Changes in Quality of Life After Short and Long Term Follow-Up of Roux-en-Y Gastric Bypass for Morbid Obesity

Abstract

METHODS Study DesignA controlled cross-sectional design was used. At the same time, a preoperative control group of clinically morbidly obese patients awaiting surgery was compared with two separate groups of patients at two different postsurgical time points: (1) 1-2 years and (2) more than 7 years. -36). Group A -50 preoperative morbidly obese patients; Group B -50 RYGB patients 1-2 years post-surgery; Group C -50 RYGB patients more than 7 years post-surgery. Results -The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions -RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term. HEADINGS -Morbid obesity. Gastric bypass. Weight loss. Quality of life. CHANGES IN QUALITY OF LIFE AFTER

Long‐term health‐related quality of life in bariatric surgery patients: A systematic review and meta‐analysis

“…The nine articles included in the SR consisted of seven cross‐sectional studies, one prospective cohort study and one nonrandomized clinical trial. The full study selection process is presented in the PRISMA flowchart ( Figure ) and the data extracted from the included articles are presented (Table ).…”

“…The MA comprised six of these nine studies. The risk of bias or “quality” of each study was assessed (Table ).…”

“…Kolotkin et al and Aftab et al provided the data from their respective studies in the desired format. In other cases, (Laurino Neto and Herbella and Våge et al ) the results were converted from the format provided to the required format. Våge et al provided the mean and 95% confidence intervals (CI) converted to a standard deviation.…”

“…Våge et al provided the mean and 95% confidence intervals (CI) converted to a standard deviation. Laurino Neto and Herbella provided the median score and interquartile range which were converted using lower limit of IQR+ 2(median)+ upper limit of IQR)/4 with a sample size ≥25. Results from other studies using a different format were either (a) converted using the approach used by Laurino Neto and Herbella , i.e., the conversion of inter‐quartile range/median to mean with standard deviation, or (b) entered as the mean at follow‐up if available from the authors upon request.…”

“…Studies have shown a greater improvement in physical HRQoL than in mental health scores as these domains more directly benefit from a reduction in body weight . Mental health outcomes are inconsistent . General reviews and at least one systematic review (SR) have examined the effects of weight loss methods on HRQoL , but to our knowledge there is only one published SR addressing long‐term (i.e., ≥5 years) HRQoL after bariatric surgery .…”