The Role of Pre-surgery Clinical Communication on Metabolic and Bariatric Surgery Outcomes: A Prospective Study.

IF 2.9 3区医学 Q1 SURGERY

Obesity Surgery Pub Date : 2025-04-01 Epub Date: 2025-03-13 DOI:10.1007/s11695-025-07772-1

Ana João Ferreira, Irene P Carvalho

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引用次数: 0

Abstract

Background: Research shows that a positive doctor-patient relationship plays an important role in patient outcomes. However, the influence of their communication during the pre-surgery preparatory consultation (PC) for metabolic and bariatric surgery (MBS) remains unclear. The goal of this study was to inspect the association between patients' perceptions of doctor-patient communication (DPC) in the PC for MBS and the results of the MBS.

Methods: This prospective cross-sectional study included 89 adult patients undergoing MBS at a hospital. Before the surgery, patients' perspectives regarding DPC were assessed with the Communication Assessment Tool (CAT). One month after the surgery, participants' levels of well-being were assessed through the 36-Item Short Form Survey (SF-36). Other clinical data were obtained through patients' electronic records. Data were analyzed with regression models.

Results: In the adjusted models, associations with the quality of doctor-patient communication (p < 0.05) were found for the following outcomes: weight loss, body mass index decrease, and patient well-being regarding bodily pain and social functioning. Significant differences (p < 0.05) were also found for digestive complaints and for patient perception of physician post-surgery support.

Conclusions: DPC in the preparatory consultation has a positive effect on the clinical results of MBS. More studies are necessary for inspection of the generalizability of these findings.

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术前临床交流对代谢和减肥手术结果的作用：一项前瞻性研究。

背景：研究表明，积极的医患关系在患者预后中起着重要作用。然而，在代谢和减肥手术（MBS）的术前准备会诊（PC）中，他们的沟通的影响尚不清楚。本研究的目的是考察患者对MBS中医患沟通（DPC）的感知与MBS结果之间的关系。方法：这项前瞻性横断面研究包括89名在医院接受MBS治疗的成年患者。术前，使用沟通评估工具（Communication Assessment Tool， CAT）评估患者对DPC的看法。手术后一个月，参与者的健康水平通过36项简短表格调查（SF-36）进行评估。其他临床资料通过患者电子病历获取。采用回归模型对数据进行分析。结果：在调整后的模型中，医患沟通质量的相关性(p)。结论：会诊前的DPC对MBS的临床结果有积极影响。需要更多的研究来检验这些发现的普遍性。

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 Surgery 医学-外科

CiteScore

5.80

自引率

24.10%

发文量

567

审稿时长

3-6 weeks

期刊介绍： Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions. Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.