Effectiveness of Online Aftercare Programs Following Intragastric Balloon Placement for Obesity Is Similar to Traditional Follow-up: a Large Propensity Matched US Multicenter Study

Eric J. Vargas, Fateh Bazerbachi, Andrew C. Storm, Monika Rizk, Andres Acosta, Karen Grothe, Matthew M Clark, Manpreet S. Mundi, Carl M. Pesta, Ahmad Bali, Eric Ibegbu, Rachel L. Moore, Vivek Kumbhari, Trace Curry, Reem Z. Sharaiha, Barham K. Abu Dayyeh

Research output: Contribution to journalArticle

Abstract

Background: The combination of intragastric balloons (IGB) with comprehensive lifestyle and behavioral changes is critical for ongoing weight loss. Many community and rural practices do not have access to robust obesity resources, limiting the use of IGBs. Online aftercare programs were developed in response to this need, delivering lifestyle coaching to maximize effectiveness. How these programs compare to traditional follow-up is currently unknown. Methods: Using propensity scoring (PS) methods, two large prospective databases of patients undergoing IGB therapy were compared to estimate the difference in percent total body weight loss (%TBWL) between groups while identifying predictors of response. Results: Seven hundred fifty-eight unique patients across 78 different participating practices (online n = 437; clinical registry n = 321) was analyzed. The mean %TBWL at balloon removal was 11% ± 6.9 with an estimated treatment difference (ETD) between online and traditional follow-up of − 1.5% TBWL (95% CI − 3–0.4%; p = 0.125). Three months post-balloon removal, the combined %TBWL was 12.2% ± 8.3 with an ETD of only 1% TBWL (95%CI – 3–3%; p = 0.08). On multivariable linear regression, each incremental follow-up was associated with increased %TBWL (β = 0.6% p = 0.002). Conclusion: Online IGB aftercare programs provide similar weight loss compared with traditional programs. Increased lifestyle coaching whether in person or remotely is associated with more %TBWL at removal and during follow-up. Close follow-up for clinical symptoms is still warranted.

Original languageEnglish (US)
JournalObesity Surgery
DOIs
StatePublished - Jan 1 2019

Fingerprint

Aftercare
Multicenter Studies
Life Style
Weight Loss
Obesity
Rural Population
Registries
Linear Models
Research Design
Therapeutics
Body Weight
Databases
Mentoring

Keywords

  • Balloon
  • Endoscopic
  • Obesity
  • Online
  • Treatment

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Effectiveness of Online Aftercare Programs Following Intragastric Balloon Placement for Obesity Is Similar to Traditional Follow-up : a Large Propensity Matched US Multicenter Study. / Vargas, Eric J.; Bazerbachi, Fateh; Storm, Andrew C.; Rizk, Monika; Acosta, Andres; Grothe, Karen; Clark, Matthew M; Mundi, Manpreet S.; Pesta, Carl M.; Bali, Ahmad; Ibegbu, Eric; Moore, Rachel L.; Kumbhari, Vivek; Curry, Trace; Sharaiha, Reem Z.; Abu Dayyeh, Barham K.

In: Obesity Surgery, 01.01.2019.

Research output: Contribution to journalArticle

Vargas, Eric J. ; Bazerbachi, Fateh ; Storm, Andrew C. ; Rizk, Monika ; Acosta, Andres ; Grothe, Karen ; Clark, Matthew M ; Mundi, Manpreet S. ; Pesta, Carl M. ; Bali, Ahmad ; Ibegbu, Eric ; Moore, Rachel L. ; Kumbhari, Vivek ; Curry, Trace ; Sharaiha, Reem Z. ; Abu Dayyeh, Barham K. / Effectiveness of Online Aftercare Programs Following Intragastric Balloon Placement for Obesity Is Similar to Traditional Follow-up : a Large Propensity Matched US Multicenter Study. In: Obesity Surgery. 2019.
@article{d0f97cdddb4342ccaa07f0697c6147aa,
title = "Effectiveness of Online Aftercare Programs Following Intragastric Balloon Placement for Obesity Is Similar to Traditional Follow-up: a Large Propensity Matched US Multicenter Study",
abstract = "Background: The combination of intragastric balloons (IGB) with comprehensive lifestyle and behavioral changes is critical for ongoing weight loss. Many community and rural practices do not have access to robust obesity resources, limiting the use of IGBs. Online aftercare programs were developed in response to this need, delivering lifestyle coaching to maximize effectiveness. How these programs compare to traditional follow-up is currently unknown. Methods: Using propensity scoring (PS) methods, two large prospective databases of patients undergoing IGB therapy were compared to estimate the difference in percent total body weight loss ({\%}TBWL) between groups while identifying predictors of response. Results: Seven hundred fifty-eight unique patients across 78 different participating practices (online n = 437; clinical registry n = 321) was analyzed. The mean {\%}TBWL at balloon removal was 11{\%} ± 6.9 with an estimated treatment difference (ETD) between online and traditional follow-up of − 1.5{\%} TBWL (95{\%} CI − 3–0.4{\%}; p = 0.125). Three months post-balloon removal, the combined {\%}TBWL was 12.2{\%} ± 8.3 with an ETD of only 1{\%} TBWL (95{\%}CI – 3–3{\%}; p = 0.08). On multivariable linear regression, each incremental follow-up was associated with increased {\%}TBWL (β = 0.6{\%} p = 0.002). Conclusion: Online IGB aftercare programs provide similar weight loss compared with traditional programs. Increased lifestyle coaching whether in person or remotely is associated with more {\%}TBWL at removal and during follow-up. Close follow-up for clinical symptoms is still warranted.",
keywords = "Balloon, Endoscopic, Obesity, Online, Treatment",
author = "Vargas, {Eric J.} and Fateh Bazerbachi and Storm, {Andrew C.} and Monika Rizk and Andres Acosta and Karen Grothe and Clark, {Matthew M} and Mundi, {Manpreet S.} and Pesta, {Carl M.} and Ahmad Bali and Eric Ibegbu and Moore, {Rachel L.} and Vivek Kumbhari and Trace Curry and Sharaiha, {Reem Z.} and {Abu Dayyeh}, {Barham K.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s11695-019-04102-0",
language = "English (US)",
journal = "Obesity Surgery",
issn = "0960-8923",
publisher = "Springer New York",

}

TY - JOUR

T1 - Effectiveness of Online Aftercare Programs Following Intragastric Balloon Placement for Obesity Is Similar to Traditional Follow-up

T2 - a Large Propensity Matched US Multicenter Study

AU - Vargas, Eric J.

AU - Bazerbachi, Fateh

AU - Storm, Andrew C.

AU - Rizk, Monika

AU - Acosta, Andres

AU - Grothe, Karen

AU - Clark, Matthew M

AU - Mundi, Manpreet S.

AU - Pesta, Carl M.

AU - Bali, Ahmad

AU - Ibegbu, Eric

AU - Moore, Rachel L.

AU - Kumbhari, Vivek

AU - Curry, Trace

AU - Sharaiha, Reem Z.

AU - Abu Dayyeh, Barham K.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: The combination of intragastric balloons (IGB) with comprehensive lifestyle and behavioral changes is critical for ongoing weight loss. Many community and rural practices do not have access to robust obesity resources, limiting the use of IGBs. Online aftercare programs were developed in response to this need, delivering lifestyle coaching to maximize effectiveness. How these programs compare to traditional follow-up is currently unknown. Methods: Using propensity scoring (PS) methods, two large prospective databases of patients undergoing IGB therapy were compared to estimate the difference in percent total body weight loss (%TBWL) between groups while identifying predictors of response. Results: Seven hundred fifty-eight unique patients across 78 different participating practices (online n = 437; clinical registry n = 321) was analyzed. The mean %TBWL at balloon removal was 11% ± 6.9 with an estimated treatment difference (ETD) between online and traditional follow-up of − 1.5% TBWL (95% CI − 3–0.4%; p = 0.125). Three months post-balloon removal, the combined %TBWL was 12.2% ± 8.3 with an ETD of only 1% TBWL (95%CI – 3–3%; p = 0.08). On multivariable linear regression, each incremental follow-up was associated with increased %TBWL (β = 0.6% p = 0.002). Conclusion: Online IGB aftercare programs provide similar weight loss compared with traditional programs. Increased lifestyle coaching whether in person or remotely is associated with more %TBWL at removal and during follow-up. Close follow-up for clinical symptoms is still warranted.

AB - Background: The combination of intragastric balloons (IGB) with comprehensive lifestyle and behavioral changes is critical for ongoing weight loss. Many community and rural practices do not have access to robust obesity resources, limiting the use of IGBs. Online aftercare programs were developed in response to this need, delivering lifestyle coaching to maximize effectiveness. How these programs compare to traditional follow-up is currently unknown. Methods: Using propensity scoring (PS) methods, two large prospective databases of patients undergoing IGB therapy were compared to estimate the difference in percent total body weight loss (%TBWL) between groups while identifying predictors of response. Results: Seven hundred fifty-eight unique patients across 78 different participating practices (online n = 437; clinical registry n = 321) was analyzed. The mean %TBWL at balloon removal was 11% ± 6.9 with an estimated treatment difference (ETD) between online and traditional follow-up of − 1.5% TBWL (95% CI − 3–0.4%; p = 0.125). Three months post-balloon removal, the combined %TBWL was 12.2% ± 8.3 with an ETD of only 1% TBWL (95%CI – 3–3%; p = 0.08). On multivariable linear regression, each incremental follow-up was associated with increased %TBWL (β = 0.6% p = 0.002). Conclusion: Online IGB aftercare programs provide similar weight loss compared with traditional programs. Increased lifestyle coaching whether in person or remotely is associated with more %TBWL at removal and during follow-up. Close follow-up for clinical symptoms is still warranted.

KW - Balloon

KW - Endoscopic

KW - Obesity

KW - Online

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=85069692230&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069692230&partnerID=8YFLogxK

U2 - 10.1007/s11695-019-04102-0

DO - 10.1007/s11695-019-04102-0

M3 - Article

AN - SCOPUS:85069692230

JO - Obesity Surgery

JF - Obesity Surgery

SN - 0960-8923

ER -