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Patient Attendance and Outcomes in a Structured Weight Management Program.
Sarah E Hampl1, Kelsey B Borner2, Kelsey M Dean3
1Division of General Pediatrics, Children's Mercy Hospital, Kansas City, MO; Center for Children's Healthy Lifestyles & Nutrition, Kansas City, MO.
The Journal of Pediatrics
|June 13, 2016
Summary
Few youth with obesity complete structured weight management, highlighting a need for improved patient engagement and retention in pediatric weight management programs. Addressing barriers to follow-up is crucial for successful outcomes.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Clinical Medicine
Background:
- Pediatric obesity is a growing public health concern requiring effective management strategies.
- Structured weight management programs offer a multidisciplinary approach to address obesity in youth.
- Patient retention is a critical factor influencing the success of these programs.
Purpose of the Study:
- To assess service utilization patterns in pediatric obesity management.
- To identify patient characteristics associated with continued engagement in weight management.
- To examine weight-related outcomes linked to service utilization.
Main Methods:
- Retrospective study of 2089 patients (aged 2-18 years) at tertiary care weight management clinics.
- Data collected from January 2008 to December 2013.
- Analysis of visit attendance, patient demographics, and body mass index z-score changes.
Main Results:
- Low follow-up rates: only 53% attended a second visit, 29% a third, and 0.5% completed 6 visits within 6 months.
- Predictors of retention included Hispanic ethnicity, government insurance, and Spanish-speaking parents.
- Among retained patients, 70% showed a reduction or maintenance of their body mass index z-score.
Conclusions:
- Patient retention is a major challenge in pediatric weight management.
- Programs must enhance initial engagement and proactively address barriers to follow-up.
- Improving retention is essential for achieving positive weight-related outcomes in youth.
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