Travel distance reduces follow-up compliance but has no effect on long-term weight loss success in bariatric patients
Travel distance reduces follow-up compliance but has no effect on long-term weight loss success in bariatric patients
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DOI：
10.1007/s00464-020-07535-2
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发表时间：
2020-04-15
影响因子：
3.1
通讯作者：
Butler, Annabelle
中科院分区：
文献类型：
--
作者：
Monfared, Sara;Martin, Anna;Butler, Annabelle
背景寻求减肥手术的患者需要长途跋涉才能到达减肥中心。这项研究的目的是评估旅行距离对减肥手术后坚持随访和结果的影响。方法对2013年6月至2014年5月连续接受减肥手术的患者进行回顾性分析，将患者分为两组：步行距离<50英里者和步行距离>50英里者。评估的主要结果是距离对术后4年内随访磨损的影响。评估的次要结果是超标体重减轻、住院时间(LOS)、并发症和再住院率。结果228例患者接受了减肥手术，术后获得4年随访。在这些患者中，145名患者的行程不超过50英里，83名患者的行程超过50英里。两组患者的人口学特征相似。那些旅行次数越多的人，从统计学上讲，在3年的随访中，他们发生磨损的可能性更高。在两个队列之间的每一次随访中，超重减轻的百分比没有差异。此外，再住院率(2%比5%)、轻微并发症(14%比10%)、主要并发症(3%比2%)和LOS(2.6天比2.6天)没有差异。结论患者接受减肥手术的距离不会影响其减肥成功率、住院时间、术后并发症或再住院率。尽管缺乏对术后结果的影响，但随访依从性受到距离的统计影响。
Background Patients seeking bariatric surgery are traveling longer distances to reach Bariatric Centers. The purpose of this study was to evaluate the impact of travel distance on adherence to follow-up and outcomes after bariatric surgery. Methods A retrospective review of all consecutive patients who had undergone bariatric surgery from June 2013 to May 2014 was performed, and the patients were divided into two groups: those who traveled 50 miles or less and those who traveled more than 50 miles. Primary outcome assessed was the influence of distance on post-operative follow-up attrition over 4-year period. Secondary outcomes assessed were excess weight loss, length of stay (LOS), complications and readmission rates. Results A total of 228 patients underwent bariatric surgery with 4 years of follow-up available. Of these, 145 patients traveled 50 miles or less and 83 patients traveled greater than 50 miles. Patient demographics were similar between the two groups. Those who traveled more had statistically higher probability of attrition up to 3-year follow-up mark. There was no difference in percent excess weight loss at each follow-up visit between the two cohorts. Furthermore, there was no difference in readmission rates (2% vs 5%), minor complications (14% vs 10%), major complications (3% vs 2%) and LOS (2.6 days vs 2.6). Conclusion The distance patients traveled for bariatric surgery did not affect their weight loss success, length of stay, postsurgical complications or readmission rate. Despite the lack of influence on postoperative outcomes, follow-up compliance was statistically affected by distance.