Weighed Down by Paperwork: Identifying Barriers to Metabolic and Bariatric Surgery Evaluation in the United States - Scorecard - MDSpire
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Overcoming Administrative Hurdles: Exploring Challenges in the Evaluation Process for Metabolic and Bariatric Surgery in the U.S.

  • By

  • Rylee Barber

  • Stephen Moorhead

  • Kalina Siehl

  • Ronit Pathak

  • Mary K Bryant

  • August 29, 2026

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Clinical Scorecard: Overcoming Administrative Hurdles: Exploring Challenges in the Evaluation Process for Metabolic and Bariatric Surgery in the U.S.

At a Glance

CategoryDetail
ConditionObesity
Key MechanismsMetabolic and bariatric surgery (MBS) as an intervention for sustained weight loss.
Target PopulationIndividuals eligible for metabolic and bariatric surgery.
Care SettingMetabolic and bariatric surgery centers.

Key Highlights

  • Only 1-2% of eligible individuals receive MBS.
  • Median appointment wait time was 20 days.
  • 31.4% of centers were unreachable due to administrative barriers.
  • 77.1% of centers had pre-appointment requirements.
  • 22.9% of centers required multiple steps before scheduling.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          Patients seeking metabolic and bariatric surgery in North and South Carolina.

          Administrative obstacles, not insurance disparities, hinder access to MBS.

          Clinical Best Practices

          • Streamline administrative processes to improve patient access.
          • Ensure accurate contact information for centers.
          • Reduce pre-appointment requirements to facilitate scheduling.

          Related Resources & Content

          Original Source(s)

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