Adherence
Approximately 11.5% of patients undergoing secondary metabolic bariatric surgery (MBS) transfer to a different hospital than their primary procedure, a rate that is underestimated in single-institution registries.
If you are considering secondary bariatric surgery, be aware that about 11% of patients switch hospitals for this procedure. This is often driven by dissatisfaction with weight regain or complications from the first surgery. You are not alone in seeking a second opinion or a different provider if you feel your current care is not meeting your expectations.
A minority (n = 275; 11.5%) underwent their second procedure elsewhere.
Why this rating
Large-scale registry data (n=2382 matched pairs) using secure multi-party computation, though observational.
Source
Hospital Transfer Between Primary and Secondary Metabolic Bariatric Surgery in The Netherlands: A Cross-sectional Multi-party Computation Analysis of Frequency and Associated Factors
Floris F. E. Bruinsma et al. · Obesity Surgery · 2025
DOI 10.1007/s11695-025-08284-8
More from this paper
- Secure multi-party computation (MPC) enables the linkage of patient data across different hospitals for research purposes without violating privacy regulations, allowing for accurate assessment of hospital transfer rates.Strong
- Patients who transfer hospitals for secondary MBS are significantly younger, have fewer obesity-related comorbidities (hypertension, GERD), and are more likely to undergo secondary surgery for recurrent weight gain compared to those who stay.Good
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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