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Bariatric Surgery Underutilization in Young Postadolescent Population With Obesity
Ariana S Ginsberg1, Artur Chernoguz2
1Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Clinical Therapeutics
|September 11, 2024
Summary
Bariatric surgery for adolescent obesity is underutilized. Provider counseling significantly increases patient willingness to consider this life-changing obesity treatment in early postadolescence.
Area of Science:
- Adolescent medicine
- Bariatric surgery outcomes
- Obesity treatment
Background:
- Bariatric surgery is an effective obesity treatment for adolescents but is underutilized.
- Many young adults with obesity meet criteria for bariatric surgery after age 18.
Purpose of the Study:
- To understand patient perspectives on bariatric surgery.
- To identify strategies for increasing bariatric surgery utilization in early postadolescence.
Main Methods:
- Retrospective review of electronic medical records for patients aged 18-22 diagnosed with obesity.
- Follow-up survey assessing patient views on obesity treatment.
Main Results:
- Over half of patients with obesity reached a BMI ≥ 35 kg/m² after age 18, qualifying them for surgery.
- Only 2% of eligible patients underwent bariatric surgery; most saw BMI increases without intervention.
- Patients recalling surgery counseling were significantly more likely to consider bariatric surgery (66.7%) compared to those who did not (4.6%).
Conclusions:
- Bariatric surgery is underutilized in early postadolescence due to lack of adolescent provider referral.
- Provider counseling is crucial for encouraging patients to consider bariatric surgery.
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