Bariatric Education for Women With Obesity and Endometrial Cancer

Bariatric Surgery Among Women With Obesity and Low Risk Endometrial Cancer: A Pilot Study

The purpose of this study is to examine whether a standardized video education tool will improve knowledge regarding obesity and bariatric surgery and increase bariatric surgery referrals for obese women with endometrial cancer.

An estimated 50% of all endometrial cancer cases are associated with obesity. Bariatric surgery has been shown to reduce the risk of hormone-related cancers, including endometrial cancer, by up to 70-80%. This prospective, study of 80 patients will be randomized to either a standard education for weight loss provided by their oncologist or a standard education plus a 15-minute video with information regarding obesity, relationship of obesity and endometrial cancer, and the safety and benefits of bariatric surgery.

Inclusion Criteria:

• Adults aged 18-80 with class II or greater obesity (BMI ≥ 35)
• Have pathologically-confirmed endometrial cancer
• Have completed initial therapy (e.g. surgery, hormonal therapy, vaginal cuff brachytherapy, or a combination of these modalities) and require no further interventions related to cancer care. Patients taking hormonal therapy as part of cancer treatment may be included.

Exclusion Criteria:

• Under the age of 18 or over the age of 80
• Have previously undergone bariatric surgery
• Requires ongoing cancer treatment with chemotherapy or whole pelvic radiation.
• Poor surgical candidate secondary to comorbidities or performance status.