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Factors associated with decision regret after bariatric surgery
Phillip J Dijkhorst1, Leontien M G Nijland2, Ruben N van Veen2
1Department of Surgery, OLVG & Dutch Obesity Clinic, Amsterdam, The Netherlands.
Clinical Obesity
|December 21, 2023
Summary
Most patients do not regret bariatric surgery one year post-operation. Mild regret was linked to better weight loss and psychological function, while pre-existing conditions influenced higher regret levels.
Area of Science:
- Bariatric Surgery Outcomes
- Patient Decision Regret Analysis
Background:
- Bariatric surgery improves health, but post-surgical decision regret is understudied.
- Understanding decision regret is crucial for patient counseling and informed consent.
Purpose of the Study:
- To assess decision regret one year after bariatric surgery.
- To identify factors associated with decision regret, including patient characteristics, complications, weight loss, and quality of life.
Main Methods:
- 115 patients completed the Decision Regret Scale (DRS) one year post-surgery.
- Linear regression analyzed associations between regret and various patient factors.
- Roux-en-Y gastric bypass and sleeve gastrectomy were the primary procedures studied.
Main Results:
- Only 1.7% of patients reported absolute regret; 15% reported moderate-to-strong regret.
- Higher regret correlated with osteo-articular disorders, GERD, or psychiatric history.
- Mild regret was associated with greater weight loss and improved psychological function.
- Major complications did not significantly increase decision regret.
Conclusions:
- Bariatric surgery is associated with low levels of decision regret.
- Pre-operative counseling should address patient characteristics linked to potential regret.
- Findings can aid patients in the decision-making process for bariatric surgery.
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