Table 1.
Variable | AGB | RYGB | p value |
---|---|---|---|
No. clinics | 12 | 18 | |
No. surgeons | 24 | 35 | |
Out-of-pocket cost, median (range) Can$ | 16 000 (13 160–18 375) | 0§ | |
Financing available, no. (%) of institutions | — | ||
Direct | 2/12 (17) | ||
Via third party | 6/12 (50) | ||
Total | 8/12 (67) | ||
Wait time, median (IQR) [range] mo | 1 (1.0–1.5) [0.5–2.5] | 18 (13–36) [9–60] | < 0.001 |
Surgeries performed at location with critical care, no. (%) | |||
All | 4/12 (33) | 18/18 (100) | |
High-risk only | 3/12 (25) | ||
None | 5/12 (42) | ||
Surgeon experience, mean (SD) yr | |||
Post-residency/certification | n = 18 14.6 | n = 11 14.0 | 0.85 |
Post-MD | n = 20 22.7 (11.4) | n = 20 19.4 (9.2) | 0.32 |
Multidisciplinary preoperative visits, mean (SD) no. | 0.045 | ||
Total | 2.7 (1.6) | 4.3 (2.4) | |
Surgeon | 1.0 (0.0) | 1.2 (0.4) | |
Dietician | 0.4 (0.5) | 0.8 (0.4) | |
Wellness coordinator* | 0.6 (0.5) | 0.6 (1.0) | |
Psychologist | 0.3 (0.5) | 0.3 (0.5) | |
Anesthesiologist | 0.1 (0.3) | 0.1 (0.3) | |
Internist† | 0.1 (0.3) | 0.6 (0.6) | |
Exercise physiotherapist | 0.0 (0.0) | 0.1 (0.3) | |
Education class | 0.2 (0.4) | 0.7 (1.2) | |
Multidisciplinary postoperative visits in first year, mean (SD) no.‡ | 0.28 | ||
Total | 3.7 (1.6)¶ | 4.3 (1.6) | |
Surgeon | 2.3 (0.7) | 2.1 (0.9) | |
Dietician | 0.6 (0.8) | 1.1 (1.0) | |
Wellness coordinator* | 0.8 (0.8) | 0.4 (0.6) | |
Internist† | 0.0 (0.0) | 0.8 (0.9) | |
Accept out of province, no. (%) | 11/12 (92) | 7/18 (39) |
AGB = adjustable gastric banding; IQR = interquartile range; RYGB = Roux-en-Y gastric bypass; SD = standard deviation.
Wellness coordinator also includes registered nurse or social worker.
Internist includes general internist or endocrinologist.
The duration of the postoperative visits was not determined.
The cost of RYGB to the public system was not estimated in this study.
Total includes planned band adjustments but not unplanned adjustments.