Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study

Karen J Coleman¹, David G Schlundt², Kemberlee R Bonnet², Kimberly J Holmquist³, Jennifer Dunne⁴, Elizabeth Crull⁵, Beatrice Y Hanaoka⁶, Michelle R Lent⁷, Joe Nadglowski⁸, Louisa Sylvia⁹, Shilpa Venkatachalam¹⁰, Stavra A Xanthakos¹¹, Roni Zeiger¹², David Arterburn¹³, Neely Williams¹⁴, Anita Courcoulas¹⁵, Jane Anau¹³, Kathleen M McTigue¹⁶, Cynthia Blalock³, Elisha Malanga³, James McClay³, Corrigan L McBride³, David Schlundt², Ana Emiliano³, Rabih Nemr³, Kathleen McTigue¹⁶, Anita Courcoulas¹⁵, Stavra A Xanthakos¹¹, Marc Michalsky³, Karen J Coleman³, Sameer Murali³, Ali Tavakkoli³, Nirav Desai³, Caroline Apovian³, Jeanne Clark³, Elizabeth Nauman³, Elizabeth Cirielli³, Joe Nadglowski⁸, Tammy St Clair³, Julie Tice³, Joseph Vitello³, Roni Zeiger¹², David Arterburn¹³, Jane Anau¹³, Cheri Janning³, Neely Williams¹⁴

Affiliations

¹ Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA. Karen.J.Coleman@kp.org.
² Department of Psychology, Vanderbilt University, Nashville, TN, USA.
³ Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
⁴ Smart Patients, Pasadena, CA, USA.
⁵ Louisianna Public Health Institute, New Orleans, LA, USA.
⁶ School of Medicine, University of Alabama, Birmingham, AL, USA.
⁷ Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
⁸ Obesity Action Coalition, Tampa, FL, USA.
⁹ Massachusetts General Hospital, Boston, MA and Harvard Medical School, Cambridge, MA, USA.
¹⁰ Global Healthy Living Foundation, New York, NY, USA.
¹¹ Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
¹² Facebook Inc, Mountainview, CA, USA.
¹³ Health Research Institute, Kaiser Permanente Washington, Seattle, WA, USA.
¹⁴ Community Partners Network, Nashville, TN, USA.
¹⁵ University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
¹⁶ University of Pittsburgh, Pittsburgh, PA, USA.

PMID: 31965490
DOI: 10.1007/s11695-020-04404-8

Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study

Karen J Coleman et al. Obes Surg. 2020 May.

. 2020 May;30(5):1837-1847.

doi: 10.1007/s11695-020-04404-8.

Authors

Affiliations

¹ Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA. Karen.J.Coleman@kp.org.
² Department of Psychology, Vanderbilt University, Nashville, TN, USA.
³ Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
⁴ Smart Patients, Pasadena, CA, USA.
⁵ Louisianna Public Health Institute, New Orleans, LA, USA.
⁶ School of Medicine, University of Alabama, Birmingham, AL, USA.
⁷ Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
⁸ Obesity Action Coalition, Tampa, FL, USA.
⁹ Massachusetts General Hospital, Boston, MA and Harvard Medical School, Cambridge, MA, USA.
¹⁰ Global Healthy Living Foundation, New York, NY, USA.
¹¹ Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
¹² Facebook Inc, Mountainview, CA, USA.
¹³ Health Research Institute, Kaiser Permanente Washington, Seattle, WA, USA.
¹⁴ Community Partners Network, Nashville, TN, USA.
¹⁵ University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
¹⁶ University of Pittsburgh, Pittsburgh, PA, USA.

PMID: 31965490
DOI: 10.1007/s11695-020-04404-8

Erratum in

Correction to: Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study.
Coleman KJ, Schlundt DG, Bonnet KR, Holmquist KJ, Dunne J, Crull E, Hanaoka BY, Lent MR, Nadglowski J, Sylvia LG, Venkatachalam S, Xanthakos SA, Zeiger R, Arterburn D, Williams N, Courcoulas A, Anau J, McTigue KM; PCORnet Bariatric Study Collaborative. Coleman KJ, et al. Obes Surg. 2020 May;30(5):1848. doi: 10.1007/s11695-020-04475-7. Obes Surg. 2020. PMID: 32064555

Abstract

Background: In 2016, the Patient-Centered Outcomes Research Institute funded the National Patient Centered Clinical Research Network (PCORnet) Bariatric Study (PBS). Understanding the experience of postoperative patients was a key component of this study.

Methods: Nine focus groups were conducted in Southern California, Louisiana, Pennsylvania, and Ohio and in a national advocacy conference for patients with obesity. Participants were identified and recruited in both clinical and community settings. Focus group transcripts were analyzed using an iterative inductive-deductive approach to identify global overarching themes.

Results: There were 76 focus group participants. Participants were mostly women (81.4%), had primarily undergone gastric sleeve (47.0%), were non-Hispanic white (51.4%), had some college education (44.3%), and made $100,000 annual income or less (65.7%). Qualitative findings included negative reactions patients received from friends, family, and co-workers once they disclosed that they had bariatric surgery to lose weight; and barriers to follow-up care included insurance coverage, emotional and situational challenges, and physical pain limiting mobility.

Conclusions: These findings confirm the other qualitative findings in this area. The approach to bariatric surgery should be expanded to provide long-term comprehensive care that includes in-depth postoperative lifetime monitoring of emotional and physical health.

Keywords: Healthcare; Qualitative.

PubMed Disclaimer

References

1. Khosravi-Largani M, Nojomi M, Aghili R, et al. Evaluation of all types of metabolic bariatric surgery and its consequences: a systematic review and meta-analysis. Obes Surg. 2019;29:651–90. - DOI
1. Ribaric G, Buchwald JN, McGlennon TW. Diabetes and weight in comparative studies of bariatric surgery vs conventional medical therapy: a systematic review and meta-analysis. Obes Surg. 2014;24:437–55. - DOI
1. Gasoyan H, Tajeu G, Halpern MT, et al. Reasons for underutilization of bariatric surgery: the role of insurance benefit design. Surg Obes Relat Dis. 2019;15:146–51. - DOI
1. Courcoulas AP, Christian NJ, Belle SH, et al. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA. 2013;310:2416–25. - PubMed - PMC
1. Ortega E, Morinigo R, Flores L, et al. Predictive factors of excess body weight loss 1 year after laparoscopic bariatric surgery. Surg Endosc. 2012;26:1744–50. - DOI

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

K23 AR068450/AR/NIAMS NIH HHS/United States

LinkOut - more resources

Full Text Sources
- Springer
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study

Affiliations

Understanding the Bariatric Patient Perspective in the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study

Authors

Affiliations

Erratum in

Abstract

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical