@article{ref1,
title="The impact of history of exposure to abuse on outcomes after bariatric surgery: data from the Ontario Bariatric Registry",
journal="Surgery for obesity and related diseases",
year="2016",
author="Hensel, Jennifer M. and Grosman Kaplan, Keren and Anvari, Mehran and Taylor, Valerie H.",
volume="12",
number="8",
pages="1441-1446",
abstract="BACKGROUND: Studies worldwide have reported an increased prevalence of abuse histories among bariatric surgery candidates. The impact of abuse history on weight loss after surgery has not been examined in Canada. <br><br>OBJECTIVES: Determine the prevalence of abuse and its impact on postoperative outcomes in Ontario, Canada. SETTING: Data from the Ontario Bariatric Registry. <br><br>METHODS: A retrospective cohort study of laparoscopic gastric bypass and sleeve gastrectomy surgeries from 2010 to 2014, for which any follow-up data were available (N = 6016). Weight loss outcomes at 3 months (n = 5147), 6 months (n = 4749), and 1 year (n = 4024) were compared between those with and without a self-reported history of any of emotional, physical or sexual abuse and those with and without a history of sexual abuse specifically. Mixed repeated measures models were adjusted for age, sex, type of surgery, and baseline body mass index. One-year postoperative occurrence of revisions or repairs, hospitalization, and death were also examined. <br><br>RESULTS: The prevalence of documented abuse was 21.5%. Emotional abuse was most common (13.1%), followed by sexual abuse (10.6%), then physical abuse (8.9%). There was no significant association between presence of abuse history and weight loss at any time point in repeated measures analyses. <br><br>CONCLUSION: Abuse histories are common in bariatric surgery candidates in Ontario, but at a lower prevalence than what has been reported elsewhere. History of abuse does not appear to affect weight loss out to 1 year postoperatively and may alert providers to offer additional support perioperatively and postoperatively, particularly in the setting of psychiatric co-morbidity.<br><br>Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1550-7289",
doi="10.1016/j.soard.2016.03.016",
url="http://dx.doi.org/10.1016/j.soard.2016.03.016"
}