Improving Patient Decisions About Bariatric Surgery
PCORI
Patient-Centered Outcomes Research Institute (PCORI)- Improving Patient Decisions About Bariatric Surgery
1 other identifier
interventional
1,000
1 country
1
Brief Summary
At least 15 million Americans are morbidly obese, or more than 100 pounds overweight. Medical treatments including drugs and behavior modification have proven ineffective in producing significant and lasting weight loss in this group. While bariatric surgery is extremely effective for most patients, it also carries risks for both short and long-term complications. There are currently four different types of bariatric surgery available and the risks and benefits of these procedures vary widely and are strongly affected by patient and clinical characteristics. Decision making under these circumstances should reflect informed patient's values and preferences regarding these trade-offs. Instead, the choice of bariatric procedure is more often driven by the beliefs and experiences of the bariatric surgeon that a patient happens to see. Variability in the type of surgery recommended to patients likely results from some combination of surgeons' subjective opinions and personal experiences with regard to the risks and benefits of the treatment options and delegated decision making on the part of patients. The goals of this research proposal are to develop, implement, and evaluate an informed decision support tool for treatment of morbid obesity. This project will be conducted within the context of the Michigan Bariatric Surgery Collaborative (MBSC), which is a statewide clinical registry and quality improvement program that has the participation of virtually every bariatric surgeon and program in the state of Michigan. The MBSC registry now includes externally audited clinical data for more than 80,000 consecutive bariatric surgery patients. MBSC outcome measures include complications occurring within 30 days as well as weight loss, comorbidity resolution, quality of life and satisfaction at 1, 2, and 3 years after bariatric surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jan 2014
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2014
CompletedFirst Submitted
Initial submission to the registry
January 22, 2015
CompletedFirst Posted
Study publicly available on registry
February 16, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 15, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 15, 2018
CompletedSeptember 26, 2018
September 1, 2018
4.7 years
January 22, 2015
September 25, 2018
Conditions
Outcome Measures
Primary Outcomes (2)
Decision outcome by Decider Guider Questionnaire
Decisional measures
24 months
Patient specific outcome by Decider Guider Questionnaire
24 months
Secondary Outcomes (6)
Knowledge, as measured by a follow-up Decider Guider questionnaire to test knowledge
24 months
Preferences as measured by Decider Guider Questionnaire
24 months
Weight
24 months
Quality of Life as measured by Decider Guider Questionnaire
24 months
Comorbidity Resolution as measured by Decider Guider Questionnaire
24 months
- +1 more secondary outcomes
Study Arms (2)
Control
NO INTERVENTIONPotential bariatric surgery patients who receive both the baseline questionnaire and follow-up questionnaire.
Decision Aid
OTHERPotential bariatric surgery patients who receive both the baseline questionnaire decision aid/conjoint analysis and follow-up questionnaire.
Interventions
Eligibility Criteria
You may qualify if:
- All patients considering undergoing bariatric surgery in the state of Michigan who are 18 or older.
- All patients, regardless of gender or racial/ethnic background, will be recruited to participate in the study in the same way.
You may not qualify if:
- Patients under the age of 18
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Michigan
Ann Arbor, Michigan, 48109, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor of Surgery
Study Record Dates
First Submitted
January 22, 2015
First Posted
February 16, 2015
Study Start
January 1, 2014
Primary Completion
September 15, 2018
Study Completion
September 15, 2018
Last Updated
September 26, 2018
Record last verified: 2018-09