High loss to follow-up following obstetric fistula repair surgery in rural Burundi: is there a way forward?

Aims: To measure depression using the PHQ-9 over time and to identify characteristics associated with persistent depression. Methods: A database of women undergoing obstetric fistula repair was used to examine association of depression with variables such as general demographics, type of obstetric fistula, surgical outcome, and continence status at the time of discharge. Results: 797 patients completed the PHQ-9 upon initial pre-operative assessment. 365 (45.8%) had a PHQ-9 score of 5 or higher, indicating symptoms of depression. Pre-operatively, depression was associated with the 18-34 year old age group and women with no children. Post-operatively, worse incontinence was associated with depression, however, over time depression was rarely found among women returning for follow-up. Conclusions: The decrease of depression seen over time is either due to selection bias or due to improved adjustment to one’s circumstances. Either way, this study underscores the need for ongoing follow-up, perhaps especially for those not presenting. Further studies are needed to assess the mental health of women who do not present for follow-up visits.

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Low mortality risk but high loss to follow-up among patients in the Tanzanian national HIV care and treatment programme

Tropical Medicine & International Health ◽

10.1111/j.1365-3156.2011.02952.x ◽

2012 ◽

Vol 17 (4) ◽

pp. 497-506 ◽

Cited By ~ 41

Author(s):

G. Somi ◽

S. C. Keogh ◽

J. Todd ◽

B. Kilama ◽

A. Wringe ◽

...

Keyword(s):

Mortality Risk ◽

Hiv Care ◽

Treatment Programme ◽

Loss To Follow Up ◽

High Loss ◽

Care And Treatment

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Food Liking but Not Wanting Decreases after Controlled Intermittent or Continuous Energy Restriction to ≥5% Weight Loss in Women with Overweight/Obesity

Nutrients ◽

10.3390/nu13010182 ◽

2021 ◽

Vol 13 (1) ◽

pp. 182

Author(s):

Pauline Oustric ◽

Kristine Beaulieu ◽

Nuno Casanova ◽

Dominic O’Connor ◽

Catherine Gibbons ◽

...

Keyword(s):

Weight Loss ◽

Food Reward ◽

Energy Restriction ◽

Loss To Follow Up ◽

High Loss ◽

Management Interventions ◽

Daily Energy ◽

Different Types ◽

Overweight Or Obesity

Food reward (i.e., liking and wanting) has been shown to decrease after different types of weight management interventions. However, it is unknown whether specific dietary modalities (continuous (CER) vs. intermittent (IER) energy restriction) have differing effects on liking and implicit wanting after weight loss (WL) and whether these changes are sustained after 1-year of no-contact. Women with overweight or obesity (age 18–55 years) were randomly allocated to controlled-feeding CER (25% daily energy restriction) or IER (alternating ad libitum and 75% energy restriction days). Study visits were conducted at baseline, post-WL (to ≥5% WL within 12 weeks) and 1-year post-WL. The main outcomes were liking and implicit wanting for 4 categories of common food varying in fat and taste assessed by the Leeds Food Preference Questionnaire. Linear mixed models were conducted on the 30 participants achieving ≥5% WL and 15 returners. After an initial WL of −5.1 ± 0.2 kg, after 1-year 2.6 ± 0.5 kg were regained. Liking but not wanting decreased after WL. Food reward after 1-year did not differ from baseline, but the high loss to follow-up prevents generalization. IER and CER did not differ in their effects on food reward during WL or at 1-year follow-up.

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