Six-year Changes in Health-related Quality of Life in Gastric Bypass Patients Versus Obese Comparison Groups

Overview

Journal Surg Obes Relat Dis

Publisher Elsevier

Specialty Endocrinology

Date 2012 Mar 6

PMID 22386053

Citations 59

Authors

Ronette L Kolotkin

Lance E Davidson

Ross D Crosby

Steven C Hunt

Ted D Adams

Affiliations

Soon will be listed here.

Abstract

Background: Few studies have evaluated the long-term outcomes of bariatric surgery patients in relation to obese individuals not participating in weight loss interventions. Our objective was to evaluate the 6-year changes in health-related quality of life (HRQOL) in gastric bypass (GB) patients versus 2 obese groups not undergoing surgical weight loss. The study setting was a bariatric surgery practice.

Methods: A total of 323 GB patients were compared with 257 individuals who sought but did not undergo gastric bypass and 272 population-based obese individuals using weight-specific (impact of weight on quality of life-lite) and general (medical outcomes study short-form 36 health survey) HRQOL questionnaires at baseline and 2 and 6 years later.

Results: At 6 years, compared with the controls, the GB group exhibited significant improvements in all domains of weight-specific and most domains of general HRQOL (i.e., all physical and some mental/psychosocial). The 6-year percentage of excess weight loss correlated significantly with improvements in both weight-specific and physical HRQOL. The HRQOL scores were fairly stable from 2 to 6 years for the GB group, with small decreases in HRQOL corresponding to some weight regain.

Conclusions: GB patients demonstrated significant improvements in most aspects of HRQOL at 6 years compared with 2 nonsurgical obese groups. Despite some weight regain and small decreases in HRQOL from 2 to 6 years postoperatively, the HRQOL was relatively stable. These results support the effectiveness of weight loss achieved with gastric bypass surgery for improving and maintaining long-term HRQOL.

Citing Articles

Validity of Continuous Glucose Monitoring for the Diagnosis of Dumping Syndrome After Metabolic Surgery, in Comparison to the Oral Glucose Tolerance Test.

Price B, Bertrand M, Estrade A, Brinas P, Tuyeras G, Guillaume E Obes Surg. 2024; 34(11):4189-4195.

PMID: 39436525 DOI: 10.1007/s11695-024-07530-9.

Patients' perioperative experiences of an opioid-free versus opioid-based care pathway for laparoscopic bariatric surgery: A qualitative study.

Olausson A, Angelini E, Heckemann B, Andrell P, Jildenstal P, Thorn S Int J Nurs Stud Adv. 2024; 6:100201.

PMID: 38746814 PMC: 11080373. DOI: 10.1016/j.ijnsa.2024.100201.

Health Expenditures After Bariatric Surgery: A Retrospective Cohort Study.

Smith V, Zepel L, Kawatkar A, Arterburn D, Baecker A, Theis M Ann Surg. 2024; 280(6):e8-e16.

PMID: 38726675 PMC: 11550261. DOI: 10.1097/SLA.0000000000006333.

Comparing Safety and Efficacy Outcomes of Gastric Bypass and Sleeve Gastrectomy in Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.

Elsaigh M, Awan B, Shabana A, Sohail A, Asqalan A, Saleh O Cureus. 2024; 16(1):e52796.

PMID: 38389648 PMC: 10883263. DOI: 10.7759/cureus.52796.

Screening Risks of Alcohol Abuse, Depressive Symptoms, and Decreased Health-Related Quality of Life in Post-Bariatric Patients and Their Relations to Weight Regain.

Romagna E, Mattos D, Lopes K, Kraemer-Aguiar L Obes Surg. 2023; 33(6):1797-1805.

PMID: 37097429 DOI: 10.1007/s11695-023-06605-3.

References

Karlsson J, Taft C, Ryden A, Sjostrom L, Sullivan M . Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes (Lond). 2007; 31(8):1248-61. DOI: 10.1038/sj.ijo.0803573. View

Kolotkin R, Norquist J, Crosby R, Suryawanshi S, Teixeira P, Heymsfield S . One-year health-related quality of life outcomes in weight loss trial participants: comparison of three measures. Health Qual Life Outcomes. 2009; 7:53. PMC: 2700089. DOI: 10.1186/1477-7525-7-53. View

Kolotkin R, Crosby R, Gress R, Hunt S, Adams T . Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Relat Dis. 2009; 5(2):250-6. PMC: 5541248. DOI: 10.1016/j.soard.2009.01.009. View

McHorney C, Ware Jr J, Lu J, Sherbourne C . The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994; 32(1):40-66. DOI: 10.1097/00005650-199401000-00004. View

Williams R, Hunt S, Barlow G, Chamberlain R, Weinberg A, Cooper H . Health family trees: a tool for finding and helping young family members of coronary and cancer prone pedigrees in Texas and Utah. Am J Public Health. 1988; 78(10):1283-6. PMC: 1349422. DOI: 10.2105/ajph.78.10.1283. View

Kolotkin R, Crosby R . Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Qual Life Res. 2002; 11(2):157-71. DOI: 10.1023/a:1015081805439. View

Kolotkin R, Crosby R, Kosloski K, Williams G . Development of a brief measure to assess quality of life in obesity. Obes Res. 2001; 9(2):102-11. DOI: 10.1038/oby.2001.13. View

Dixon J, Dixon M, OBrien P . Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001; 9(11):713-21. DOI: 10.1038/oby.2001.96. View

Muller M, Wenger C, Schiesser M, Clavien P, Weber M . Quality of life after bariatric surgery--a comparative study of laparoscopic banding vs. bypass. Obes Surg. 2008; 18(12):1551-7. DOI: 10.1007/s11695-008-9522-y. View

10.

Sarwer D, Wadden T, Fabricatore A . Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005; 13(4):639-48. DOI: 10.1038/oby.2005.71. View

11.

Nguyen N, Goldman C, Rosenquist C, Arango A, Cole C, Lee S . Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001; 234(3):279-89; discussion 289-91. PMC: 1422019. DOI: 10.1097/00000658-200109000-00002. View

12.

Nickel M, Loew T, Bachler E . Change in mental symptoms in extreme obesity patients after gastric banding, Part II: Six-year follow up. Int J Psychiatry Med. 2007; 37(1):69-79. DOI: 10.2190/X40R-712P-8J44-0L3H. View

13.

. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2001; 894:i-xii, 1-253. View

14.

Suter M, Donadini A, Romy S, Demartines N, Giusti V . Laparoscopic Roux-en-Y gastric bypass: significant long-term weight loss, improvement of obesity-related comorbidities and quality of life. Ann Surg. 2011; 254(2):267-73. DOI: 10.1097/SLA.0b013e3182263b66. View

15.

Caiazzo R, Arnalsteen L, Pigeyre M, Dezfoulian G, Verkindt H, Kirkby-Bott J . Long-term metabolic outcome and quality of life after laparoscopic adjustable gastric banding in obese patients with type 2 diabetes mellitus or impaired fasting glucose. Br J Surg. 2010; 97(6):884-91. DOI: 10.1002/bjs.6993. View

16.

Campos G, Rabl C, Roll G, Peeva S, Prado K, Smith J . Better weight loss, resolution of diabetes, and quality of life for laparoscopic gastric bypass vs banding: results of a 2-cohort pair-matched study. Arch Surg. 2011; 146(2):149-55. DOI: 10.1001/archsurg.2010.316. View

17.

McHorney C, Ware Jr J, Raczek A . The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993; 31(3):247-63. DOI: 10.1097/00005650-199303000-00006. View

18.

Sanchez-Santos R, Del Barrio M, Gonzalez C, Madico C, Terrado I, Gordillo M . Long-term health-related quality of life following gastric bypass: influence of depression. Obes Surg. 2006; 16(5):580-5. DOI: 10.1381/096089206776945084. View

19.

Hunt S, Williams R, Barlow G . A comparison of positive family history definitions for defining risk of future disease. J Chronic Dis. 1986; 39(10):809-21. DOI: 10.1016/0021-9681(86)90083-4. View

20.

Adams T, Avelar E, Cloward T, Crosby R, Farney R, Gress R . Design and rationale of the Utah obesity study. A study to assess morbidity following gastric bypass surgery. Contemp Clin Trials. 2005; 26(5):534-51. DOI: 10.1016/j.cct.2005.05.003. View