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dc.creatorXie, Luyu
dc.creatorAlmandoz, Jaime P.
dc.creatorMathew, M. Sunil
dc.creatorSchellinger, Jeffrey N.
dc.creatorKapera, Olivia
dc.creatorNgenge, Sophia
dc.creatorMarroquin, Elisa Morales
dc.creatorMcAdams, Carrie
dc.creatorKukreja, Sachin
dc.creatorSchneider, Benjamin
dc.creatorMessiah, Sarah E.
dc.date.accessioned2023-02-27T15:56:11Z
dc.date.available2023-02-27T15:56:11Z
dc.date.issued2022
dc.identifier.urihttps://doi.org/10.1001/jamanetworkopen.2022.47431
dc.identifier.urihttps://repository.tcu.edu/handle/116099117/57383
dc.description.abstractImportance: 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. Objective: To examine the association between patient-reported satisfaction with their patient-physician relationship and MBS completion by self-reported racial and ethnic group. Design, Setting, and Participants: 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. Exposure: 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. Main Outcomes and Measures: Completion status for MBS (yes or no). Results: 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?<?.001). Multivariable logistic regression analysis showed technical quality was the most significant factor for MBS completion (adjusted odds ratio [aOR], 1.99 [95% CI, 1.24-3.19]), followed by communication (aOR, 1.78 [95% CI, 1.16-2.72]) and accessibility and convenience (aOR, 1.61 [95% CI, 1.03-2.53]). The interaction between racial and ethnic groups and patient satisfaction was not significant (eg, mean [SD] score for Hispanic/Latinx completers, 3.95 [0.55] vs 3.77 [0.60] for non-Hispanic White completers; P?=?.46 for interaction). Conclusions and Relevance: These findings suggest that there is an association between patient satisfaction with the patient-physician relationship and the decision to complete MBS regardless of race and ethnicity. These findings have important implications for strategies to improve the proportion of qualified patients who complete MBS to achieve improved health outcomes.
dc.languageen
dc.publisherAmerican Medical Association (AMA)
dc.sourceJAMA Network Open
dc.subjectAdult
dc.subjectBariatric surgery
dc.subjectEthnicity
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectObesity
dc.subjectPatient Satisfaction
dc.subjectProspective Studies
dc.subjectSurgeons
dc.subjectWhite People
dc.titleAssociation Between Patient Satisfaction With Their Patient-Physician Relationship and Completion of Bariatric Surgery by Race and Ethnicity Among US Adults
dc.typeArticle
dc.rights.licenseCC BY
local.collegeCollege of Science and Engineering
local.departmentNutritional Sciences
local.personsMarroquin (NTDT)


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