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Sleeve Gastrectomy in Mice using Surgical Clips
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A semi-structured interview is associated with bariatric surgery outcomes.

Stephanie E Punt1, Mariana Rincon Caicedo2, Ashley C Rhodes3

  • 1Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90024, USA. stephanieewpunt@gmail.com.

Journal of Behavioral Medicine
|February 23, 2024
PubMed
Summary

Pre-surgical psychological evaluations using the SIPAT tool show that patient readiness and social support impact bariatric surgery outcomes. Higher readiness and support correlate with better weight management and fewer complications 18 months post-surgery.

Keywords:
Bariatric surgeryOutcomesPsychosocial evaluationWeight loss

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Area of Science:

  • Bariatric Surgery
  • Psychosocial Assessment
  • Health Outcomes Research

Background:

  • Pre-surgical psychological evaluations (PSPE) are crucial for identifying risks in bariatric surgery patients.
  • Current PSPE methods lack standardization, potentially affecting post-surgical outcomes.
  • The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) is a semi-structured tool evaluated for its utility.

Purpose of the Study:

  • To investigate the effectiveness of the SIPAT in predicting post-bariatric surgery outcomes.
  • To assess the association between SIPAT-derived psychosocial factors and patient weight and complications at 18 months.
  • To explore the potential of SIPAT as a standardized pre-surgical assessment tool.

Main Methods:

  • A cohort of 272 adult bariatric surgery patients was assessed using the SIPAT.
  • Multi-level modeling and regression analyses were employed to analyze weight and complication outcomes.
  • Data were collected from November 2017 to September 2020 at a Midwestern academic medical center.

Main Results:

  • Higher SIPAT Patient Readiness was linked to increased weight at 18 months (β = 0.129, p = 0.03).
  • Reduced SIPAT Social Support was associated with greater weight at 18 months (β = 0.254, p = 0.004).
  • Lower SIPAT Social Support correlated with a higher risk of complications (β = -0.108, p = 0.05).

Conclusions:

  • Patients with better readiness for behavioral changes and strong social support tend to have lower weight at 18 months.
  • The SIPAT shows potential utility in predicting bariatric surgery outcomes.
  • Further research is needed to fully establish the role of SIPAT in standardized pre-surgical assessments.