Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report

Obesity affects over 600,000 people in Poland, and bariatric surgery is a vital part of the multidisciplinary approach to treatment. To improve outcomes, Poland’s public health institutions implemented the KOS-BAR programme, a multicentre nationwide pilot initiative that includes psychiatric evaluat...

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Main Authors: Marta Herstowska, Ada Przygocka-Pieniążek, Karol Grabowski, Łukasz Kaska
Format: Article
Language:English
Published: Medycyna Praktyczna 2023-06-01
Series:Videosurgery and Other Miniinvasive Techniques
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Online Access:https://www.termedia.pl/Prevalence-of-mental-disorders-in-patients-with-pathological-obesity-selected-for-bariatric-surgery-in-the-KOS-BAR-nationwide-multi-centre-pilot-programme-a-preliminary-report,42,50906,1,1.html
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author Marta Herstowska
Ada Przygocka-Pieniążek
Karol Grabowski
Łukasz Kaska
author_facet Marta Herstowska
Ada Przygocka-Pieniążek
Karol Grabowski
Łukasz Kaska
author_sort Marta Herstowska
collection DOAJ
description Obesity affects over 600,000 people in Poland, and bariatric surgery is a vital part of the multidisciplinary approach to treatment. To improve outcomes, Poland’s public health institutions implemented the KOS-BAR programme, a multicentre nationwide pilot initiative that includes psychiatric evaluations of patients. The aim of this study was to assess the prevalence of mental disorders, verify diagnoses, and evaluate pharmacotherapy efficacy for patients under psychiatric treatment and selected for bariatric surgery. Of the 180 patients evaluated, 40% had a history of mental disorders, with depressive and eating disorders being the most common diagnoses. Patients selected for revision surgery had a higher incidence of depressive and compulsive eating disorders. Psychiatric support can improve patient cooperation and optimize long-term outcomes after bariatric surgery. A more complete evaluation of the psychological profile and depressive disorder’s impact on bariatric treatment outcomes will be the next step for this group of patients.
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issn 1895-4588
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publishDate 2023-06-01
publisher Medycyna Praktyczna
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series Videosurgery and Other Miniinvasive Techniques
spelling doaj-art-20c7b5f67ff44acb89cc680c9cc063022025-08-20T03:17:55ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542023-06-0118350250910.5114/wiitm.2023.12891050906Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary reportMarta HerstowskaAda Przygocka-PieniążekKarol GrabowskiŁukasz KaskaObesity affects over 600,000 people in Poland, and bariatric surgery is a vital part of the multidisciplinary approach to treatment. To improve outcomes, Poland’s public health institutions implemented the KOS-BAR programme, a multicentre nationwide pilot initiative that includes psychiatric evaluations of patients. The aim of this study was to assess the prevalence of mental disorders, verify diagnoses, and evaluate pharmacotherapy efficacy for patients under psychiatric treatment and selected for bariatric surgery. Of the 180 patients evaluated, 40% had a history of mental disorders, with depressive and eating disorders being the most common diagnoses. Patients selected for revision surgery had a higher incidence of depressive and compulsive eating disorders. Psychiatric support can improve patient cooperation and optimize long-term outcomes after bariatric surgery. A more complete evaluation of the psychological profile and depressive disorder’s impact on bariatric treatment outcomes will be the next step for this group of patients.https://www.termedia.pl/Prevalence-of-mental-disorders-in-patients-with-pathological-obesity-selected-for-bariatric-surgery-in-the-KOS-BAR-nationwide-multi-centre-pilot-programme-a-preliminary-report,42,50906,1,1.htmlobesity bariatric surgery psychiatric disorders
spellingShingle Marta Herstowska
Ada Przygocka-Pieniążek
Karol Grabowski
Łukasz Kaska
Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report
Videosurgery and Other Miniinvasive Techniques
obesity
bariatric surgery
psychiatric disorders
title Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report
title_full Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report
title_fullStr Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report
title_full_unstemmed Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report
title_short Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report
title_sort prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the kos bar nationwide multi centre pilot programme a preliminary report
topic obesity
bariatric surgery
psychiatric disorders
url https://www.termedia.pl/Prevalence-of-mental-disorders-in-patients-with-pathological-obesity-selected-for-bariatric-surgery-in-the-KOS-BAR-nationwide-multi-centre-pilot-programme-a-preliminary-report,42,50906,1,1.html
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AT adaprzygockapieniazek prevalenceofmentaldisordersinpatientswithpathologicalobesityselectedforbariatricsurgeryinthekosbarnationwidemulticentrepilotprogrammeapreliminaryreport
AT karolgrabowski prevalenceofmentaldisordersinpatientswithpathologicalobesityselectedforbariatricsurgeryinthekosbarnationwidemulticentrepilotprogrammeapreliminaryreport
AT łukaszkaska prevalenceofmentaldisordersinpatientswithpathologicalobesityselectedforbariatricsurgeryinthekosbarnationwidemulticentrepilotprogrammeapreliminaryreport