Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, 1787 Neil Ave., Columbus, OH, 43210, USA.
Department of General Surgery, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
Obes Surg. 2023 Sep;33(9):2762-2769. doi: 10.1007/s11695-023-06738-5. Epub 2023 Jul 19.
There is limited research about the prevalence of patients initiating metabolic and bariatric surgery (MBS) who also know someone who had MBS, referred to as having a social history of MBS. Evidence about the specific relationship of these individuals to the patient, how having a social history of MBS is associated with patients' choice of surgical procedure, and how having a social history of MBS is associated with patients' postoperative outcomes can be used to inform future preoperative assessments. The objective was to (a) define the number of people patients knew who had MBS and relationship to patient, (b) assess congruence between those who had MBS with patients' procedure selection, and (c) explore associations between social history of MBS and postoperative outcomes.
The sample included 123 patients who had MBS in 2021 (83.7% female; 44.7% Sleeve Gastrectomy, 55.3% Gastric Bypass). For up to 5 people, patients provided their relationship and surgical procedure, and completed the Family Assessment Device (FAD). Bivariate analyses assessed congruence in type of procedure, and social history of MBS with complications, readmissions, and %TWL. Three mixed multilevel models were conducted with (1) close friend, (2) coworker, and (3) close family history of MBS including the FAD on change in %TWL over 12 months with surgical procedure as a covariate.
Ninety-one percent of patients knew someone who had MBS, average 2.66±1.45. Patients reported a close friend (56.1%), close family member (43.9%), and coworker (19.5%) who had MBS. Patients with a close family member who had MBS and reported healthy vs impaired family functioning had greater %TWL over 12 months (p=0.016). Patients with a close friend who had MBS had less %TWL (p=0.015), and patients with a coworker who had MBS had greater %TWL (p=0.012), which did not change over time.
Patients with coworkers or close family members with healthy family functioning with a history of MBS had more weight loss, whereas those with close friends with a history of MBS had less weight loss.
关于开始代谢和减肥手术（MBS）的患者中，有多少人了解过有过 MBS 的人，我们称之为有 MBS 的社会病史。这些个体与患者的具体关系、有 MBS 的社会病史如何与患者手术程序的选择相关，以及有 MBS 的社会病史如何与患者术后结果相关的证据，可以用来为未来的术前评估提供信息。目的是：（a）确定患者认识的有 MBS 的人数及其与患者的关系，（b）评估有 MBS 的人与患者手术选择的一致性，（c）探讨 MBS 的社会病史与术后结果之间的关系。
该样本包括 2021 年进行 MBS 的 123 名患者（83.7%为女性；44.7%行袖状胃切除术，55.3%行胃旁路术）。对于多达 5 人，患者提供了他们的关系和手术程序，并完成了家庭评估工具（FAD）。采用双变量分析评估手术类型和 MBS 社会史与并发症、再入院率和 %TWL 的一致性。进行了三项混合多层模型，包括（1）密友，（2）同事，和（3）有 MBS 的近亲史，其中包括 FAD，以手术程序作为协变量，分析 12 个月内 %TWL 的变化。
91%的患者认识有 MBS 的人，平均 2.66±1.45。患者报告有密友（56.1%）、近亲（43.9%）和同事（19.5%）有 MBS。有近亲有 MBS 且报告家庭功能健康的患者，12 个月内的 %TWL 更高（p=0.016）。有密友有 MBS 的患者 %TWL 更低（p=0.015），有同事有 MBS 的患者 %TWL 更高（p=0.012），但随时间变化没有改变。
有同事或近亲有健康家庭功能且有 MBS 病史的患者体重减轻更多，而有密友有 MBS 病史的患者体重减轻较少。
