Clinical Scorecard: Long-Term Satisfaction With the Decision to Undergo Metabolic and Bariatric Surgery: Findings From the Hindsight 20/20 Study
At a Glance
Category
Detail
Condition
Long-term satisfaction with the decision to undergo metabolic and bariatric surgery (MBS)
Key Mechanisms
Satisfaction was assessed by asking whether respondents would choose MBS again; candidate predictors included demographic, healthcare utilization, weight-trajectory, and surgical-history variables.
Target Population
Adults aged 18 years or older with an MBS mention in the medical record and at least one health-system encounter in the prior two years.
Care Setting
Cross-sectional survey with retrospective electronic health record linkage conducted through a health system from March through August 2024.
Key Highlights
The study evaluated long-term satisfaction using a single retrospective question about whether respondents would undergo MBS again.
Of 15,991 people invited, 2,385 completed the survey.
Respondents rated their decision on a five-category scale from “Definitely yes” to “Definitely not.”
Predictor analysis grouped “Definitely yes” and “Probably yes” as willing to choose MBS again; the remaining responses were grouped as not willing.
The supplied article excerpt does not include the full results on satisfaction responses or predictor associations.
Guideline-Based Recommendations
Diagnosis
Not applicable: this study assessed retrospective satisfaction with an MBS decision, not diagnosis of a disease.
Management
The supplied excerpt does not report clinical management recommendations.
Monitoring & Follow-up
The study collected current and historical weight measures, surgery details, complications, diagnoses, medications, and healthcare utilization through survey and EHR data.
Risks
The article introduction identifies surgical fear, concerns about irreversibility, inaccurate risk perceptions, unmet expectations, weight recurrence, and complications as reported barriers or sources of dissatisfaction.
Patient & Prescribing Data
Survey respondents were adults with an MBS mention in their medical record and a health-system encounter within the prior two years; 2,385 of 15,991 invitees completed the survey.
The study examined willingness to choose MBS again and candidate associations with age, prescription count, time since surgery, BMI, weight loss, and recurrence of lost weight. The supplied excerpt does not provide treatment-effect estimates or complete satisfaction results.
Clinical Best Practices
Interpret the study as a cross-sectional survey with retrospective EHR linkage, not as a prospective assessment.
The authors state that adjusted odds ratios, confidence intervals, and P values from the refitted model are exploratory because variables were selected using LASSO.
Recruitment was not limited to patients who had surgery within the health system, and surgery details could not always be verified before survey invitation.
