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Updated: Jul 4, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Adherence to outpatient program postoperative appointments after bariatric surgery.

Erlinda Wheeler¹, Allen Prettyman, M James Lenhard

¹University of Delaware School of Nursing, Newark, DE 19713, USA. ewheeler@UDel.edu

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery

|July 1, 2008

Summary

Adherence to bariatric surgery follow-up appointments is crucial for preventing complications. Key predictors of adherence include age, body mass index, marital status, employment, and insurance coverage.

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Last Updated: Jul 4, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Area of Science:

Bariatric Surgery Outcomes
Patient Adherence Research
Obesity Treatment Efficacy

Background:

Bariatric surgery offers long-term benefits for the morbidly obese, with comprehensive follow-up care being a requirement for Centers of Excellence.
Post-bariatric surgery complication rates are significant (39.6% within 180 days), with inadequate follow-up adherence contributing to these issues.

Purpose of the Study:

To identify variables associated with patient adherence to scheduled appointments following bariatric surgery.
To understand factors influencing post-operative follow-up compliance in bariatric surgery patients.

Main Methods:

A logistic regression analysis was performed on a 1-year cross-sectional database from an outpatient bariatric program.
Patient adherence was defined as attending at least one post-operative follow-up appointment within 90 days of surgery.
The study included 375 subjects who underwent either laparoscopic Roux-en-Y gastric bypass or gastric banding.

Main Results:

Five variables were identified as statistically significant predictors (P < .05) of follow-up adherence among 14 analyzed.
Significant predictors of adherence included: patient age, body mass index (BMI), marital status, employment status, and insurance coverage.

Conclusions:

Integrating identified predictors into preoperative screening could help identify patients at risk for nonadherence, potentially improving follow-up care.
Further research is recommended to develop interventions aimed at reducing post-bariatric surgery complications through enhanced patient adherence.