To assess long-term satisfaction with the decision to undergo metabolic and bariatric surgery (MBS), measured by whether respondents would choose surgery again, and to examine factors associated with that choice.
Approach:
Design and participants: Cross-sectional survey with retrospective EHR linkage, conducted March–August 2024. Adults with an MBS mention in their medical record and a health-system encounter in the prior two years were invited.
Outcome: Respondents rated whether they would choose MBS again on a five-category scale and selected or entered reasons for their response.
Analysis: LASSO was used to select candidate predictors, followed by exploratory multivariable logistic regression comparing affirmative responses with unsure or negative responses.
Key Findings:
The study evaluated long-term satisfaction with metabolic and bariatric surgery by asking whether participants would choose surgery again.
Participants rated their response on a five-category scale; affirmative responses were grouped against unsure or negative responses for predictor analysis.
Interpretation:
The study assessed willingness to choose metabolic and bariatric surgery again and examined factors associated with that choice.
Limitations:
The survey was cross-sectional and relied partly on participant-reported surgery and weight history.
MBS could not always be verified before survey invitation; recruitment was not limited to patients treated within the health system.
Only 2,385 of 15,991 invitees completed the survey.
Predictor estimates were exploratory after data-driven variable selection and were not selection-adjusted.
