Christina C. Wee|Mary Beth Hamel|Caroline M. Apovian|George L. Blackburn|Dragana Bolcic?Jankovic|Mary Ellen Colten|Donald T. Hess|Karen W. Huskey|Edward R. Marcantonio|Benjamin E. Schneider|Daniel B. Jones
Expectations for Weight Loss and Willingness to Accept Risk Among Patients Seeking Weight Loss Surgery
weight loss surgery wls shown produce longterm weight loss risk free universally effective weight loss expectations willingness undergo perioperative risk among patients seeking wls remain unknownto examine expectations motivations wls patients mortality risks willing undertake explore demographic characteristics clinical factors patient perceptions associated high weight loss expectations willingness assume high surgical riskwe interviewed patients seeking wls conducted multivariable analyses examine characteristics associated high weight loss expectations acceptance mortality risks 10 highertwo wls centers bostonsix hundred fiftyfour patientsdisappointment sustained weight loss 20 willingness accept mortality risk 10 higher wlson average patients expected lose much 38 weight wls expressed disappointment lose least 26 patients 848 accepted risk dying undergo wls 575 willing undergo hypothetical treatment produced 20 weight loss mean acceptable mortality risk undergo wls 67 median risk 01 195 patients willing accept risk least 10 women likely men disappointed 20 weight loss less likely accept high mortality risk initial adjustment white patients appeared likely african american patients high weight loss expectations willing accept high risk patients lower qualityoflife scores perceived needing lose 10 20 weight achieve health benefits likely unrealistic weight loss expectations low qualityoflife scores also associated willingness accept high riskmost patients seeking wls high weight loss expectations believe need lose substantial weight derive health benefits educational efforts may necessary align expectations clinical reality