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- Title
Measuring quality of life in bariatric surgery: a multicentre study.
- Authors
Poelemeijer, Youri Q. M.; van der Knaap, Elise T. W.; Marang-van de Mheen, Perla J.; Demirkiran, Ahmet; Wiezer, Marinus J.; Hazebroek, Eric J.; Greve, Jan Willem M.; Liem, Ronald S. L.
- Abstract
<bold>Background: </bold>Current studies mainly focus on total weight loss and comorbidity reduction. Only a few studies compare Quality of Life (QoL) after sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). This study was conducted to examine the extent of improvement in QoL on different domains after primary bariatric surgery and compare these results to Dutch reference values.<bold>Methods: </bold>The study included prospectively collected data from patients who underwent primary bariatric surgery in five Dutch hospitals. The RAND-36 questionnaire was used to measure the patient's QoL; preoperatively and twelve months postoperatively. Postoperative scores were compared to Dutch reference values, standardized for age, using t-test. A difference of more than 5% was considered a minimal important difference. A multivariate linear regression analysis was used to compare SG and RYGB on the extent of improvement, adjusted for case-mix factors.<bold>Results: </bold>In total, 4864 patients completed both the pre- and postoperative questionnaire. Compared with Dutch reference values, patients postoperatively reported clinically relevant better physical functioning (RYGB + 6.8%), physical role limitations (SG + 5.6%; RYGB + 6.2%) and health change (SG + 77.1%; RYGB + 80.0%), but worse general health perception (SG - 22.8%; RYGB - 17.0%). Improvement in QoL was similar between SG and RYGB, except for physical functioning (β 2.758; p-value 0.008) and general health perception (β 2.607; p-value < 0.001) for which RYGB patients improved more.<bold>Conclusions: </bold>SG and RYGB patients achieved a better postoperative score in physical functioning, physical role limitations and health change compared to Dutch reference values, and a worse score in general health perception.
- Subjects
NETHERLANDS; BARIATRIC surgery; PHYSICAL mobility; GASTRIC bypass; QUALITY of life; REFERENCE values; COMORBIDITY; MENTAL health; QUESTIONNAIRES
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2020, Vol 34, Issue 12, p5522
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-019-07350-4