Thursday, February 1, 2007
12084

Socioeconomic Factors Influencing the Decision to have Body Contouring after Gastric Bypass Surgery

Jeffrey A. Gusenoff, MD, William O'Malley, MD, and Howard N. Langstein, MD.

Purpose: To investigate the socioeconomic factors influencing the decision to have body contouring (BC) after gastric bypass surgery (GBP). Methods: 2501 consecutive GBP patients were surveyed. Multiple socioeconomic variables were assessed by univariate and multivariate analysis. Results: 926 patients (817 F, 109 M) responded (response rate = 40.3%) with a mean follow up of 2.4 yrs (range 0-14 yrs). 105 patients (11.3%) went on to have BC (Group I). Group I was related to the years since GBP (P<0.0001), DBMI (p<0.0001), open vs. laparoscopic GBP (p<0.0001), income range $20,000-49,000 (p<0.03), and income range >$50,000 (p<0.03), but was not related to age, gender, marital status, pre-op BMI, or prior plastic surgery. 685 patients (83.4%) desired BC (Group II). Group II was inversely related to age (p<0.0001) and open vs. laparoscopic GBP (p<0.04), and was 2x more likely in females (p<0.008) and divorced individuals (p<0.03). Conclusion: A minority of gastric bypass patients underwent body contouring. Younger, divorced, female patients that had laparoscopic GBP voiced the strongest interest in body contouring. These results suggest that efforts should be directed towards facilitating body contouring in this subpopulation because they appear the most motivated.