Patient Preferences for Metabolic Surgery: Do Patient Demographics Make a Difference?

Area of Science:

• Bariatric Surgery
• Metabolic Surgery
• Surgical Decision-Making

Background:

• Metabolic surgery selection involves patient-surgeon collaboration, considering risks, costs, weight loss goals, and comorbidity resolution.
• Patient demographics and body mass index are potential factors influencing operative choices.

Purpose of the Study:

• To explore the association between patient demographics, body mass index, and operative selection in metabolic surgery.
• To understand how patient preferences align with actual surgical procedures performed.

Main Methods:

• Retrospective review of 388 patient surveys before initial surgical visits (2020-2023).
• Evaluation of patient demographics, pre-visit operation preferences, and procedures performed.
• Statistical analysis using chi-square tests, ANOVA, and multivariable logistic regression.

Main Results:

• 62.1% of patients preferred sleeve gastrectomy; 14.9% preferred Roux-en-Y gastric bypass.
• Most patients (69.3% for SG, 62.1% for RYGB) received their preferred operation.
• Male sex, preoperative sleep apnea, and hypertension were associated with the actual procedure performed.

Conclusions:

• Patient comorbidities and sex influence the likelihood of undergoing a preferred metabolic surgery.
• The high rate of patients receiving their preferred procedure underscores the importance of patient-centered selection in metabolic surgery.