Long-Term Satisfaction with the Choice to Complete Metabolic and Bariatric Surgery: The Hindsight 20/20 Study - Takeaways - MDSpire
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Long-Term Satisfaction With the Decision to Undergo Metabolic and Bariatric Surgery: Findings From the Hindsight 20/20 Study

  • By

  • Alexandra Burtea

  • Jaime Almandoz

  • Marielle Nagele

  • Sunil Mathew

  • Luyu Xie

  • Kathleen Esselink

  • Jeffrey Schellinger

  • Sarah Messiah

  • Ildiko Lingvay

  • October 8, 2026

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  • 1

    The cross-sectional Hindsight 20/20 survey assessed whether adults with a medical-record mention of metabolic and bariatric surgery would choose the procedure again.

  • 2

    Of 15,991 people invited, 2,385 completed the survey; respondents were 84.7% female and had a mean age of 55.1 years.

  • 3

    Respondents rated willingness to undergo surgery again on a 5-category scale, and the analysis grouped the 2 affirmative responses as yes.

  • 4

    Candidate predictors included demographic, health care use, weight trajectory, motivation, comorbidity improvement, and surgical history measures.

  • 5

    The study used LASSO to select predictors for an exploratory multivariable logistic regression, and its estimates were not adjusted for data-driven selection.

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