Patient Reported Outcomes 10 years After Roux-en-Y Gastric Bypass

Turrentine, Florence E.; Mehaffey, J. Hunter; Mehaffey, Rachel L.; Mullen, Matthew G.; Schirmer, Bruce D.; Hallowell, Peter T.

doi:10.1007/s11695-017-2641-6

Cited by 12 publications

(3 citation statements)

References 23 publications

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“…Despite patients’ experiences after SG remaining unexplored, recent studies have examined patient satisfaction after Roux-en-Y gastric bypass (RYGB). Turrentine et al [ 24 ] reported that 99% of participants rated their satisfaction with RYGB as high (mean score 8.4, with a score of 10 being highly satisfied). Consistent post-RYGB findings were presented by Wee et al [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Decision Regret after Laparoscopic Sleeve Gastrectomy—5 Years’ Perspective

2021

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Introduction Patient's satisfaction after weight loss surgery is in the research spotlight. However, there are still no quantitative data regarding whether patients regret their decision to undergo laparoscopic sleeve gastrectomy (SG). Objectives The present study aimed to evaluate whether patients regret their decision to undergo SG 5 years after surgery. The secondary objective was to identify whether weight loss and a higher quality of life (QoL) score correlate with the regret expressed by patients. Setting Military Hospital, Poland Methods A telephone survey was carried out among patients 5 years after surgery. Patient satisfaction regarding their decision to undergo SG was assessed using the Decision Regret Scale. QoL scores were determined using the 36-Item Short Form Survey (SF-36). Results One hundred and four patients who answered a full telephone survey were enrolled in the study. Change in body mass index (ΔBMI) was 12.31±6.2, excess body mass index loss (%EBMIL) was 55.45%±25.52%, and percent total weight loss (%TWL) was 25.20%±11.7%. At the 5-year postoperative telephone survey, the mean general health score was 50.96±14.0 and the mean regret score was 32.33±13.24 (range, 25–85). A statistically significant negative correlation was observed between %EBMIL and regret score (r=−0.435; p<0.001). There was a significant negative association between regret score and energy/fatigue QoL (r=−0.205; p=0.040). Only eight patients (7.69%) scored >50 on the Decision Regret Scale, which was considered to represent overall regret for their decision. Conclusion Our study suggests that, in general, patients did not regret their decision to undergo SG. Key Points The majority of patients did not regret their decision to undergo SG. There was a statistically significant negative correlation between weight loss and patients’ feelings of regret. Energy/fatigue QoL was the strongest correlate of whether patients regretted their decision to undergo SG. Graphical Abstract

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Section: Discussionmentioning

confidence: 99%

Decision Regret after Laparoscopic Sleeve Gastrectomy—5 Years’ Perspective

2021

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“…Despite the lack of studies qualitatively describing patients’ feelings after bariatric surgeries, few studies have examined patient satisfaction after Roux-en-Y gastric bypass (RYGB). Turrentine et al [ 32 ] reported that 99% of the participants rated their satisfaction with RYGB as high (mean score of 8.4, with a score of 10 representing high satisfaction). Wee et al [ 15 ] quantified patients’ levels of regret after both RYGB and gastric banding and reported that up to 20% of patients who had undergone gastric banding expressed regret with having undergone the procedure, whereas approximately 4–8% of the patients who had undergone RYGB scored > 50 on the Decision Regret Scale (i.e., overall regret with their decision).…”

Section: Discussionmentioning

confidence: 99%

Effect of Significant Postoperative Complications on Decision Regret After Laparoscopic Sleeve Gastrectomy: a Case–Control Study

2022

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Background Thus far, no data are available on decision regret about sleeve gastrectomy (SG), particularly in patients who experienced perioperative complications. This study aimed to assess whether patients with postoperative complications regret their decision to undergo laparoscopic SG more than patients with an uneventful postoperative course. Methods The study group comprised patients with complications after laparoscopic SG (cases). The control group comprised patients who did not experience any postoperative complications (controls). A telephone survey was conducted on all patients. Patients’ satisfaction regarding their decision to undergo surgery was assessed using the Decision Regret Scale. Results In total, 21 patients who experienced postoperative complications and 69 controls were included. The patients in the study and control groups achieved similar percentages of total weight loss (32.9 ± 11.9 vs. 33.8 ± 15.0, p = 0.717) and excessive body mass index loss (74.9 ± 30.7 vs. 73.1 ± 36.7, p = 0.398) at 1 year postoperatively. The difference in weight change at 12 months postoperatively was not significant in both groups. The mean regret scores in the study and control groups were 13.2 ± 1.2 (range, 28–63) and 13.3 ± 1.1 (range, 12–66) (p = 0.818), respectively. Moreover, no significant difference was found among patients who expressed regret between the study and control groups (regret score > 50; 4.76% vs. 4.35%) (p = 1.000). Conclusion This study suggests that patients with postoperative complications do not regret their decision to undergo SG more than patients with an uneventful postoperative course. Graphical abstract

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“…Furthermore, Varban et al [23] found significantly higher satisfaction with surgery among patients with a BMI less than 30, compared to those with a higher BMI, one year after bariatric surgery. In a mixed-methods study, Turrentine et al [24] found that patients who lost less weight than they expected reported a lower level of satisfaction. As the previous studies have reported a link between lower BMI and higher satisfaction, we found a similar association between high BMI and reporting to be dissatisfied/unsure.…”

Section: Bmimentioning

confidence: 97%

Overall Treatment Satisfaction 5 Years After Bariatric Surgery

et al. 2019

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Introduction: Up to 30 % of patients undergoing bariatric surgery are dissatisfied with treatment outcomes in the long-term. The aim of this study was to examine overall satisfaction with treatment five years after bariatric surgery and its association with body mass index (BMI) and health-related quality of life (HRQOL). Methods: Patients were surveyed five years after bariatric surgery; 108 patients had Duodenal Switch (DS) and 153 patients had Laparoscopic Sleeve Gastrectomy (LSG). The main outcome was overall treatment satisfaction, assessed by a single question and analyzed by multiple logistic regression. Estimates for continuous independent variables represent the odds ratios (OR) for a 2-standard deviation difference. Results: Five years after surgery, 82.4 % of the patients were very satisfied or satisfied, whereas 17.6 % were unsure or dissatisfied. The following variables assessed at five years were associated with being dissatisfied/unsure: a higher BMI (OR = 6.1, 95% CI = 2.7-14.0, p < 0.001), reduced obesity-specific HRQOL (OR = 3.0, 95% CI = 1.1-7.8, p = 0.03), and reduced mental HRQOL (OR = 0.3, 95% CI = 0.1-0.8, p = 0.02). We also found that a higher proportion of patients who underwent LSG, compared to DS, reported being dissatisfied/unsure (OR = 3.3, 95% CI = 1.3-8.8, p = 0.01). Conclusion: Reduced mental HRQOL and obesity-related HRQOL, as well as higher BMI, were associated with less satisfaction with overall treatment outcomes five years after bariatric surgery. Differences in overall treatment satisfaction by type of operation warrant further investigation.

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Patient Reported Outcomes 10 years After Roux-en-Y Gastric Bypass

Cited by 12 publications

References 23 publications

Decision Regret after Laparoscopic Sleeve Gastrectomy—5 Years’ Perspective

Decision Regret after Laparoscopic Sleeve Gastrectomy—5 Years’ Perspective

Effect of Significant Postoperative Complications on Decision Regret After Laparoscopic Sleeve Gastrectomy: a Case–Control Study

Overall Treatment Satisfaction 5 Years After Bariatric Surgery

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