The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Insurance-mandated preoperative diet and outcomes after bariatric surgery
Abstract
Background Despite a lack of demonstrated patient benefit, many insurance providers mandate a physician-supervised diet before financial coverage for bariatric surgery. Objectives To compare weight loss between patients with versus without insurance mandating a preoperative diet. Setting University hospital, United States. Methods Retrospective study of all patients who underwent laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy over a 5-year period, stratified based on whether an insurance-mandated physician-supervised diet was required. Weight loss outcomes at 6, 12, and 24 months postoperation were compared. Linear mixed-models and backward-stepwise selection were used. P Results Of 284 patients, 225 (79%) were required and 59 (21%) were not required to complete a preoperative diet by their insurance provider. Patients without the requirement had a shorter time to operation from initial consultation (P = .04), were older (P Conclusions Insurance-mandated preoperative diets delay treatment and may lead to inferior weight loss.
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“For example, many public and private health insurers either do not provide coverage or have substantive limitations in the coverage of metabolic surgery, including fulfilment of a number of criteria for which there is limited or no clinical evidence46,47.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [47]
Citations
Cites
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Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes
Schauer, P. R., Bhatt, D. L., Kirwan, J. P., Wolski, K., Aminian, A., Brethauer, S. A., Navaneethan, S. D., Singh, R. P., Pothier, C. E., Nissen, S. E., et al. (2017) · New England Journal of Medicine · doi:10.1056/nejmoa1600869 · Cited by 2,934
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Effect of laparoscopic Roux-en Y gastric bypass on type 2 diabetes mellitus
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Alami, R. S., Morton, J. M., Schuster, R., Lie, J., Sanchez, B. R., Peters, A. L., & Curet, M. J. (2007) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2006.11.006 · Cited by 266
ASMBS updated position statement on insurance mandated preoperative weight loss requirements
Kim, J. J., Rogers, A. M., Ballem, N., & Schirmer, B. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.04.019 · Cited by 133
Jamal, M. K., DeMaria, E. J., Johnson, J. M., Carmody, B. J., Wolfe, L. G., Kellum, J. M., & Meador, J. G. (2006) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2006.01.009 · Cited by 100
Hayes, M. T., Hunt, L., Foo, J., Tychinskaya, Y., & Stubbs, R. S. (2011) · Obesity Surgery · doi:10.1007/s11695-011-0370-9 · Cited by 99
Bariatric surgery insurance requirements independently predict surgery dropout
Love, K. M., Mehaffey, J. H., Safavian, D., Schirmer, B. D., Malin, S. K., Hallowell, P. T., & Kirby, J. L. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.01.022 · Cited by 69
Insurance-mandated medical weight management before bariatric surgery
Horwitz, D., Saunders, J. K., Ude-Welcome, A., & Parikh, M. (2015) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2015.09.004 · Cited by 54
Jurowich, C. F., Thalheimer, A., Hartmann, D., Bender, G., Seyfried, F., Germer, C., & Wichelmann, C. (2012) · Obesity Surgery · doi:10.1007/s11695-012-0676-2 · Cited by 38
Insurance-mandated medical programs before bariatric surgery: do good things come to those who wait?
Kuwada, T. S., Richardson, S., Chaar, M. E., Norton, H. J., Cleek, J. B., Tomcho, J., & Stefanidis, D. (2010) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2010.08.017 · Cited by 37
Harakeh, A. B. A., Burkhamer, K. J., Kallies, K. J., Mathiason, M. A., & Kothari, S. N. (2010) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2010.08.012 · Cited by 36
How big of a problem is obesity?
Finkelstein, E. A. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2014.02.028 · Cited by 30
Outcomes associated with preoperative weight loss after laparoscopic Roux-en-Y gastric bypass
Blackledge, C. D., Graham, L. A., Gullick, A. A., Richman, J., Stahl, R. D., & Grams, J. M. (2016) · Surgical Endoscopy · doi:10.1007/s00464-016-4856-3 · Cited by 20
Self-citation
Cited by
Joint international consensus statement for ending stigma of obesity
Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., et al. (2020) · Nature Medicine · doi:10.1038/s41591-020-0803-x · Cited by 1,152
“For example, many public and private health insurers either do not provide coverage or have substantive limitations in the coverage of metabolic surgery, including fulfilment of a number of criteria for which there is limited or no clinical evidence 46, 47 .”
BackgroundMechanick, J. I., Apovian, C., Brethauer, S., Garvey, W. T., Joffe, A. M., Kim, J., Kushner, R. F., Lindquist, R., Pessah-Pollack, R., Seger, J., et al. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2019.10.025 · Cited by 608
Self-citationMechanick, J. I., Apovian, C., Brethauer, S., Garvey, W. T., Joffe, A. M., Kim, J., Kushner, R. F., Lindquist, R., Pessah-Pollack, R., Seger, J., et al. (2019) · Endocrine Practice · doi:10.4158/gl-2019-0406 · Cited by 510
Self-citationInsurance Coverage Criteria for Bariatric Surgery: A Survey of Policies
Gebran, S. G., Knighton, B., Ngaage, L. M., Rose, J. A., Grant, M. P., Liang, F., Nam, A. J., Kavic, S. M., Kligman, M. D., & Rasko, Y. M. (2020) · Obesity Surgery · doi:10.1007/s11695-019-04243-2 · Cited by 56
Metadata
- Authors
- Keith, C. J., Goss, L. E., Blackledge, C. D., Stahl, R. D., & Grams, J.
- Affiliations
- University of Alabama at Birmingham (US)
- Corresponding author
- Grams, Jayleen
- Venue
- Surgery for Obesity and Related Diseases
- Publisher
- Elsevier BV
- Published
- 2018-05
- Volume
- 14
- Issue
- 5
- Pages
- 631-636
- ISSN
- 1550-7289 (ISSN-L)
- OpenAlex
- W2787766824
- Cited by
- 28
- References
- 17
- Citations by year
- 2026: 3 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 11 · 2019: 6 · 2018: 3
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- Locations
- Surgery for Obesity and Related Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- MeSH terms
- Adult, Age Factors, Diet, Reducing, Female, Gastrectomy, Humans, Insurance, Health, Male, Middle Aged, Patient Compliance, Preoperative Care, Retrospective Studies, Gastric Bypass, Weight Loss, Treatment Outcome, Insurance Coverage, Bariatric Surgery, Time-to-Treatment
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
