Systematic Review and Meta-Analysis of the Effectiveness of Insurance Requirements for Supervised Weight Loss Prior to Bariatric Surgery

Many insurance plans impose strict criteria mandating preoperative weight loss attempts to limit patient’s access to surgery. Preoperative acute weight loss has been hypothesized to reduce perioperative risk and to identify compliant patients who may have improved long-term weight loss. In this revi...

Full description

Saved in:
Bibliographic Details
Published inObesity surgery Vol. 31; no. 12; pp. 5396 - 5408
Main Authors Kushner, Bradley S., Eagon, J. Christopher
Format Journal Article
LanguageEnglish
Published New York Springer US 01.12.2021
Springer Nature B.V
Subjects
Bariatric Surgery
Gastrointestinal surgery
Humans
Insurance Coverage
Medicine
Medicine & Public Health
Meta-analysis
Obesity, Morbid - surgery
Review
Surgery
Treatment Outcome
Weight Loss
Morbid obesity
Insurance-mandated weight loss
Preoperative bariatric surgery screening
Patient non-compliance
Bariatric surgery
Postoperative weight loss
Online AccessGet full text

Cover

More Information
Summary:Many insurance plans impose strict criteria mandating preoperative weight loss attempts to limit patient’s access to surgery. Preoperative acute weight loss has been hypothesized to reduce perioperative risk and to identify compliant patients who may have improved long-term weight loss. In this review, the evidence from studies examining clinical and weight loss outcomes both with and without preoperative weight loss are summarized. Although preoperative weight loss may have modest impact on some factors related to perioperative conduct, the evidence does not support these programs’ effectiveness at promoting long-term weight loss. Provision of weight loss surgery should not be contingent on completion of insurance-mandated weight loss goals preoperatively, and these programs may, through patient attrition, actually do more harm than good.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
ObjectType-Review-4
content type line 23
ObjectType-Undefined-3
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-021-05731-0