Estudio cualitativo
Published on 9 de diciembre de 2025 | http://doi.org/10.5867/medwave.2025.11.3154
Surgeons’ and payers’ perceptions of barriers to accessing bariatric and metabolic surgery in Argentina: An exploratory qualitative study
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Eligibility criteria for surgical treatment.
| Age 18 to 70 years. |
| BMI greater than 40 kg/m² (with or without comorbidities) or greater than 35 kg/m² with at least one of the following comorbidities (the BMIs considered correspond to those before the decrease in preoperative preparation): type 2 diabetes mellitus, high blood pressure, apnea or OSAHS, or joint disease with severe functional limitation. |
| Acceptable surgical risk, i.e., comorbidities controlled before surgery according to the ASA scale. |
| Having tried other non-surgical methods for obesity control under medical supervision for at least twelve months, without success or with initial success but regaining the lost weight, establishing a treatment contact at least once a month with an interdisciplinary team or individual consultations with a physician or licensed nutritionist plus psychotherapy, on an uninterrupted basis. |
| Informed consent: acceptance and desire for the procedure, this being an informed decision agreed upon with the treating team, with a commitment to the requirements of the multidisciplinary team, assessing expectations, and evaluating the possibilities of carrying out the correct follow-up. |
| Psychological stability. |
BMI, body mass index. OSAHS, obstructive sleep apnea-hypopnea syndrome. ASA, American Society of Anesthesiologists Physical Status Scale.
Source: Prepared by the authors based on Resolution 1420/2022 [18].