Improving access to bariatric surgery: early surgical and patient-focused outcomes of a rural obesity clinic

详细信息    查看全文

• 作者：Angela W. Chan ; M.D.^a ; Julie Hopkins ; R.N.^b ; Isabelle Gagnon ; M.D.^c ; Daniel W. Birch ; M.D.^d ; ^{dbirch@ualberta.ca" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Obesity ; Rural health care ; Survey
• 刊名：The American Journal of Surgery
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：211
• 期：5
• 页码：938-942.e2
• 全文大小：246 K

文摘

Bariatric surgery is typically offered in larger health care centers, forcing patients to travel long distances to access care. An adult obesity program was established in Whitehorse, Yukon based on the multidisciplinary adult bariatric clinic in Edmonton, to alleviate long-distance care difficulties. This study analyzes patient/health care staff satisfaction and surgical outcomes for this program.

Methods

A survey was administered to patients and health care staff at Edmonton and Whitehorse. Patient charts were reviewed. A multivariate linear regression predicted the main effect of travel distance and other clinical covariates on follow-up compliance.

Results

Postoperative body mass index, complications, and satisfaction scores were similar. Whitehorse patients had higher rates of follow-up (85.6% vs 71.1%, P = .002).

Conclusions

The Whitehorse Bariatric Program provides perioperative obesity care comparable to a larger center. Patient follow-up and satisfaction suggest a highly successful program. This may serve as a model for improving access to obesity services across Canada.