Determinants of One-Year Follow-Up Adherence Post-Bariatric Surgery in Western China
Overview
This mixed-methods study investigated factors influencing adherence to one-year follow-up (FU) appointments after bariatric surgery in Western China. Quantitative analysis identified demographic and clinical predictors of FU adherence, while qualitative interviews explored personal, family, and social barriers to attendance.
Background
Bariatric surgery effectively treats obesity and related comorbidities but requires regular postoperative follow-up to monitor weight loss and complications. Poor adherence to FU visits is common and linked to weight regain, nutritional deficiencies, and complications. Previous studies show inconsistent predictors of FU adherence, and data on Chinese populations are limited. This study used a sequential explanatory mixed-methods design to comprehensively assess determinants of FU adherence in this setting.
Data Highlights
Characteristic
Details
Sample Size
177 patients one year post-surgery
FU Schedule
1, 3, 6, and 12 months postoperatively
Adherence Definition
Attending 3 or 4 scheduled FU visits
Surgery Types
Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG)
Attrition Rates
Varied widely in literature from 3% to over 60%
Interview Sample
10 low-adherence patients until data saturation
Key Findings
Adherence to one-year FU appointments was suboptimal, with many patients missing scheduled visits.
Demographic factors such as sex, education, and employment status influenced FU adherence, though findings varied.
Clinical factors including type of surgery and presence of comorbidities were associated with adherence rates.
Qualitative interviews revealed personal motivation, family support, and social factors as critical influences on FU attendance.
Barriers included lack of awareness of FU importance, logistical challenges, and insufficient communication from healthcare providers.
Clinical Implications
Clinicians should emphasize the importance of regular FU visits during preoperative counseling and tailor follow-up plans considering patient demographics and social context. Enhancing patient education and support systems may improve adherence and optimize postoperative outcomes. Addressing logistical barriers and improving communication can further reduce attrition rates.
Conclusion
This study highlights multifactorial determinants of FU adherence after bariatric surgery in Western China, underscoring the need for integrated strategies combining clinical, personal, and social interventions to enhance postoperative care compliance.
References
Gourash et al. 2016 -- Attrition Rates in Bariatric Surgery Follow-Up
Previous Studies on Weight Regain and Complications Post-Bariatric Surgery
Mixed Methods Research in Clinical Adherence Studies
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