Exploring patient perspectives on shared decision making about bariatric surgery in two healthcare systems.

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM

Obesity Science & Practice Pub Date : 2024-11-26 eCollection Date: 2024-12-01 DOI:10.1002/osp4.779

Kathleen McTigue, Anita Courcoulas, Robert Wellman, Ali Tavakkoli, Joanna Eavey, Emily Klawson, Jane Anau, Robin Garcia, Diana Stilwell, Bestoun Ahmed, Gary S Fischer, John Maier, Kathleen Paul, Matt Handley, Shireesh Saurabh, Christopher Daigle, Glyn Elwyn, David Arterburn

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引用次数: 0

Abstract

Objective: To assess patient perspectives on the level of shared decision making (SDM) experienced related to bariatric surgery.

Background: Severe obesity is common and has serious health implications. Yet, few eligible patients pursue bariatric surgery. Shared decision making could be a useful approach for considering treatment options.

Methods: Patients were surveyed at Kaiser Permanente and UPMC clinics providing bariatric surgical services. Cross-sectional samples represent three time points: (a) Cohort 1 (C1): following referral; (b) Cohort 2 (C2): after initial bariatric practice appointment; (c) Cohort 3 (C3): following pre-operative visit. Patients completed the electronic survey instruments: CollaboRATE, SDM-Q-9, and National Quality Forum (NQF) SDM process measures.

Results: The sample included 167 participants, half from each site. Cohort distribution was 35% C1, 33% C2, and 32% C3. Mean age was 43.8 years (SD 13.5), BMI was 48 kg/m² (SD 8.63), 81% were female and 73% were white. Overall, 62% reported CollaboRATE top scores, with a dose-response (C1: 54%, C2: 60%, C3: 72%). Mean (SD) SDM-Q-9 score (possible range: 0-100) was: 79.6 (22.5); with C1: 66.9 (26.5), C2: 83.4 (18.0), and C3: 88.4 (15.9). The average NQF score (possible range: 0-4) was 3.11 (1.14), with C1: 2.71 (1.27), C2: 3.31 (1.09), and C3: 3.28 (0.97).

Conclusions: Patients seeking bariatric care reported moderate or high levels of SDM. In general, SDM metrics were highest just before surgery.

查看原文本刊更多论文

在两个医疗系统中探讨患者对减肥手术共同决策的看法。

摘要评估患者对与减肥手术相关的共同决策（SDM）水平的看法：背景：严重肥胖是一种常见病，对健康有严重影响。背景：严重肥胖是一种常见病，对健康有严重影响，但很少有符合条件的患者接受减肥手术。共同决策可能是考虑治疗方案的有效方法：在提供减肥手术服务的 Kaiser Permanente 和 UPMC 诊所对患者进行了调查。横断面样本代表三个时间点：(a) Cohort 1 (C1)：转诊后；(b) Cohort 2 (C2)：首次减肥诊疗预约后；(c) Cohort 3 (C3)：术前就诊后。患者填写电子调查问卷：结果：样本包括 167 名参与者，每个地点各占一半。群组分布为 C1 35%、C2 33%、C3 32%。平均年龄为 43.8 岁（SD 13.5），体重指数为 48 kg/m2（SD 8.63），81% 为女性，73% 为白人。总体而言，62%的人报告了 CollaboRATE 最高分，并呈剂量反应（C1：54%；C2：60%；C3：72%）。平均（标清）SDM-Q-9 得分（可能范围：0-100）为：79.6（22.5）；其中 C1：66.9（26.5），C2：83.4（18.0），C3：88.4（15.9）。平均 NQF 分数（可能范围：0-4）为 3.11 (1.14)，其中 C1：2.71 (1.27)，C2：3.31 (1.09)，C3：3.28 (0.97)：寻求减肥护理的患者报告了中等或较高水平的 SDM。一般来说，手术前的 SDM 指标最高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Science & Practice ENDOCRINOLOGY & METABOLISM-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

29 weeks