Association Between Patient Satisfaction With Their Patient-Physician Relationship and Completion of Bariatric Surgery by Race and Ethnicity Among US Adults

Metabolic and bariatric surgery (MBS) is an effective and safe treatment for obesity and its comorbidities, but less than 50% of those who are eligible and referred for MBS complete the procedure. The patient-physician relationship could be a decisive factor in the decision to complete MBS; however,...

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Bibliographic Details
Published in:JAMA network open 2022-12, Vol.5 (12), p.e2247431-e2247431
Main Authors: Xie, Luyu, Almandoz, Jaime P, Mathew, M Sunil, Schellinger, Jeffrey N, Kapera, Olivia, Ngenge, Sophia, Marroquin, Elisa Morales, McAdams, Carrie, Kukreja, Sachin, Schneider, Benjamin, Messiah, Sarah E
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery
Ethnicity
Female
Gastrointestinal surgery
Hispanic people
Humans
Male
Middle Aged
Obesity
Patient Satisfaction
Prospective Studies
Race
Surgeons
White People
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Summary:Metabolic and bariatric surgery (MBS) is an effective and safe treatment for obesity and its comorbidities, but less than 50% of those who are eligible and referred for MBS complete the procedure. The patient-physician relationship could be a decisive factor in the decision to complete MBS; however, this relationship has not been explored, particularly among racially and ethnically diverse populations. To examine the association between patient-reported satisfaction with their patient-physician relationship and MBS completion by self-reported racial and ethnic group. This prospective cohort study included 408 patients who were referred to a bariatric surgeon or obesity medicine program between July 24, 2019, and May 19, 2022. Patient satisfaction with their physician was measured by 7 dimensions (general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with physician, and accessibility and convenience) using the Patient Satisfaction Questionnaire Short Form. Completion status for MBS (yes or no). A total of 408 patients (mean [SD] age, 47.3 [11.6] years; among 366 with data available, 317 [86.6%] women and 49 [13.4%] men) were included in the study. Of 363 patients with data available on race and ethnicity, 66 were Hispanic/Latinx (18.2%), 136 (37.5%) were non-Hispanic Black, 146 (40.2%) were non-Hispanic White, and 15 (4.1%) were other race or ethnicity. A total of 124 patients (30.4%) completed MBS. Overall, the mean (SD) patient satisfaction score was significantly greater in MBS completers vs noncompleters (3.86 [0.56] vs 3.61 [0.64]; P 
ISSN:2574-3805
2574-3805
DOI:10.1001/jamanetworkopen.2022.47431