Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system

Khawali, Cristina; Ferraz, Marcos Bosi; Zanella, Maria Teresa; Ferreira, Sandra Roberta Gouvêa

doi:10.1590/s0004-27302012000100006

Cited by 19 publications

(20 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A study that assessed QoL of patients before and after bariatric surgery in the Brazilian public health system showed that after surgery, 82.2% of patients considered their quality of life as being good or very good, which contrasted the 40% of patients who expressed the same opinion during the preoperative period (15) . These fi ndings confi rm that an improved quality of life is fundamental for the success of bariatric surgery, which often transforms the lives of obese individuals (16) .…”

Section: Discussionmentioning

confidence: 99%

Assessment of bariatric surgery results

Barros

Frota²,

Moreira³

et al. 2015

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

The objective was to evaluate the results of bariatric surgery in patients in the late postoperative period using the Bariatric Analysis and Reporting Outcome System (BAROS). This cross-sectional study was conducted from November 2011 to June 2012 at a hospital in the state of Ceará, Brazil. Data were collected from 92 patients using the BAROS protocol, which analyzes weight loss, improved comorbidities, complications, reoperations and Quality of Life (QoL). Data were analysed using the chi-squared test, Fischer's exact test and the Mann-Whitney test. There was a reduction in the Body Mass Index (47.2±6.8 kg/m2 in the pre-operatory and 31.3±5.0 kg/m2 after surgery, p<0.001). The comorbidity with the highest resolution was arterial hypertension (p<0.001), and QV improved in 94.6% of patients. The main complications were hair loss, incisional hernia and cholelithiasis. The surgery provided satisfactory weight loss and improvements in the comorbidities associated to a better QL. Use of the BAROS protocol allows nurses to plan interventions and maintain the good results.

show abstract

Section: Discussionmentioning

confidence: 99%

Assessment of bariatric surgery results

Barros

Frota²,

Moreira³

et al. 2015

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

show abstract

“…Notwithstanding, the availability of bariatric surgery on the SUS still falls below demand: the length of time spent on the waiting list for this type of operation can vary between 1 and 4 years. 13 Whereas more than 100,000 procedures per annum are performed by private and supplementary health services, SUS does not achieve so much as 10% of this total.…”

Section: Discussionmentioning

confidence: 99%

Cirurgias bariátricas realizadas pelo Sistema Único de Saúde no período 2010-2016: estudo descritivo das hospitalizações no Brasil*

Carvalho¹,

Rosa²

2019

Epidemiologia e Serviços de Saúde

View full text Add to dashboard Cite

Objective: to characterize Brazilian National Health System (SUS) hospitalizations for bariatric surgeries in Brazil, in the period 2010-2016. Methods: this was a descriptive study of time series using data from the SUS Hospital Information System (SIH/SUS); the target population consisted of patients aged 16 years and older. Results: there were 46,035 hospitalizations (6,576/year; 4.3/100,000 inhabitants/year); average age was 39.0 years old (SD:10.4); female sex predominated (85.4%), and the 35-39 age group accounted for 18.0% of cases; 16,923 patients (36.8%) needed to be admitted to the intensive care unit (ICU); there were 99 (0.2%) in-hospital deaths; the median hospital stay was 3 days, and the interquartile range was 2 days; average annual expense was R$ 39,410,919.37 and the average cost of hospitalization was R$ 5,992.75 (R$ 1,464.15/ day). Conclusion: bariatric surgeries were characterized as procedures involving young female adults, frequent ICU use and low lethality.

show abstract

“…On the other hand, with the use of generic instruments such as SF-36, the HRQoL is assessed both, at pre and post-operative time, by each of eight domains (limitations in physical activities, social activities usual role activities, bodily pain, general mental health, vitality, and general health perception) [36], and it is possible to evaluate the HRQoL both at the time of the pre-operative and post-operative [37]. However, since it is a generic healthrelated HRQoL measurement, in contrast with BAROS which is a disease specific instrument developed to study samples of obese patients [38], SF-36 may not capture all the changes that occur with the obese population who undergo bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Effects of Bariatric Surgery on Health-Related Quality of Life: A Systematic Review

Álvares¹

2018

View full text Add to dashboard Cite

Introduction: Obese patients who seek bariatric surgery (BS) have great impairment in health-related quality of life (HRQoL). Along with weight loss, BS leads to improvement in HRQoL in the short-term. However, physical, psychological and social issues that ensue after BS might impact on HRQoL in the long-term. The aim was to systematically review the literature in order to explore the impact of bariatric surgery on HRQoL of severely obese patients in the long-term. Methods: Electronic databases were searched (Pubmed/Medline, Lilacs, IBECS, Cochrane Library, SciELO) to retrieve studies of adults with BMI≥35kg/m² which assessed HRQoL five or more years after BS. Hand search of references of previous reviews was also performed. GRADE was used to assess the quality of the evidence. Results: Of the 1226 articles retrieved, nine longitudinal studies were selected. A total of 4031 patients were followed-up. Female sex was predominant in all studies. Only one study did not find improvement in HRQoL after BS. Improvement of physical aspects of HRQoL was more commonly reported than mental aspects. The quality of the evidence retrieved was rated as low mainly due to the lack of adjustment for prognostic factors that might have led to counfounding in the assessment of HRQoL and under-report of followup rates. Differences in the instruments to assess HRQoL and in the composition of control groups among the studies did not allow to perform meta-analysis. Conclusion: BS was associated with improvement in HRQoL in the long-term, particularly in physical aspects. The low quality of the studies selected points out to the need of controlled trials to better assess the long-term effects of BS on HRQoL.

show abstract

Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system

Cited by 19 publications

References 27 publications

Assessment of bariatric surgery results

Assessment of bariatric surgery results

Cirurgias bariátricas realizadas pelo Sistema Único de Saúde no período 2010-2016: estudo descritivo das hospitalizações no Brasil*

Long-Term Effects of Bariatric Surgery on Health-Related Quality of Life: A Systematic Review

Contact Info

Product

Resources

About