Pre-post changes of integrated care needs in patients undergoing bariatric surgery
Authors' conclusion
Bio-psycho-social care needs should be evaluated in pre- and post-bariatric surgery care through a structured assessment, social workers included in the multidisciplinary team, and patients offered psychosocial support prior and after surgery. Rethinking the role and training of social workers is essential, along with developing innovative social interventions extending beyond traditional support.
Study context
- Population
- Patients screened and undergoing bariatric surgery, June 2020–June 2022of 225 screened
- Participants
- 117 patients
- Exposure
- One-year post-surgery vs pre-surgery
- Outcome
- Integrated care needs (INTERMED self-assessment questionnaire, IM-SA; biological, psychological, social, healthcare-related domains; case complexity total score ≥19)
- Follow-up
- Pre- to one-year post-surgery
Methodological detailspre-post, routinely collected screening data
- Pre-post
- Routinely collected screening data
Main finding
As reported in the abstract
Integrated care needs (IM-SA) · one-year post-surgery
- Integrated care needs reduced at 1 year post-surgery
- p < 0.001
- Proportion with case complexity decreased
- p < 0.001
Observational data: associations, not effects.
Further findings
Baseline variables associated with integrated care needs at follow-up (multiple regression) · one-year post-surgery
- Sick leave at baseline
- β = 0.172, p = 0.030
- Symptoms of anxiety at baseline
- β = 0.235, p = 0.018
Original publication
Pre-post changes of integrated care needs in patients undergoing bariatric surgery. Int J Obes (Lond). Published 19 May 2025. doi:10.
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