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  1. Article ; Online: Bariatric surgeons' experiences of working in the first year of the pandemic

    Graham, Yitka N. H. / Mahawar, Kamal / Singhal, Rishi / Madhok, Brij / Yang, Wah / Riera, Manel / Martinez‐Duartez, Pedro / Pouwels, Sjaak / Sharma, Mitesh / Hayes, Catherine

    Obesity Science & Practice. 2023 Aug., v. 9, no. 4 p.329-336

    2023  

    Abstract: BACKGROUND: The first year of the Covid‐19 pandemic saw drastic changes to bariatric surgical practice, including postponement of procedures, altered patient care and impacting on the role of bariatric surgeons. The consequences of this both personally ... ...

    Abstract BACKGROUND: The first year of the Covid‐19 pandemic saw drastic changes to bariatric surgical practice, including postponement of procedures, altered patient care and impacting on the role of bariatric surgeons. The consequences of this both personally and professionally amongst bariatric surgeons has not as yet been explored. AIMS: The aim of this research was to understand bariatric surgeons' perspectives of working during the first year of the pandemic to explore the self‐reported personal and professional impact. METHODS: Using a retrospective, two phased, study design with global participants recruited from closed, bariatric surgical units. The first phase used a qualitative thematic analytic framework to identify salient areas of importance to surgeons. Themes informed the construction of an on‐line, confidential survey to test the potential generalizability of the interview findings with a larger representative population from the global bariatric surgical community. FINDINGS: Findings of the study revealed that the first year of the pandemic had a detrimental effect on bariatric surgeons both personally and professionally globally. CONCLUSION: This study has identified the need to build resilience of bariatric surgeons so that the practice of self‐care and the encouragement of help‐seeking behaviors can potentially be normalized, which will in turn increase levels of mental health and wellbeing.
    Keywords COVID-19 infection ; experimental design ; mental health ; obesity ; pandemic ; patient care ; surveys
    Language English
    Dates of publication 2023-08
    Size p. 329-336.
    Publishing place John Wiley & Sons, Ltd
    Document type Article ; Online
    Note JOURNAL ARTICLE
    ZDB-ID 2836381-4
    ISSN 2055-2238
    ISSN 2055-2238
    DOI 10.1002/osp4.655
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: Bariatric surgeons' experiences of working in the first year of the pandemic.

    Graham, Yitka N H / Mahawar, Kamal / Singhal, Rishi / Madhok, Brij / Yang, Wah / Riera, Manel / Martinez-Duartez, Pedro / Pouwels, Sjaak / Sharma, Mitesh / Hayes, Catherine

    Obesity science & practice

    2023  Volume 9, Issue 4, Page(s) 329–336

    Abstract: Background: The first year of the Covid-19 pandemic saw drastic changes to bariatric surgical practice, including postponement of procedures, altered patient care and impacting on the role of bariatric surgeons. The consequences of this both personally ... ...

    Abstract Background: The first year of the Covid-19 pandemic saw drastic changes to bariatric surgical practice, including postponement of procedures, altered patient care and impacting on the role of bariatric surgeons. The consequences of this both personally and professionally amongst bariatric surgeons has not as yet been explored.
    Aims: The aim of this research was to understand bariatric surgeons' perspectives of working during the first year of the pandemic to explore the self-reported personal and professional impact.
    Methods: Using a retrospective, two phased, study design with global participants recruited from closed, bariatric surgical units. The first phase used a qualitative thematic analytic framework to identify salient areas of importance to surgeons. Themes informed the construction of an on-line, confidential survey to test the potential generalizability of the interview findings with a larger representative population from the global bariatric surgical community.
    Findings: Findings of the study revealed that the first year of the pandemic had a detrimental effect on bariatric surgeons both personally and professionally globally.
    Conclusion: This study has identified the need to build resilience of bariatric surgeons so that the practice of self-care and the encouragement of help-seeking behaviors can potentially be normalized, which will in turn increase levels of mental health and wellbeing.
    Language English
    Publishing date 2023-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2836381-4
    ISSN 2055-2238 ; 2055-2238
    ISSN (online) 2055-2238
    ISSN 2055-2238
    DOI 10.1002/osp4.655
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evaluating a potential role for community pharmacists in post-bariatric patient nutritional support.

    Graham, Yitka N H / Earl-Sinha, Charlotte / Parkin, Lindsay / Callejas-Diaz, Lindes / Fox, Ann / Tierney, Callum / Mahawar, Kamal / Hayes, Catherine

    Clinical obesity

    2020  Volume 10, Issue 4, Page(s) e12364

    Abstract: Physiological changes to the body from bariatric surgery necessitate lifelong vitamin and mineral supplementation to prevent potential nutritional deficiencies. Presently, there is no consensus on appropriate long-term follow-up in community settings for ...

    Abstract Physiological changes to the body from bariatric surgery necessitate lifelong vitamin and mineral supplementation to prevent potential nutritional deficiencies. Presently, there is no consensus on appropriate long-term follow-up in community settings for people who have undergone bariatric surgery. Current UK guidelines recommend annual monitoring of nutritional status, but little else. Semi-structured interviews were carried out with members of a high volume bariatric surgical unit and community pharmacists working in a variety of settings and locations. Data were collected between June and August 2018 and analysed using a thematic analytic framework. Twenty-five participants were recruited. Bariatric staff (n = 9) reported negligible interaction with community pharmacists but felt establishing communication and developing a potential pathway to collaborate, would provide additional support and potentially improved levels of patient compliance. Community pharmacists (n = 16) reported poor knowledge of bariatric surgery, indicating they were unable to routinely identify people who had bariatric surgery, but understood issues with absorption of vitamins. There is evident potential to involve community pharmacists in post-bariatric patient care pathways. Pharmacists possess knowledge of absorption and metabolism of supplements which could be used to actively support people who have had bariatric surgery in their changed physiological status. Education ought to focus on the functional impact of bariatric surgical procedures and interventions and the consequent nutritional recommendations required. Communication between bariatric units and community pharmacies is needed to construct a clear and formalized infrastructure of support, with remuneration for pharmacy specialist expertise agreed to ensure both financial viability and sustainability.
    MeSH term(s) Aftercare/methods ; Aftercare/organization & administration ; Bariatric Surgery ; Community Pharmacy Services ; Humans ; Interdisciplinary Communication ; Nutritional Support ; Pharmacists ; Professional Role
    Language English
    Publishing date 2020-04-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 2625816-X
    ISSN 1758-8111 ; 1758-8103
    ISSN (online) 1758-8111
    ISSN 1758-8103
    DOI 10.1111/cob.12364
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Contraceptive practices and menstrual patterns in women aged 18-50 years awaiting bariatric surgery.

    Graham, Yitka N H / Mansour, Diana J / Small, Peter K / Fraser, Ian S

    BMJ sexual & reproductive health

    2018  

    Language English
    Publishing date 2018-06-15
    Publishing country England
    Document type Journal Article
    ISSN 2515-2009
    ISSN (online) 2515-2009
    DOI 10.1136/bmjsrh-2018-200091
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  5. Article ; Online: Ascertaining the Place of Social Media and Technology for Bariatric Patient Support: What Do Allied Health Practitioners Think?

    Graham, Yitka N H / Hayes, Catherine / Mahawar, Kamal K / Small, Peter K / Attala, Anita / Seymour, Keith / Woodcock, Sean / Ling, Jonathan

    Obesity surgery

    2017  Volume 27, Issue 7, Page(s) 1691–1696

    Abstract: Background: There is an increasing presence of patient-led social media, mobile apps and patient support technology, but little is known about the role of these in the support of bariatric surgery patients in the UK. This study aimed to seek the views ... ...

    Abstract Background: There is an increasing presence of patient-led social media, mobile apps and patient support technology, but little is known about the role of these in the support of bariatric surgery patients in the UK. This study aimed to seek the views of allied health professionals (AHPs) working in bariatric surgical teams to understand their current perceptions of the role of social media, mobile apps and patient-support technology within bariatric surgery in the UK.
    Methods: A confidential, printed survey was distributed to the AHPs at the British Obesity and Metabolic Surgery Society (BOMSS) 7th Annual Scientific Conference in January 2016. An email to AHPs who did not attend the conference was sent requesting voluntary participation in the same survey online through Survey Monkey® within 2 weeks of the conference.
    Results: A total of 95 responses were received, which was a 71% response rate (n = 134). Responses were from nurses (34%, n = 46), dietitians (32%, n = 32), psychologists (16%, n = 12) and 1 nutritionist, 1 physiotherapist, 1 patient advocate, 1 surgeon and 9 respondents did not fill in their title.
    Conclusion: The use of social media and mobile apps by patients is increasing, with AHPs concerned about misinformation; advice may differ from what is given in clinic. Technologies, e.g. telehealth and videoconferencing are not widely used in bariatric surgery in the UK. AHPs are unclear about the role of technologies for bariatric surgical patient support. Further discussions are needed to understand the potential of technology with AHPs supporting/facilitating patients as this becomes more commonplace.
    MeSH term(s) Allied Health Personnel/psychology ; Attitude of Health Personnel ; Bariatric Surgery ; Health Care Surveys ; Humans ; Mobile Applications ; Obesity/surgery ; Obesity/therapy ; Perception ; Social Media ; Social Support ; Telemedicine ; United Kingdom ; Videoconferencing
    Language English
    Publishing date 2017-01-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-016-2527-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3381: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
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  6. Article ; Online: A Survey of Bariatric Surgical and Reproductive Health Professionals' Knowledge and Provision of Contraception to Reproductive-Aged Bariatric Surgical Patients.

    Graham, Yitka N H / Mansour, Diana / Small, Peter K / Hinshaw, Kim / Gatiss, Sarah / Mahawar, Kamal K / McGarry, Ken / Wilkes, Scott

    Obesity surgery

    2016  Volume 26, Issue 8, Page(s) 1918–1923

    Abstract: Background: Over 80 % of bariatric surgical patients are women with obesity in their reproductive years. Obesity adversely affects fertility; the rapid weight loss following bariatric surgery can increase fecundity. Current guidelines recommend avoiding ...

    Abstract Background: Over 80 % of bariatric surgical patients are women with obesity in their reproductive years. Obesity adversely affects fertility; the rapid weight loss following bariatric surgery can increase fecundity. Current guidelines recommend avoiding pregnancy for up to 24 months following surgery, but little is known about current contraceptive care of women who undergo bariatric surgery. Two surveys were undertaken with bariatric surgical and contraceptive practitioners in England to establish current contraceptive practices in both groups.
    Methods: Two anonymous on-line surveys were sent to all 382 members of the British Obesity and Metabolic Surgery Society (BOMSS) and an estimated 300 contraceptive practitioners in the North East of England.
    Results: The BOMSS survey elicited a response rate of 17 % (n = 65), mainly from bariatric surgeons (n = 24 (36 %)). Most respondents (97 %) acknowledged the need to educate patients, but contraceptive information was only provided by 7 % (n = 4) of respondents in bariatric surgical clinics. Less than half of respondents were confident discussing contraception, and the majority requested further training, guidance and communication with contraceptive practitioners. The majority of respondents to the contraceptive practitioner survey were general practitioners (28 %, n = 20). Three quarters of respondents reported little knowledge of bariatric surgery, and many reported not seeing women with obesity requiring contraception before (66 %, n = 45) or after surgery (71 %, n = 49).
    Conclusions: There is a need to increase knowledge levels of contraception within bariatric surgical teams and to understand why, despite increasing levels of bariatric surgery, women do not seem to be appearing for advice in contraceptive settings.
    MeSH term(s) Adult ; Bariatric Surgery/education ; Bariatric Surgery/statistics & numerical data ; Contraception/methods ; Contraception/statistics & numerical data ; Contraceptive Agents/therapeutic use ; Directive Counseling/statistics & numerical data ; England/epidemiology ; Female ; Health Knowledge, Attitudes, Practice ; Health Occupations/education ; Health Occupations/statistics & numerical data ; Humans ; Obesity, Morbid/epidemiology ; Obesity, Morbid/rehabilitation ; Obesity, Morbid/surgery ; Patient Education as Topic/manpower ; Patient Education as Topic/statistics & numerical data ; Pregnancy ; Reproductive Health/education ; Surgeons/psychology ; Surgeons/statistics & numerical data ; Surveys and Questionnaires
    Chemical Substances Contraceptive Agents
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-015-2037-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3381: Show issues Location:
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