Bariatric Analysis and Reporting Outcome System (BAROS)

Oria, Horacio E; Moorehead, Melodie K

doi:10.1381/096089298765554043

Cited by 457 publications

(310 citation statements)

References 18 publications

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“…Diagnostic criteria and assessment of clinical co-morbidities, and parameters considered in the analysis of outcome were based on specifications proposed by Oria and Moorehead (17,18) . The current analysis followed the ethical aspects described in the Declaration of Helsinki and the Document of the Americas.…”

Section: Methodsmentioning

confidence: 99%

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Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Queiroz¹,

Sallet

Silva³

et al. 2017

Arq. Gastroenterol.

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-Background -In recent decades, the high prevalence of obesity in the general population has brought serious concerns in terms of public health. Contrarily to conventional treatment involving dieting and physical exercising, often ineffective in generating long term results, bariatric operations have been an effective method for sustained weight loss in morbidly obese individuals. The Bariatric Analysis and Reporting Outcome System (BAROS) is an objective and recognized system in the overall evaluation of results after bariatric surgery. Objective -To investigate results concerning a casuistic of morbidly obese patients undergoing bariatric surgery over a 2-year follow-up in terms of weight loss, related medical conditions, safety and changes in quality of life. Methods -A total of 120 obese (17 male and 103 female) patients, who underwent bariatric surgery, were assessed and investigated using the BAROS system after a 2-year follow-up. Results -Patients obtained a mean excess weight loss of 74.6 (±15.9) % and mean body mass index reduction of 15.6 (±4.4) Kg/m 2 . Pre-surgical comorbidities were present in 71 (59%) subjects and they were totally (86%) or partially (14%) resolved. Complications resulting specifically from the surgical procedure were observed in 4.2% of cases (two bowel obstructions requiring re-operation, and three stomal stenosis treated with endoscopic dilation). Sixteen subjects (13% of total number of patients) presented minor clinical complications managed through outpatient care. The final scores for the BAROS questionnaire showcased excellent to good results in 99% of cases (excellent 44%, very good 38%, good 23%, acceptable 1%). Conclusion -According to the BAROS questionnaire, bariatric surgery is a safe and effective method for managing obesity and associated clinical comorbidities, allowing for satisfactory results after a 2-year follow-up. Future studies should address other clinical and psychosocial variables that impact outcome as well as allow for longer follow-ups. HEADINGS -Morbid obesity. Bariatric surgery. Body weight. Quality of life.Declared conflict of interest of all authors: none Disclosure of funding: no funding received

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Section: Methodsmentioning

confidence: 99%

“…The bariatric analysis and reporting outcome system (BAROS) is an objective and recognized system in the overall evaluation of results after bariatric surgery (17,18) .…”

Section: Application Of Baros' Questionnaire In Obese Patients Undergmentioning

confidence: 99%

Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Queiroz¹,

Sallet

Silva³

et al. 2017

Arq. Gastroenterol.

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“…Two randomized trials compared laparoscopic and open gastric bypass for morbid obesity: On a sample of 155 patients, Nguyen et al [90] used two standardized questionnaires to assess QoL (1b); the SF-36 [138] and the Moorhead-Ardelt qualityof-life questionnaire (BAROS) [92]. One month after surgery, SF-36 scores in four of the eight domains (physical functioning, social functioning, general health, and bodily pain) were significantly better in the laparoscopic group than in the open group.…”

Section: Gerd In Childhoodmentioning

confidence: 99%

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

et al. 2004

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Background: Measuring health-related quality of life (QoL) after surgery is essential for decision making by patients, surgeons, and payers. The aim of this consensus conference was twofold. First, it was to determine for which diseases endoscopic surgery results in better postoperative QoL than open surgery. Second, it was to recommend QoL instruments for clinical research. Methods: An expert panel selected 12 conditions in which QoL and endoscopic surgery are important. For each condition, studies comparing endoscopic and open surgery in terms of QoL were identified. The expert panel reached consensus on the relative benefits of endoscopic surgery and recommended generic and disease-specific QoL instruments for use in clinical research. Results: Randomized trials indicate that QoL improves earlier after endoscopic than open surgery for gastroesophageal reflux disease (GERD), cholecystolithiasis, colorectal cancer, inguinal hernia, obesity (gastric bypass), and uterine disorders that require hysterectomy. For spleen, prostate, malignant kidney, benign colorectal, and benign non-GERD esophageal diseases, evidence from nonrandomized trials supports the use of laparoscopic surgery. However, many studies failed to collect long-term results, used nonvalidated questionnaires, or measured QoL components only incompletely.

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“…Therefore, an adapted questionnaire was required to take into account their subjective feeling. For this reason, we chose to use the original Moorehead-Ardelt questionnaire (Ardelt and Moorehead, 1998), which belongs to the Bariatric analysis and reporting outcome system (BAROS) scoring table (Oria and Moorehead, 1998). This latter was created, in response to the report of 1991 NIH consensus conference which identified a gap in the standard instruments evaluating the different treatments for obesity, and the need to evaluate the role of surgery in the treatment of extreme obesity according to the results not only in terms of weight loss and comorbidities improvement, but also in term of QoL.…”

Section: Qol Questionnairementioning

confidence: 99%

Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

et al. 2007

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Background and objectives: Long term evaluation of bariatric surgery must include quality of life measurement. Methods: Quality of life (QoL) was evaluated using the original Moorehead-Ardelt questionnaire for 200 patients operated for massive obesity in a single centre between 1994 and 2003. QoL and physical data were obtained by retrospective mail questionnaire. Surgical procedures were vertical-banded gastroplasty according to Mason (VBGM) and adjustable gastric banding (AGB) in 61 and 39% of patients, respectively. The aim of the study was to assess the nutritional outcome and QoL according to the procedure. Results: Overall, the body mass index (BMI) decreased from 5078 kg/m 2 before surgery to 35.277.5 kg/m 2 at the time of the questionnaire. The percentage of weight loss was 28.8712.2%. In the group treated with VBGM, the mean initial weight (P ¼ 0.003) and the percentage of weight loss (Po0.001) were significantly higher, and the QoL was better (P ¼ 0.003) than in the group treated with AGB. On the basis of the time spent since surgery, a regular weight loss was observed during the first 5 years, whereas weight subsequently increased over the five following years. Similarly, the total QoL score gradually improved during the first 5 years and worsened thereafter. However, it remained better than before surgery. A linear regression analysis showed a positive correlation between the percentage of weight loss and the QoL score (Po0.001).Conclusions: This study suggests that the bariatric surgery, particularly the VBGM technique, improved the QoL of obese patients, at least in the first 5 years following surgery.

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Bariatric Analysis and Reporting Outcome System (BAROS)

Cited by 457 publications

References 18 publications

Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

Weight loss and quality of life after bariatric surgery: a study of 200 patients after vertical gastroplasty or adjustable gastric banding

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