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Preferences for bariatric surgery: comparing surgeons and patients using a discrete choice experiment
Michael D Rozier1, Amir A Ghaferi2, Angela M Rose3
1Department of Health Management and Policy, Saint Louis University College for Public Health and Social Justice, St. Louis, Missouri.
Summary
Surgeons and patients largely agree on bariatric surgery preferences, but shared decision-making can improve by discussing surgical risks and patient financial concerns. This research highlights key areas for better patient-provider communication in weight loss surgery.
Area of Science:
- Bariatric Surgery
- Shared Decision-Making
- Patient Preferences
Background:
- Shared decision-making is crucial in bariatric surgery.
- The rise of sleeve gastrectomy raises questions about patient-surgeon preference alignment.
Purpose of the Study:
- To determine surgeon preferences for bariatric surgery attributes.
- To compare surgeon preferences with patient preferences.
Main Methods:
- An online discrete choice experiment surveyed 121 bariatric providers.
- Procedures were evaluated based on attributes like weight loss, complication risk, and cost.
Main Results:
- Surgeons and patients prioritized resolution of medical conditions and weight loss.
- Surgeons showed higher preference for lower complication risks, while patients were more sensitive to out-of-pocket costs.
Conclusions:
- Strong alignment exists between patient and surgeon preferences when surgeons consider patient perspectives.
- Enhanced shared decision-making requires surgeons to communicate risks and acknowledge patient financial concerns.
