Document Detail


Distance to clinic and follow-up visit compliance in adolescent gastric bypass cohort.
MedLine Citation:
PMID:  21511537     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Regular follow-up after bariatric surgery is important to assess the clinical status. Various factors could influence retention (i.e., compliance with clinical follow-up). The present analysis tested the hypothesis that the distance from the center will influence clinical retention for adolescent bariatric surgery patients. Our aim was to determine whether the distance to the clinic, and other patient characteristics, would predict clinical follow-up compliance. The present study was conducted at a tertiary care, free-standing children's hospital.
METHODS: The Follow-up of Adolescent Bariatric Surgery (FABS) study is a single-center cohort study collecting demographic and clinical information. The subjects' addresses were geocoded, and the distance to the clinic was calculated. A generalized estimating equations model was used to examine follow-up visit compliance.
RESULTS: A total of 71 subjects underwent Roux-en-Y gastric bypass surgery (RYGB), with a mean body mass index of 59 kg/m(2). The average distance to the clinic was 98 miles. Retention declined over time (6 mo, 94%; 1 yr, 89%; 2 yr, 69%; P < .01); however, distance was not associated with retention (P = .68). Age at surgery was inversely related to retention (P = .04).
CONCLUSION: Compliance with clinical follow-up decreased 1 and 2 years after RYGB in adolescents. The distance from the center was not associated with follow-up regimen compliance. However, increasing age was associated with decreased retention. Additional research should focus on determining the modifiable factors that influence retention.
Authors:
Todd M Jenkins; Stavra A Xanthakos; Meg H Zeller; Sean J Barnett; Thomas H Inge
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-03-08
Journal Detail:
Title:  Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery     Volume:  7     ISSN:  1878-7533     ISO Abbreviation:  Surg Obes Relat Dis     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-10-03     Completed Date:  2012-01-31     Revised Date:  2013-05-03    
Medline Journal Info:
Nlm Unique ID:  101233161     Medline TA:  Surg Obes Relat Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  611-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2011. Published by Elsevier Inc.
Affiliation:
Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. todd.jenkins@cchmc.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Continuity of Patient Care / statistics & numerical data*
Female
Gastric Bypass
Geographic Information Systems
Health Services Accessibility*
Humans
Male
Patient Compliance
Travel*
Young Adult
Grant Support
ID/Acronym/Agency:
K23 DK080888/DK/NIDDK NIH HHS
Comments/Corrections
Comment In:
Surg Obes Relat Dis. 2011 Sep-Oct;7(5):616-7   [PMID:  21481653 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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