Journal article
The impact of COVID-19 on medium term weight loss and comorbidities in patients undergoing bariatric surgery and its association with psychological wellbeing
Surgical endoscopy, Vol.37, pp.1537-1542
02/2023
DOI: 10.1007/s00464-022-09377-6
PMCID: PMC9215154
PMID: 35731301
Abstract
BACKGROUNDThe COVID-19 epidemic imposed significant stressors on individuals and changed how medical care is delivered. The affect that this stress has placed on the field of bariatric surgery and the associated outcomes is not well established. METHODSA retrospective review of a prospectively collected database from a single academic institution was conducted. Weight loss and comorbidity outcomes were compared between a cohort of patients operated on during the pandemic and a matched group operated on prior to COVID-19. GAD-7 and PHQ-9 questionnaires were used to assess for anxiety and depression, respectively. RESULTSA total of 329 and 155 patients were enrolled in the pre-pandemic and COVID-19 groups respectively. There were no significant differences in pre-operative BMI (p = 0.437) or comorbidities: Type II DM (p = 0.810), hypertension (p = 0.879), sleep apnea (p = 0.502), and hyperlipidemia (p = 0.227). Post-operatively, weight loss was comparable at all time points out to 1 year. Type II DM resolution rates were higher in the control cohort at 6 months (p = 0.007), but not at 12 months (p = 1.000). There was no statistically significant difference in resolution rates between the control group and the COVID-19 group for the other measured comorbidities. There was no difference in objective measures of anxiety and depression when comparing the two groups (both p > 0.05). CONCLUSIONSThe COVID-19 pandemic has fundamentally changed how society and medical systems function. Focusing on pre-operative dietary training and screening for inadequately managed psychological comorbidities yielded similar weight loss outcomes notwithstanding the significant societal and individual stressors with which patients were faced.
Details
- Title: Subtitle
- The impact of COVID-19 on medium term weight loss and comorbidities in patients undergoing bariatric surgery and its association with psychological wellbeing
- Creators
- Oscar Talledo - Roy J. and Lucille A. Carver College of MedicineRory Carroll - Roy J. and Lucille A. Carver College of MedicineErin Worden - Roy J. and Lucille A. Carver College of MedicineAnna Marie Greenwood - Roy J. and Lucille A. Carver College of MedicineHart Alexander - Roy J. and Lucille A. Carver College of MedicineBergljot Karlsdottir - Roy J. and Lucille A. Carver College of MedicineRyan Lehmann - Roy J. and Lucille A. Carver College of MedicineRebecca Peoples - Roy J. and Lucille A. Carver College of MedicineJessica Smith - Roy J. and Lucille A. Carver College of MedicineDakota Thompson - Roy J. and Lucille A. Carver College of MedicineKe Anne Zhang - Roy J. and Lucille A. Carver College of MedicinePeter Nau - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Surgical endoscopy, Vol.37, pp.1537-1542
- DOI
- 10.1007/s00464-022-09377-6
- PMID
- 35731301
- PMCID
- PMC9215154
- NLM abbreviation
- Surg Endosc
- ISSN
- 0930-2794
- eISSN
- 1432-2218
- Language
- English
- Electronic publication date
- 06/22/2022
- Date published
- 02/2023
- Academic Unit
- Psychiatry; Surgery
- Record Identifier
- 9984296358102771
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