Referring survivors of XXXX to bariatric specialists: a prospective cohort study.

@entity1 @entity1204 @entity353 @entity5 @entity1373
OBJECTIVE: The purpose of this study was to describe the acceptability of bariatric referrals when offered by gynecologic oncologists to @entity1 with a history of @entity1373 or early-stage @entity1204 and to detail compliance with referrals and @entity353 attempts that are initiated 3 months after the referral. STUDY DESIGN: Obese @entity1 with @entity1373 or early-stage @entity1204 were approached for inclusion in this prospective cohort study. Those @entity1 who were not in the care of a bariatric specialist were offered a medical referral with or without a surgical referral. A survey was administered at inclusion and after 3 months. RESULTS: Of 121 @entity1 who were approached, 106 @entity1 were consented. @entity1 reported that it was acceptable for their gynecologic oncologist to discuss @entity353 (91.09%) and that a 10% loss of body weight would be beneficial (86.14%). Six @entity1 were already in the care of a bariatric specialist. Of the remaining 100 @entity1 , 43 accepted a referral: 35 of 100 medical and 8 of 66 surgical referrals that were offered. At 3 months, 17 @entity1 complied with a referral (16 medical and 1 surgical), and 59 @entity1 had initiated any @entity353 attempt. On multivariate analysis, a higher initial weight (P = .0403), Charlson Comorbidity Index >= 5 (P = .0278), and shorter time from surgery to bariatric referral (P = .0338) predicted acceptance of a referral. CONCLUSION: Weight-loss counseling is well received by these @entity1 . After being offered bariatric referral, only 17% comply, but most @entity1 (59%) subsequently initiate a @entity353 attempt. Referrals should be offered early in the course of @entity5 care to maximize acceptance.
