Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, 04-141 Warsaw, Poland.
2nd Department of Obstetrics and Gynecology, Medical University of Warsaw, 00-315 Warsaw, Poland.
Medicina (Kaunas). 2021 Jul 26;57(8):756. doi: 10.3390/medicina57080756.
the COVID-19 pandemic and the implemented restrictions have changed the functioning of healthcare systems worldwide. The purpose of the study was to evaluate the impact of the present epidemiological situation on patients' decisions about undergoing weight loss surgery. data were collected from 906 bariatric patients by the means of a national online survey, the majority of whom were women (87.9%). The survey started on 9 April 2020 and was open until 28 April 2020. The questionnaire included multiple choice and open questions, divided into three chapters: general information about the patient, life during the COVID-19 pandemic, and bariatric care during the COVID-19 pandemic. despite the pandemic and the associated risk of COVID-19 infection, 443 responders (48.9%) would have decided to undergo bariatric surgery. Awareness of the negative impact of obesity on the course of COVID-19 illness had only marginable impact on patients' decision-making (76.6% vs. 75.3%; < 0.80). Contact with COVID-19 prior to the survey had a negative impact on the willingness to undergo bariatric surgery (3.0% vs. 4.4%; < 0.55). There was a positive correlation between the BMI and preference for bariatric surgery in the time of the pandemic (37.4 ± 9.0 vs. 34.9 ± 8.7; < 0.001). the level of awareness about the advantages of operative treatment of obesity is high among bariatric patients. The majority of patients awaiting bariatric surgery at the moment of the survey were positive about undergoing bariatric surgery despite the increased risk of a serious course of COVID-19 infection. Therefore, a large proportion of patients was determined to have bariatric treatment even during the pandemic, being aware of the increased risk of worse pace of COVID-19 disease in case of obesity and related diseases.
新冠疫情和实施的限制改变了全球医疗保健系统的运作方式。本研究的目的是评估当前流行病学情况对患者接受减肥手术决定的影响。通过全国在线调查收集了 906 名肥胖症患者的数据，其中大多数为女性（87.9%）。调查于 2020 年 4 月 9 日开始，至 2020 年 4 月 28 日结束。问卷包括多项选择和开放式问题，分为三个章节：患者的一般信息、新冠疫情期间的生活和新冠疫情期间的减肥手术护理。尽管存在疫情和感染新冠病毒的相关风险，但 443 名应答者（48.9%）仍决定接受减肥手术。意识到肥胖对新冠疾病病程的负面影响仅对患者的决策产生了微小影响（76.6%比 75.3%；<0.80）。在调查前接触过新冠病毒对接受减肥手术的意愿产生了负面影响（3.0%比 4.4%；<0.55）。在疫情期间，BMI 与对减肥手术的偏好呈正相关（37.4±9.0 比 34.9±8.7；<0.001）。肥胖症患者对手术治疗肥胖症的优势有很高的认识水平。在调查时等待减肥手术的大多数患者对接受减肥手术持积极态度，尽管新冠病毒感染严重病程的风险增加。因此，即使在疫情期间，很大一部分患者仍决定接受减肥治疗，意识到肥胖和相关疾病会增加新冠疾病恶化的风险。
