Background The magnitude of the effect of bariatric surgery depends on the willingness and the ability of patients to adapt a healthier lifestyle. Therefore, it is worthwhile to know how to select patients for surgery and/or preoperative interventions.
Aim To investigate the predictors for a disapproval at the time, direct approval or a prehabilitation programme for bariatric surgery candidates after multidisciplinary evaluation.
Methods Data on the SQ-48 total score, the RAND-36 total score, the general screening questionnaire, age, Body Mass Index (BMI), and the result of the multidisciplinary consultation were collected from all patients who participated in the screening process between February 2017 and February 2020. A multinomial logistic regression analysis was performed.
Results Of the 2,063 included patients, 627 (30.4%) were approved for surgery, 1,275 (61.8%) received an preoperative trajectory advise and 161 (7.8%) were denied. Eleven variables appeared to be significant predictors for the result of the multidisciplinary consultation; gender, age, BMI, RAND-36 total score, SQ-48 total score, binging score, craving score, consciously eating, psychological help score, excessive drug use in the past and the impulsiveness score.
Conclusion Although the predicting model might not be applicable to other centres, it could attribute to enhance patient selection and thereby improve healthcare logistics.

Figure 1
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
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Posted 10 May, 2021
Posted 10 May, 2021
Background The magnitude of the effect of bariatric surgery depends on the willingness and the ability of patients to adapt a healthier lifestyle. Therefore, it is worthwhile to know how to select patients for surgery and/or preoperative interventions.
Aim To investigate the predictors for a disapproval at the time, direct approval or a prehabilitation programme for bariatric surgery candidates after multidisciplinary evaluation.
Methods Data on the SQ-48 total score, the RAND-36 total score, the general screening questionnaire, age, Body Mass Index (BMI), and the result of the multidisciplinary consultation were collected from all patients who participated in the screening process between February 2017 and February 2020. A multinomial logistic regression analysis was performed.
Results Of the 2,063 included patients, 627 (30.4%) were approved for surgery, 1,275 (61.8%) received an preoperative trajectory advise and 161 (7.8%) were denied. Eleven variables appeared to be significant predictors for the result of the multidisciplinary consultation; gender, age, BMI, RAND-36 total score, SQ-48 total score, binging score, craving score, consciously eating, psychological help score, excessive drug use in the past and the impulsiveness score.
Conclusion Although the predicting model might not be applicable to other centres, it could attribute to enhance patient selection and thereby improve healthcare logistics.

Figure 1
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
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