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本文引用的文献

1
Bariatric surgery versus intensive medical therapy in obese patients with diabetes.肥胖伴糖尿病患者的减肥手术与强化内科治疗的比较。
N Engl J Med. 2012 Apr 26;366(17):1567-76. doi: 10.1056/NEJMoa1200225. Epub 2012 Mar 26.
2
Bariatric surgery versus conventional medical therapy for type 2 diabetes.减重手术与常规药物疗法治疗 2 型糖尿病的疗效比较。
N Engl J Med. 2012 Apr 26;366(17):1577-85. doi: 10.1056/NEJMoa1200111. Epub 2012 Mar 26.
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Prevalence and trends in obesity among US adults, 1999-2008.美国成年人肥胖率的流行趋势及变化,1999-2008 年。
JAMA. 2010 Jan 20;303(3):235-41. doi: 10.1001/jama.2009.2014. Epub 2010 Jan 13.
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Metabolic/bariatric surgery Worldwide 2008.全球代谢/减重手术 2008 年报告
Obes Surg. 2009 Dec;19(12):1605-11. doi: 10.1007/s11695-009-0014-5.
5
The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation.减肥手术治疗肥胖症的临床疗效和成本效益:一项系统评价与经济评估
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Obesity as a disease: a white paper on evidence and arguments commissioned by the Council of the Obesity Society.肥胖作为一种疾病:肥胖协会理事会委托撰写的关于证据和论据的白皮书。
Obesity (Silver Spring). 2008 Jun;16(6):1161-77. doi: 10.1038/oby.2008.231. Epub 2008 May 8.
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Effect of a multifactorial intervention on mortality in type 2 diabetes.多因素干预对2型糖尿病患者死亡率的影响。
N Engl J Med. 2008 Feb 7;358(6):580-91. doi: 10.1056/NEJMoa0706245.
8
Why patients seek bariatric surgery: a qualitative and quantitative analysis of patient motivation.患者寻求减肥手术的原因:对患者动机的定性和定量分析
Obes Surg. 2007 Nov;17(11):1487-91. doi: 10.1007/s11695-008-9427-9.
9
Obese African-American women's perspectives on weight loss and bariatric surgery.肥胖非裔美国女性对减肥和减肥手术的看法。
J Gen Intern Med. 2007 Jul;22(7):908-14. doi: 10.1007/s11606-007-0218-0. Epub 2007 Apr 20.
10
Understanding patients' value of weight loss and expectations for bariatric surgery.了解患者对体重减轻的重视程度以及对减肥手术的期望。
Obes Surg. 2006 Apr;16(4):496-500. doi: 10.1381/096089206776327260.

患者寻求减肥手术的原因:保险覆盖范围重要吗?

Why patients seek bariatric surgery: does insurance coverage matter?

作者信息

Brantley Phillip J, Waldo Krystal, Matthews-Ewald Molly R, Brock Ricky, Champagne Catherine M, Church Tim, Harris Melissa N, McKnight Tipton, McKnight Melanie, Myers Valerie H, Ryan Donna H

机构信息

Behavioral Medicine Laboratory, Pennington Biomedical Research Center, Louisiana State University System, 6400 Perkins Road, Baton Rouge, LA, 70808-4124, USA,

出版信息

Obes Surg. 2014 Jun;24(6):961-4. doi: 10.1007/s11695-014-1237-7.

DOI:10.1007/s11695-014-1237-7
PMID:24671622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4111953/
Abstract

Despite increasing prevalence of bariatric surgery, little is known about why patients seek out this treatment option. Heads Up is an observational study sponsored by a large benefits management group that examines surgical and nonsurgical approaches to weight management in obese adults. This study examined patients' reasons for choosing surgery. The sample included 360 adult obese patients seeking bariatric surgery who were invited to volunteer for a surgical or a medical weight loss program by their insurer. Participants rank ordered their top three reasons as a deciding factor for choosing to consider surgery. The top three reasons were concerns regarding health (52%), current obesity-related medical conditions (28%), and improved physical fitness (5%). Overall, 13% endorsed insurance coverage as one of their top three choices. When insurance coverage is assured, health and functionality issues were the major reasons reported for obese adults choosing to undergo bariatric surgery.

摘要

尽管减肥手术的普及率不断上升,但对于患者寻求这种治疗选择的原因却知之甚少。“注意”是一项由大型福利管理集团赞助的观察性研究,该研究考察了肥胖成年人体重管理的手术和非手术方法。这项研究调查了患者选择手术的原因。样本包括360名寻求减肥手术的成年肥胖患者,他们由保险公司邀请自愿参加手术或医学减肥项目。参与者将他们选择考虑手术的三大主要原因按重要性排序。三大主要原因是对健康的担忧(52%)、当前与肥胖相关的医疗状况(28%)以及改善身体健康(5%)。总体而言,13%的人将保险覆盖作为他们的三大选择之一。当保险覆盖得到保证时,健康和功能问题是肥胖成年人选择接受减肥手术的主要原因。