeons</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background and Purpose
Western studies have explored bariatric surgeons concerning their views on bariatric surgery (BS) and reproductive health, but Asian data were lacking. The aim of this study was to explore the perception and practice of bariatric surgeons on the reproductive health of female patients who underwent BS in China to better guide clinical practice and improve clinical outcomes.
Method
An online questionnaire of 31 questions developed by bariatric surgeons was collected by sending to one online communication group (WeChat group) whose members are Chinese bariatric surgeons.
Result
A total of 87 bariatric surgeons from mainland China were surveyed. Almost all (97.7%, 85/87) surgeons considered the reproductive health conversation for women who underwent BS to be important or very important. Only 1/4 of surgeons routinely discuss reproductive health–related issues with patients, and only 56% of doctors always ask patients for postoperative contraception. Less than 20% of bariatric surgeons have full knowledge of postoperative contraception, and nearly 40% of them believe that gynecologists should be responsible for providing contraception. More than 35% of bariatric surgeons have never been involved in the co-management of pregnancy in patients with a history of BS.
Conclusion
Although most bariatric surgeons are aware of the importance of female reproductive health, there is a large gap in the perception and clinical practice of bariatric surgeons in terms of reproductive health. It is necessary to further strengthen the education of bariatric surgeons and enhance multidisciplinary cooperation with gynecology, obstetrics, and other disciplines to bring better clinical outcomes.
Graphical Abstract</description><subject>Bariatric Surgery - education</subject><subject>Birth control</subject><subject>Clinical outcomes</subject><subject>Cross-Sectional Studies</subject><subject>East Asian People</subject><subject>Female</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>Perception</subject><subject>Pregnancy</subject><subject>Reproductive health</subject><subject>Reproductive Health - education</subject><subject>Surgeons</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1r3DAQhkVJaDZp_0APRZBLLmpGkvXVW7PkoxBoaAI9Cq08bhy89layA3vvD4-cTVvIoac56JlnePUS8oHDJw5gTjPn2ikGQjLQildMvSELbsAyqITdIwtwGph1Qh6Qw5wfAATXQrwlB1Jb7ZwRC_L7BlPEzdgOPQ19TW9SiGMbkQ4NPQupDWNqI72d0k9M22fiO27SUE-FekR6haEb72nb0x_DGvvPNNBlGnJmGePsDB29Had6O-uW922PGV9rhz6_I_tN6DK-f5lH5O7i_G55xa6_XX5dfrlmURo1MmdXXEXjKqtXyLGpOK-CNDEI3cigaq4hYqhsZUvMhoNGiQK5arRpghTyiJzstCXArwnz6Ndtjth1ocdhyl4YKysHTrmCHr9CH4YplTiFsmCNchZUocSOinPmhI3fpHYd0tZz8HNFfleRLxX554r8vPTxRT2t1lj_XfnTSQHkDsjlqS___u_2f7RPzMacgw</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Yang, Jun-Cheng</creator><creator>Chen, Gang</creator><creator>Leng, Cuo</creator><creator>Du, Xiao</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/0000-0001-8129-0596</orcidid></search><sort><creationdate>20230501</creationdate><title>Perception and Practice of Bariatric Surgery and Reproductive Health in Women: a Cross-sectional Study of Chinese Bariatric Surgeons</title><author>Yang, Jun-Cheng ; Chen, Gang ; Leng, Cuo ; Du, Xiao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-98b15c79486be1ef4114a37ca26f3a5d160cea4848162f106e3e2e15f67fa323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bariatric Surgery - education</topic><topic>Birth control</topic><topic>Clinical outcomes</topic><topic>Cross-Sectional Studies</topic><topic>East Asian People</topic><topic>Female</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>Perception</topic><topic>Pregnancy</topic><topic>Reproductive health</topic><topic>Reproductive Health - education</topic><topic>Surgeons</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Jun-Cheng</creatorcontrib><creatorcontrib>Chen, Gang</creatorcontrib><creatorcontrib>Leng, Cuo</creatorcontrib><creatorcontrib>Du, Xiao</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>Yang, Jun-Cheng</au><au>Chen, Gang</au><au>Leng, Cuo</au><au>Du, Xiao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perception and Practice of Bariatric Surgery and Reproductive Health in Women: a Cross-sectional Study of Chinese Bariatric Surgeons</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>33</volume><issue>5</issue><spage>1545</spage><epage>1552</epage><pages>1545-1552</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background and Purpose
Western studies have explored bariatric surgeons concerning their views on bariatric surgery (BS) and reproductive health, but Asian data were lacking. The aim of this study was to explore the perception and practice of bariatric surgeons on the reproductive health of female patients who underwent BS in China to better guide clinical practice and improve clinical outcomes.
Method
An online questionnaire of 31 questions developed by bariatric surgeons was collected by sending to one online communication group (WeChat group) whose members are Chinese bariatric surgeons.
Result
A total of 87 bariatric surgeons from mainland China were surveyed. Almost all (97.7%, 85/87) surgeons considered the reproductive health conversation for women who underwent BS to be important or very important. Only 1/4 of surgeons routinely discuss reproductive health–related issues with patients, and only 56% of doctors always ask patients for postoperative contraception. Less than 20% of bariatric surgeons have full knowledge of postoperative contraception, and nearly 40% of them believe that gynecologists should be responsible for providing contraception. More than 35% of bariatric surgeons have never been involved in the co-management of pregnancy in patients with a history of BS.
Conclusion
Although most bariatric surgeons are aware of the importance of female reproductive health, there is a large gap in the perception and clinical practice of bariatric surgeons in terms of reproductive health. It is necessary to further strengthen the education of bariatric surgeons and enhance multidisciplinary cooperation with gynecology, obstetrics, and other disciplines to bring better clinical outcomes.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36869972</pmid><doi>10.1007/s11695-023-06514-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8129-0596</orcidid></addata></record> |
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| ispartof | Obesity surgery, 2023-05, Vol.33 (5), p.1545-1552 |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Bariatric Surgery - education Birth control Clinical outcomes Cross-Sectional Studies East Asian People Female Gastrointestinal surgery Humans Medicine Medicine & Public Health Obesity, Morbid - surgery Original Contributions Perception Pregnancy Reproductive health Reproductive Health - education Surgeons Surgery |
| title | Perception and Practice of Bariatric Surgery and Reproductive Health in Women: a Cross-sectional Study of Chinese Bariatric Surgeons |
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