Loss to follow-up after laparoscopic gastric bypass surgery – a post hoc analysis of a randomized clinical trial
Abstract
Background Follow-up after bariatric surgery is important if we are to identify long-term complications at an early stage and thereby improve long-term outcome. Despite great efforts, many patients are lost to follow-up. Definition of characteristics of patients failing to attend follow-up could help in defining a specific group for whom extra resources may be applied to improve the situation.Objectives To identify characteristics of patients failing to attend follow-up 2 years after laparoscopic gastric bypass surgery.Setting Multicenter study, Sweden.Methods Post hoc analysis of a randomized clinical trial in which preoperative patient characteristics and postoperative outcome measures were compared between patients who attended or did not attend a 2-year follow-up visit after laparoscopic gastric bypass surgery.Results Of the 2495 patients included, 260 did not attend a 2-year follow-up visit. Factors associated with higher risk for failure to attend were younger age (adjusted odds ratio [OR] .96, 95% confidence interval [CI] .94-.98/yr, P < .001); male sex (adjusted OR 2.34, 95% CI 1.51-3.63, P < .001); depression (adjusted OR 1.61, 95% CI 1.05-2.47, P = .029); history of smoking (adjusted OR 1.78, 95% CI 1.26-2.51, P = .001); being single (adjusted OR 1.47, 95% CI 1.03-2.11, P = .036); and being first-generation immigrant (adjusted OR 1.74, 95% CI 1.05-2.88; P = .032). Elementary occupation (adjusted OR .42, 95% CI .18-.99, P = .047) was associated with lower risk.Conclusion These findings indicate that there are preoperative characteristics that may help in identifying patients likely to fail to attend follow-up visits after laparoscopic gastric bypass surgery. Special effort should be made to inform these patients of the importance of follow-up and to encourage them to attend.
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Pre-operative diagnosis of depression was predictive of missing follow-up appointments in the 24 months after gastric bypass surgery in three separate studies.
“Pre‐operative diagnosis of depression, high levels of depressive symptomology, and a history of pharmacological treatment of depression were predictive of missing follow‐up appointments in the 24 months after gastric bypass surgery in three separate studies. 13 , 18 , 19”
From Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review (2024) · cites this paper as [18]
A history of pharmacological treatment of depression was predictive of missing follow-up appointments in the 24 months after gastric bypass surgery in three separate studies.
“Pre‐operative diagnosis of depression, high levels of depressive symptomology, and a history of pharmacological treatment of depression were predictive of missing follow‐up appointments in the 24 months after gastric bypass surgery in three separate studies. 13 , 18 , 19”
From Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review (2024) · cites this paper as [18]
High levels of pre-operative depressive symptomology were predictive of missing follow-up appointments in the 24 months after gastric bypass surgery in three separate studies.
“Pre‐operative diagnosis of depression, high levels of depressive symptomology, and a history of pharmacological treatment of depression were predictive of missing follow‐up appointments in the 24 months after gastric bypass surgery in three separate studies. 13 , 18 , 19”
From Psychological predictors of adherence to lifestyle changes after bariatric surgery: A systematic review (2024) · cites this paper as [18]
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- Authors
- Kedestig, J., & Stenberg, E.
- Affiliations
- Örebro University (SE)
- Corresponding author
- Stenberg, Erik
- ORCID
- Stenberg, Erik
- Venue
- Surgery for Obesity and Related Diseases
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 15
- Issue
- 6
- Pages
- 880-886
- ISSN
- 1550-7289 (ISSN-L)
- OpenAlex
- W2923185356
- Cited by
- 23
- References
- 30
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 1
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Surgery for Obesity and Related Diseases (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Örebro Universitet
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- loss to follow-up, laparoscopic gastric bypass
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Obesity, Morbid, Patient Compliance, Laparoscopy, Sweden, Gastric Bypass, Randomized Controlled Trials as Topic, Treatment Outcome, Lost to Follow-Up
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