妇科内膜癌复杂非典型增生幸存者转诊给减肥专家一项前瞻性队列研究1591-s2 main.pdfVIP

Research

GYNECOLOGY

Referringsurvivorsofendometrialcancerand

complexatypicalhyperplasiatobariatric

specialists:aprospectivecohortstudy

AmeliaM.Jernigan,MD;KathrynA.Maurer,MD;KarenCooper,DO;PhilipR.Schauer,MD;

PeterG.Rose,MD;ChadM.Michener,MD

OBJECTIVE:Thepurposeofthisstudywastodescribetheaccept-thecareofabariatricspecialist.Oftheremaining100women,43

abilityofbariatricreferralswhenofferedbygynecologiconcologiststoacceptedareferral:35of100medicaland8of66surgicalreferrals

womenwithahistoryofcomplexatypicalhyperplasiaorearly-stagethatwereoffered.At3months,17womencompliedwithareferral(16

endometrialcancerandtodetailcompliancewithreferralsandmedicaland1surgical),and59womenhadinitiatedanyweightloss

weightlossattemptsthatareinitiated3monthsafterthereferral.attempt.Onmultivariateanalysis,ahigherinitialweight(P.0403),

CharlsonComorbidityIndex

5(P.0278),andshortertimefrom

STUDYDESIGN:Obesewomenwithcomplexatypicalhyperplasiaor

surgerytobariatricreferral(P.0338)predictedacceptanceofa

early-stageendometrialcancerwereapproachedforinclusioninthis

referral.

prospectivecohortstudy.Thosewomenwhowerenotinthecareofa

bariatricspecialistwereofferedamedicalreferralwithorwithoutaCONCLUSION:Weight-losscounselingiswellreceivedbythese

surgicalreferral.Asurveywasadministeredatinclusionandafterwomen.Afterbeingoff