Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada
<p>Abstract</p> <p>Background</p> <p>Bariatric surgery is the most effective current treatment for severe obesity. Capacity to perform surgery within Canada’s public health system is limited and potential candidates face protracted wait times. A better understanding of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-09-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | http://www.equityhealthj.com/content/11/1/54 |
| _version_ | 1818957166534459392 |
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| author | Padwal Raj S Chang Hsui-Ju Klarenbach Scott Sharma Arya M Majumdar Sumit R |
| author_facet | Padwal Raj S Chang Hsui-Ju Klarenbach Scott Sharma Arya M Majumdar Sumit R |
| author_sort | Padwal Raj S |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Bariatric surgery is the most effective current treatment for severe obesity. Capacity to perform surgery within Canada’s public health system is limited and potential candidates face protracted wait times. A better understanding of the gaps between demand for surgery and the capacity to provide it is required. The purpose of this study was to quantify and characterize the bariatric surgery-eligible population in Canada in comparison to surgery-ineligible subjects and surgical recipients.</p> <p>Methods</p> <p>Data from adult (age > 20) respondents of the 2007–09 nationally representative Canadian Health Measures Survey (CHMS) were analyzed to estimate the prevalence and characteristics of the surgery-eligible and ineligible populations. Federally mandated administrative healthcare data (2007–08) were used to characterize surgical recipients.</p> <p>Results</p> <p>In 2007–09, an estimated 1.5 million obese Canadian adults met eligibility criteria for bariatric surgery. 19.2 million were surgery-ineligible (3.4 million obese and 15.8 million non-obese). Surgery-eligible Canadians had a mean BMI of 40.1 kg/m<sup>2</sup> (95% CI 39.3 to 40.9 kg/m<sup>2</sup>) and, compared to the surgery-ineligible obese population, were more likely to be female (62 vs. 44%), 40–59 years old (55 vs. 48%), less educated (43 vs. 35%), in the lowest socioeconomic tertile (41 vs. 34%), and inactive (73 vs. 59%). Self-rated mental health and quality of life were lower and comorbidity was higher in surgery-eligible respondents compared with the ineligible populations. The annual proportion of Canadians eligible for surgery that actually underwent a publicly funded bariatric surgery between 2007–09 was 0.1%. Surgical recipients (n = 847) had a mean age of 43.6 years (SD 11.1) and 82% were female. With the exception of type 2 diabetes, obesity-related comorbidity prevalence was much lower in surgical recipients compared to those eligible for surgery.</p> <p>Conclusions</p> <p>The proportion of bariatric surgery-eligible Canadians that undergo publicly funded bariatric surgery is very low. There are notable differences in sociodemographic profiles and prevalence of comorbidities between surgery-eligible subjects and surgical recipients.</p> |
| first_indexed | 2024-12-20T11:05:32Z |
| format | Article |
| id | doaj.art-b8d3be5d622e4decb3ee724bffde0501 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-20T11:05:32Z |
| publishDate | 2012-09-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-b8d3be5d622e4decb3ee724bffde05012022-12-21T19:42:51ZengBMCInternational Journal for Equity in Health1475-92762012-09-011115410.1186/1475-9276-11-54Characteristics of the population eligible for and receiving publicly funded bariatric surgery in CanadaPadwal Raj SChang Hsui-JuKlarenbach ScottSharma Arya MMajumdar Sumit R<p>Abstract</p> <p>Background</p> <p>Bariatric surgery is the most effective current treatment for severe obesity. Capacity to perform surgery within Canada’s public health system is limited and potential candidates face protracted wait times. A better understanding of the gaps between demand for surgery and the capacity to provide it is required. The purpose of this study was to quantify and characterize the bariatric surgery-eligible population in Canada in comparison to surgery-ineligible subjects and surgical recipients.</p> <p>Methods</p> <p>Data from adult (age > 20) respondents of the 2007–09 nationally representative Canadian Health Measures Survey (CHMS) were analyzed to estimate the prevalence and characteristics of the surgery-eligible and ineligible populations. Federally mandated administrative healthcare data (2007–08) were used to characterize surgical recipients.</p> <p>Results</p> <p>In 2007–09, an estimated 1.5 million obese Canadian adults met eligibility criteria for bariatric surgery. 19.2 million were surgery-ineligible (3.4 million obese and 15.8 million non-obese). Surgery-eligible Canadians had a mean BMI of 40.1 kg/m<sup>2</sup> (95% CI 39.3 to 40.9 kg/m<sup>2</sup>) and, compared to the surgery-ineligible obese population, were more likely to be female (62 vs. 44%), 40–59 years old (55 vs. 48%), less educated (43 vs. 35%), in the lowest socioeconomic tertile (41 vs. 34%), and inactive (73 vs. 59%). Self-rated mental health and quality of life were lower and comorbidity was higher in surgery-eligible respondents compared with the ineligible populations. The annual proportion of Canadians eligible for surgery that actually underwent a publicly funded bariatric surgery between 2007–09 was 0.1%. Surgical recipients (n = 847) had a mean age of 43.6 years (SD 11.1) and 82% were female. With the exception of type 2 diabetes, obesity-related comorbidity prevalence was much lower in surgical recipients compared to those eligible for surgery.</p> <p>Conclusions</p> <p>The proportion of bariatric surgery-eligible Canadians that undergo publicly funded bariatric surgery is very low. There are notable differences in sociodemographic profiles and prevalence of comorbidities between surgery-eligible subjects and surgical recipients.</p>http://www.equityhealthj.com/content/11/1/54CanadaBariatric surgeryHealth services researchPopulation healthAccess |
| spellingShingle | Padwal Raj S Chang Hsui-Ju Klarenbach Scott Sharma Arya M Majumdar Sumit R Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada International Journal for Equity in Health Canada Bariatric surgery Health services research Population health Access |
| title | Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada |
| title_full | Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada |
| title_fullStr | Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada |
| title_full_unstemmed | Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada |
| title_short | Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada |
| title_sort | characteristics of the population eligible for and receiving publicly funded bariatric surgery in canada |
| topic | Canada Bariatric surgery Health services research Population health Access |
| url | http://www.equityhealthj.com/content/11/1/54 |
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