Telematics pre-operative psychological and nutritional assessment in candidates for bariatric surgery during COVID-19 phase 2: a pilot prospective observational study

Minerva Surg. 2021 Feb;76(1):57-61. doi: 10.23736/S2724-5691.20.08706-4.

Abstract

Background: Obesity represents a risk factor for COVID-19 infection. Therefore, in order to reduce COVID-19 related comorbidities in obese population a continuation of obesity treatment is needed. However, bariatric procedures were postponed because of COVID-19 restrictions, delaying treatment for obese patients seeking for surgery. This study aimed to test the feasibility of a telematics pre-operative psychological and nutritional assessment as an alternative tool during COVID-19 outbreak.

Methods: Twenty-six patients were contacted. The pre-operative assessment consisted in 3-weekly one-to-one online sessions and a final in-person multidisciplinary session. The protocol feasibility has been evaluated on the following outcome: rejection rate (%), dropout rate (%), compliance and satisfaction's degree.

Results: Eighteen participants completed the whole protocol and 10% dropped-out. Seventy-two percent of participants obtained an excess weight loss ≥5%. All participants were satisfied of the telematics assessment.

Conclusions: COVID-19 emergency has changed standard hospital procedures and this study could represent a landmark for an online pre-operative assessment method to adopt in case of new restrictions.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Bariatric Surgery*
  • COVID-19 / prevention & control*
  • Feasibility Studies
  • Female
  • Humans
  • Internet-Based Intervention
  • Male
  • Nutrition Assessment*
  • Patient Compliance / statistics & numerical data
  • Patient Dropouts / statistics & numerical data
  • Patient Satisfaction / statistics & numerical data
  • Pilot Projects
  • Preoperative Care / methods*
  • Prospective Studies
  • Psychological Tests*
  • Social Media*
  • Weight Loss