[en] [en] BACKGROUND: Most studies on bariatric patients to date have only examined mortality and morbidities in terms of surgery or no surgery. Few have investigated loss to follow-up in post-surgery patients.
PURPOSE: This study aimed to describe the dynamics behind non-adherence to follow-up in bariatric patients postsurgery.
DESIGN: Using semi-structured interviews, we performed a qualitative study. Using a thematic analysis, we described themes involved in patient adherence to postsurgery follow-up.
SETTING: Participants were recruited from a university hospital near Paris and via social networks.
PARTICIPANTS: 17 patients who had undergone surgery, some of whom were lost to follow-up, 15 women and 2 men, were interviewed, during a mean time of 90 min. 10 were adherent, and 7 were lost to follow-up.
RESULTS: Follow-up was seen as a support in which the care provider-patient relationship can act on the four following themes: (1) regaining control, (2) knowledge acquisition, (3) management of fears and (4) overall restructuring of one's life postsurgery.
CONCLUSIONS: Patients' experiences and representations of postsurgery follow-up should be documented in detail in order to define the specific roles of the various care providers offering support to this population, and to strengthen the coordination of care pathways between these actors. In addition, improving the quality of communication could improve adherence to follow-up after bariatric surgery.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Hannoyer, Dimitri; Department of Endocrinology, Diabetes, Nutrition, APHP, Avicenne Hospital, Bobigny, France
Tatulashvili, Sopio; Department of Endocrinology, Diabetes, Nutrition, APHP, Avicenne Hospital, Bobigny, France ; UREN (Unit of Research in Nutritional Epidemiology), UMR U557 INSERM/U11125 INRAE, University Sorbonne Paris Nord, Bobigny, France
Morsa, Maxime ; Université de Liège - ULiège > Département de Psychologie > Recherche qualitative
Garnier, Nathalie; Department of Endocrinology, Diabetes, Nutrition, APHP, Avicenne Hospital, Bobigny, France
Moisan, Christine; Department of Endocrinology, Diabetes, Nutrition, APHP, Avicenne Hospital, Bobigny, France
Molleville, Julie; Department of Endocrinology, Diabetes, Nutrition, APHP, René Muret Hospital, Sevran, France
Tresallet, Christophe; Department of Digestive Surgery, APHP, Avicenne Hospital, Paris, France
Reach, Gérard; Université Sorbonne Paris Nord UFR de Santé Médecine Biologie Humaine, Bobigny, France
Gagnayre, Rémi; Health Education Laboratory, EA-3412, Universite Sorbonne Paris Nord, Bobigny, France
Cosson, Emmanuel; Department of Endocrinology, Diabetes, Nutrition, APHP, Avicenne Hospital, Bobigny, France ; UREN (Unit of Research in Nutritional Epidemiology), UMR U557 INSERM/U11125 INRAE, University Sorbonne Paris Nord, Bobigny, France
Bihan, Hélène ; Department of Endocrinology, Diabetes, Nutrition, APHP, Avicenne Hospital, Bobigny, France helene.bihan@aphp.fr ; Health Education Laboratory, EA-3412, Universite Sorbonne Paris Nord, Bobigny, France
Language :
English
Title :
Qualitative study on postbariatric surgery follow-up in France: a new patient-physician relationship.
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