Measuring Associations Between Community-Level Social Determinants of Health and Bariatric Surgery Weight Loss Outcomes

Nicholas Skoufis, Rui Zhang, You Chen

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Bariatric surgery is a crucial intervention in managing obesity and related conditions. However, weight loss outcomes can vary significantly, and social determinants of health (SDoH) at the community level may play a role. Our objective is to identify community-level SDoH factors associated with reduced weight loss after bariatric surgery. We conducted an analysis of electronic health records and the social vulnerability index (SVI) of 3,800 patients who underwent bariatric surgery at Vanderbilt University Medical Center. We measured the associations between SVI social factors and the percent change in body mass index three months after surgery using linear regression. The SVI factors with a false discovery rate-adjusted p-value < 0.05 were deemed significant. Statistical results show that patients who reside in communities with racial minority groups or lower insurance rates had reduced weight loss three months after surgery.

Original languageEnglish (US)
Title of host publicationMEDINFO 2023 - The Future is Accessible
Subtitle of host publicationProceedings of the 19th World Congress on Medical and Health Informatics
EditorsJen Bichel-Findlay, Paula Otero, Philip Scott, Elaine Huesing
PublisherIOS Press BV
Pages1317-1321
Number of pages5
ISBN (Electronic)9781643684567
DOIs
StatePublished - Jan 25 2024
Event19th World Congress on Medical and Health Informatics, MedInfo 2023 - Sydney, Australia
Duration: Jul 8 2023Jul 12 2023

Publication series

NameStudies in Health Technology and Informatics
Volume310
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference19th World Congress on Medical and Health Informatics, MedInfo 2023
Country/TerritoryAustralia
CitySydney
Period7/8/237/12/23

Bibliographical note

Publisher Copyright:
© 2024 International Medical Informatics Association (IMIA) and IOS Press.

Keywords

  • bariatric surgery
  • body mass index
  • electronic health record
  • SDoH

PubMed: MeSH publication types

  • Journal Article

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