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Meta-Analysis
. 2022 Mar;32(3):904-911.
doi: 10.1007/s11695-021-05857-1. Epub 2022 Jan 12.

Is Adherence to Follow-Up After Bariatric Surgery Necessary? A Systematic Review and Meta-Analysis

Beata M M Reiber  1 , Rosalie Barendregt  2 , Ralph de Vries  3 , Sjoerd C Bruin  4 , Donald L van der Peet  2
Affiliations
Meta-Analysis

Is Adherence to Follow-Up After Bariatric Surgery Necessary? A Systematic Review and Meta-Analysis

Beata M M Reiber et al. Obes Surg. 2022 Mar.

Abstract

The association of adherence to follow-up (FU) after laparoscopic gastric bypass - and gastric sleeve with weight loss (WL) is unclear. The aim of this study was to evaluate this association. Fourteen full text articles were included in the systematic review. Eight studies were included in the meta-analysis concerning FU up to 3 years postoperatively and 3 for the FU between 3 and 10 years postoperatively. Results showed a significant association between adherence to FU 0.5 to 3 years postoperatively and percentage excess WL (%EWL) but did not demonstrate a significant association between FU > 3 years postoperatively and total WL (%TWL). In conclusion, adherence to FU may not be associated with WL and therefore stringent lifelong FU in its current form should be evaluated.

Keywords: Adherence to follow-up; Gastric Sleeve; Gastric bypass; Long term follow-up; Short term follow-up; Weight loss.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart depicting the selection process of articles for review
Fig. 2
Fig. 2
Quality assessment of cohort studies using the Newcastle–Ottawa Scale (NOS) assessment, depicting the percentage of studies that complied with the separate items of the NOS
Fig. 3
Fig. 3
Meta-analysis of excess weight loss between adherent and non-adherent groups 0.5 to 3 years postoperatively
Fig. 4
Fig. 4
Meta-analysis of total weight loss between adherent and non-adherent groups more than 3 years postoperatively
See this image and copyright information in PMC

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