The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

Jumbe, Sandra; Bartlett, Claire; Jumbe, Samantha L.; Meyrick, Jane

doi:10.1016/j.orcp.2015.11.009

Cited by 66 publications

(66 citation statements)

References 58 publications

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“…However, current literature shows limited examination of psychological and social health outcomes following the procedure [4]. Obesity surgery is predominantly delivered and framed within a medical context despite evidence that obesity stems from combined biological, psychosocial and environmental factors [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Psychosocial outcome assessment is limited to pre-existing validated self-report outcome measures [4] with emphasis on screening for surgery, which restricts opportunity to capture detailed insights into patients' postoperative experience [7]. Some long-term studies show minimal postoperative improvements in psychological wellbeing compared to behavioural interventions and usual care despite significant improvements in physical quality of life, weight loss and co-morbidities [4,8,9]. This suggests a subset within the obesity surgery community that struggle psychologically despite generally positive medical and physiological outcomes [9].…”

Section: Introductionmentioning

confidence: 99%

“…Research gaps suggest a need for richer data that encapsulates the lifelong disease trajectory of obesity within a psychological context and broadening of bariatric practitioners' perspectives to optimise patient health outcomes. [4].…”

Section: Introductionmentioning

confidence: 99%

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Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

Jumbe

Meyrick

2018

OBES SURG

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Background The superiority of obesity surgery for improving medical and weight outcomes in severely obese patients when compared to other weight loss interventions remains undisputed. However, knowledge about the psychological impact of the procedure on patients' lives is limited. Systematic reviews indicate persisting psychological distress after surgery compared to control groups especially longer term, suggesting the need for postoperative psychological support and assessment. Research literature also infers limited knowledge regarding the postoperative patient experience of obesity surgery. This may form a barrier in health practitioners' understanding of these patients' ongoing needs. Methods Ten patients who had obesity surgery two or more years ago and eight obesity surgery practitioners were recruited within hospital settings and individually interviewed by the researcher to capture their accounts of the postoperative experience. Concordance between the two groups was explored to gauge awareness of patients' subsequent health needs. Results Thematic analysis of transcribed interviews elicited a key finding around 'post-surgical cliffs in patient care' within a heavily structured service. Participants reported some unmet needs, namely, psychological aftercare to facilitate adjustment following drastic weight loss and excess skin, acceptance of their non-obese self and perceived stigma. The impact of contrasting views of success between patients and practitioners on postoperative care within the service context was highlighted. Conclusions Obesity surgery is a great weight loss catalyst for severe obesity. However, lack of psychological aftercare may threaten early gains in health outcomes over the longer term. More qualitative and quantitative studies are needed to validate current study results.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

Jumbe

Meyrick

2018

OBES SURG

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“…The psychological aspects of HRQOL are of particular interest after bariatric surgery, with a recently published study showing that, despite significant improvements in psychological HRQOL 10 years after bariatric surgery, as much as 43% of patients reported low psychological HRQOL, compared to 16% in the general population . These findings are supported by other studies of long‐term follow‐up after bariatric surgery . Such post‐operative challenges do not seem to only relate to poor weight loss , but also to weight‐regain, malnutrition or worsening of comorbid diseases .…”

Section: Introductionmentioning

confidence: 72%

“…Studies also suggest a higher prevalence of alcohol‐use disorder after bariatric surgery compared to baseline measures and matched controls . Combined, these findings highlight a need to develop better strategies for mental health follow‐ups of patients after bariatric surgery .…”

Section: Introductionmentioning

confidence: 98%

A review of systematic reviews on the effects of patient‐reported outcome monitoring with clinical feedback systems on health‐related quality of life—implications for a novel technology in obesity treatment

et al. 2018

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Patient-reported outcome monitoring with clinical feedback systems (PRO/CFS) has been employed in many disease states to measure and improve health-related quality of life (HRQOL). Exploring the role of PRO/CFS in treatment for obesity may prove valuable. Systematic reviews were summarized to determine the effectiveness of PRO/CFS on HRQOL in any disease area. Primary studies evaluating the effect of PRO/CFS on HRQOL in treatment for obesity were also considered for inclusion. Systematic searches were performed in The Cochrane Library, PROSPERO, Epistemonikos, HTA, DARE, CINAHL, Medline, Embase, PsycINFO, BMJ Clinical Evidence, PDQ-Evidence and PubPsych. Two reviewers independently screened references until final inclusion and critically appraised included reviews using PRISMA checklist. Five systematic reviews and no primary studies met inclusion criteria. Although results were inconsistent, effectiveness of PRO/CFS on HRQOL was demonstrated in some diseases/treatments (e.g. psychiatric treatment; symptom burden in cancer treatment). No trials using PRO/CFS in treatment for obesity were identified. In some trials, PRO/CFS was not fully integrated into consultations, thereby PRO/CFS was not extensively studied. General effectiveness of PRO/CFS on HRQOL is inconclusive due to heterogeneous and statistically insignificant findings, and lack of stringency in conceptualization and execution of PRO/CFS. There are no data relevant to treatment for obesity. Future studies should use rigorous methodology to examine the effectiveness of PRO/CFS in treatment for obesity.

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Associations of Bariatric Surgery With Changes in Interpersonal Relationship Status

et al. 2018

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The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

Cited by 66 publications

References 58 publications

Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

A review of systematic reviews on the effects of patient‐reported outcome monitoring with clinical feedback systems on health‐related quality of life—implications for a novel technology in obesity treatment

Associations of Bariatric Surgery With Changes in Interpersonal Relationship Status

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