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The aim of this study is to assess medication adherence to vitamin and mineral supplements after bariatric surgery and identify factors that may influence adherence. All study participants are prescribed life-long treatment with daily oral vitamin B12 and Calcium/Vitamin-D. Menstruating women are also prescribed daily oral iron supplementation. Post-operative adherence rate is retrieved from Pharmacy refill data, collected from the Swedish Prescribed Drug Register, the five first years after bariatric surgery.
The aim of this study is to assess medication adherence to vitamin- and mineral supplementation after bariatric surgery, identify factors that may influence adherence, as well as study the development of micronutrient deficinencies detectable by blood sampling.
All study participants are prescribed life-long treatment with daily oral vitamin B12 and Calcium/Vitamin-D. Menstruating women are also prescribed daily oral iron supplementation.
Post-operative adherence rate is retrieved from pharmacy refill data, collected from The Swedish Prescribed Drug Register, at one, two and five years after bariatric surgery.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gastric Bypass, Sleeve Gastrectomy | Procedure | Lifelong vitamin and Mineral supplementation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to vitamin and mineral supplementation | Implementation (Continuous multiple-interval measures of medication availability/gaps, CMA), | 5 years |
| Time to initiation | Initiation (time to initiation) | 1 year |
| Time to discontinuation | Discontinuation (Time to discontinuation) | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Self reported Adherence to vitamin-and mineral supplementation | Medication Adherence Report Scale (MARS-5) score 1-25, higher scores mean a better outcome | 5 years |
| Hemoglobin (Hb) | g/L |
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Inclusion Criteria:
Exclusion Criteria:
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Patients subjected to bariatric surgery at Vrinnevi Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Ellen Andersson | Region Östergötland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Surgery, Vrinnevi Hospital | Norrköping | 60379 | Sweden |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D015390 | Gastric Bypass |
| D014815 | Vitamins |
| ID | Term |
|---|---|
| D050110 | Bariatric Surgery |
| D049088 | Bariatrics |
| D000073319 | Obesity Management |
| D013812 | Therapeutics |
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| 5 years |
| Iron status | µmol/L | 5 years |
| s-folate | nmol/L | 5 years |
| p-calcium | mmol/L | 5 years |
| s-albumin | g/L | 5 years |
| s-cobolamin | pmol/L | 5 years |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D005763 |
| Gastroenterostomy |
| D000714 | Anastomosis, Surgical |
| D013514 | Surgical Procedures, Operative |
| D013505 | Digestive System Surgical Procedures |
| D018977 | Micronutrients |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D000078622 | Nutrients |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |