Central Michigan University, 1200 S Franklin St, Mt Pleasant, MI 48859, United States.
Obes Res Clin Pract. 2020 Jul-Aug;14(4):310-320. doi: 10.1016/j.orcp.2020.07.001. Epub 2020 Jul 13.
Bariatric surgery is a procedure intended to control morbid obesity but it is minimally utilized in the United States. Therefore, the aim of this systematic review was to identify common barriers to proceeding and completing bariatric surgery.
Pubmed, Medline, CINAHL, and Google Scholar were used to identify articles published between the years 2010-2020, written in English, and included adults with a BMI ≥ 35 with a desire to undergo bariatric surgery.
From the 10 included studies, 7 of which were conducted in the United States, the following were the most cited barriers to undergoing surgery: insurance, socioeconomic status, language spoken and ethnicity, sex, and risk of surgery. Three of the studies also noted that the reason specific ethnic groups were less likely to undergo surgery was secondary to their economic status or insurance type.
Undergoing bariatric surgery is highly dependent on an individual's demographics. Future research on this topic may help medical practitioners learn how to minimize or remove these barriers to make bariatric surgery more feasible for all populations.
减重手术是一种旨在控制病态肥胖的手术，但在美国的应用却很少。因此，本系统评价的目的是确定进行和完成减重手术的常见障碍。
使用 Pubmed、Medline、CINAHL 和 Google Scholar 检索了 2010 年至 2020 年期间发表的、以英文撰写的、包含有意愿接受减重手术的 BMI≥35 的成年人的文章。
从纳入的 10 项研究中，其中 7 项在美国进行，手术障碍的主要原因包括保险、社会经济地位、语言和种族、性别和手术风险。其中 3 项研究还指出，特定种族群体不太可能接受手术的原因是其经济状况或保险类型。
接受减重手术高度依赖于个人的人口统计学特征。关于这一主题的未来研究可能有助于医疗从业者了解如何最小化或消除这些障碍，使减重手术对所有人群更可行。
