Department of Surgery, Division of Bariatric and Minimally Invasive Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 122, Indianapolis, IN, 46202, USA.
Indiana University and Purdue University School of Sciences, Indianapolis, IN, USA.
Obes Surg. 2019 Mar;29(3):878-881. doi: 10.1007/s11695-018-3590-4.
Comprehensive preparative patient education is a key element in bariatric patient success. The primary objective of this study was to compare attrition rates, demographics, and surgery outcomes between patients who participated in the online vs in-house preparative seminars.
A retrospective chart review was performed involving patients who chose to participate in online vs in-house educational seminar between July of 2014 and December of 2016. The patients were divided into two groups based on their choice of educational seminar and tracked to see how many made it to an initial visit and to surgery. In those who had bariatric surgery, data was collected on age, type of insurance, length of stay (LOS), longest follow-up, and change in body mass index.
Total of 1230 patients were included in this study. There was no difference in attrition rate to initial consultation visit (29.1% vs 29.9%), but there was a statistically higher attrition to surgery in the in-house seminar attendees (72.9%) compared to online participants (66.6%, p < 0.05). Between January 2015 and December 2016, 291 patients underwent primary bariatric surgery. The online group was on average 3 years younger which was statistically significant. There were no differences in LOS, longest follow-up, and weight loss at 12 months between the groups.
When comparing attrition rates and bariatric surgery outcomes, no overall difference was noted between patients who received web- or hospital-based preparative education. Bariatric programs should provide access to online seminars to attract younger population and save resources and cost.
全面的预备性患者教育是肥胖症患者成功的关键要素。本研究的主要目的是比较参加在线与院内预备研讨会的患者的脱落率、人口统计学特征和手术结果。
对 2014 年 7 月至 2016 年 12 月期间选择参加在线与院内教育研讨会的患者进行回顾性图表审查。根据其选择的教育研讨会，将患者分为两组，并进行追踪，以了解有多少人进行了初始就诊和手术。在接受减重手术的患者中，收集了年龄、保险类型、住院时间（LOS）、最长随访时间和体重指数变化的数据。
本研究共纳入 1230 例患者。两组患者初始咨询就诊的脱落率无差异（29.1% vs 29.9%），但院内研讨会参与者的手术脱落率明显高于在线参与者（72.9% vs 66.6%，p<0.05）。2015 年 1 月至 2016 年 12 月，291 例患者接受了原发性减重手术。在线组平均年龄小 3 岁，具有统计学意义。两组的 LOS、最长随访时间和 12 个月时的体重减轻无差异。
在比较脱落率和减重手术结果时，接受网络或医院基础预备教育的患者之间没有总体差异。减重计划应提供在线研讨会的访问权限，以吸引年轻人群并节省资源和成本。
