Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland, 0627, New Zealand.
Maurice Wilkins Centre for Molecular Biodiscovery, Auckland, New Zealand.
Syst Rev. 2018 Nov 28;7(1):212. doi: 10.1186/s13643-018-0855-x.
Bariatric surgery results in substantial medical and economic benefits; however, independent studies typically report high patient preoperative attrition rates. Studies have identified individual characteristics and sociodemographic variables of those who complete the surgery compared to those who do not. The aim of the present protocol is to outline a systematic review focussed on identifying the sociodemographic, medical, cultural, psychological, and patient-led factors affecting preoperative attrition in clients who were enrolled in bariatric surgery programmes.
METHODS/DESIGN: The databases Scopus, CINAHL, PsycINFO, Web of Science, and MEDLINE will be searched for retrospective, prospective, and cross-sectional observational studies that have identified any sociodemographic, medical, cultural, psychological, and patient-led factors affecting preoperative attrition in clients who are enrolled in a bariatric surgery programme. English-language articles published between 1997 to 2020, inclusive of adults 18 years or older, will be included in the review. This protocol has been registered in PROSPERO, registration number; CRD42017068557.
Presently, there are studies and reviews investigating population-based utilisation and access to bariatric surgery; however, there is a need to review the reasons behind preoperative bariatric surgery patient attrition once selected for bariatric surgery. The results of the review will highlight potential systematic disparities in patient attrition, where gaps in knowledge remain for further investigation, and suggest areas where countermeasures may be focussed for decreasing attrition rates.
PROSPERO CRD42017068557.
减重手术带来了显著的医疗和经济效益；然而，独立研究通常报告患者术前流失率较高。已有研究确定了完成手术与未完成手术的患者之间的个体特征和社会人口学变量。本研究方案旨在概述一项系统评价，重点识别影响参加减重手术计划的患者术前流失的社会人口学、医学、文化、心理和患者主导因素。
方法/设计：将在 Scopus、CINAHL、PsycINFO、Web of Science 和 MEDLINE 数据库中搜索回顾性、前瞻性和横断面观察性研究，以确定任何影响参加减重手术计划的患者术前流失的社会人口学、医学、文化、心理和患者主导因素。本综述将纳入 1997 年至 2020 年期间发表的英语文章，纳入对象为 18 岁或以上的成年人。本方案已在 PROSPERO 注册，注册号为 CRD42017068557。
目前，有研究和综述调查了基于人群的减重手术利用和获得情况；然而，一旦选择进行减重手术，就需要审查术前减重手术患者流失的原因。该综述的结果将突出患者流失的潜在系统性差异，这些差异仍然存在知识空白需要进一步研究，并提出可能需要集中采取对策以降低流失率的领域。
PROSPERO CRD42017068557。
