Advertisement

Comment on: Insurance-mandated weight management program completion before bariatric surgery provides no long-term clinical benefit

Published:December 07, 2022DOI:https://doi.org/10.1016/j.soard.2022.12.004
      The article, “Insurance-mandated weight management program completion before bariatric surgery provides no long-term clinical benefit” [

      Hutcheon DA, Ewing JA, St. Ville M, et al. Insurance-mandated weight management program completion before bariatric surgery provides no long-term clinical benefit. Surg Obes Relat Dis. Epub 2022 Oct 27.

      ], expands upon the authors’ prior work published in this journal in 2018 [
      • Schneider A.
      • Hutcheon D.A.
      • Hale A.
      • Ewing J.A.
      • Miller M.
      • Scott J.D.
      Postoperative outcomes in bariatric surgical patients participating in an insurance-mandated preoperative weight management program.
      ]. That study, comparing 12-month postoperative results between patients with and without an insurance-mandated weight management program (WMP) requirement before surgery, showed no significant difference in operation time, postoperative length of stay, readmission, reoperation, patient follow-up, and postoperative weight loss between groups. Not unexpectedly, patients with an insurance-mandated WMP requirement were delayed access to surgery by nearly 3 additional months. This study includes a greater number of patients and extends the period of study to include outcomes up to 5 years after surgery. The outcomes ultimately reaffirm the conclusions of the prior article, together with most others published over the past decade, including one from our organization in 2020 [
      • Talishinskiy T.
      • Blatt M.
      • Nyirenda T.
      • Eid S.
      • Schmidt H.
      • Ewing D.
      Insurance-mandated medical weight management programs in sleeve gastrectomy patients do not improve postoperative weight loss outcomes at 1 year.
      ]. The clear consensus is that there is absolutely no improvement in outcomes, but there is a significant delay in care for those patients required to undergo an insurance-mandated preoperative weight loss program.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery for Obesity and Related Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Hutcheon DA, Ewing JA, St. Ville M, et al. Insurance-mandated weight management program completion before bariatric surgery provides no long-term clinical benefit. Surg Obes Relat Dis. Epub 2022 Oct 27.

        • Schneider A.
        • Hutcheon D.A.
        • Hale A.
        • Ewing J.A.
        • Miller M.
        • Scott J.D.
        Postoperative outcomes in bariatric surgical patients participating in an insurance-mandated preoperative weight management program.
        Surg Obes Relat Dis. 2018; 14: 623-630
        • Talishinskiy T.
        • Blatt M.
        • Nyirenda T.
        • Eid S.
        • Schmidt H.
        • Ewing D.
        Insurance-mandated medical weight management programs in sleeve gastrectomy patients do not improve postoperative weight loss outcomes at 1 year.
        Obes Surg. 2020; 30: 3333-3340
        • Roslin M.
        Paired editorial for insurance mandated medical weight management program prior to bariatric surgery.
        Surg Obes Relat Dis. 2016; 12: 500-501
        • American Diabetes Association. 7
        Obesity management for the treatment of type 2 diabetes: Standards of Medical Care in Diabetes–2018.
        Diabetes Care. 2018; 41: S65-S72

      Linked Article