Birgit N Khandalavala1, Jenenne Geske2, Maya Nirmalraj3, Jessica B Koran-Scholl4, Linda Neumann-Potash5, Corrigan L McBride6. 1. Department of Family Medicine, University of Nebraska Medical Center, 983075 Nebraska Medical Center, Omaha, NE, 68198-3075, USA. birgit.khandalavala@unmc.edu. 2. Department of Family Medicine, University of Nebraska Medical Center, 983075 Nebraska Medical Center, Omaha, NE, 68198-3075, USA. jgeske@unmc.edu. 3. Department of Family Medicine, University of Nebraska Medical Center, 983075 Nebraska Medical Center, Omaha, NE, 68198-3075, USA. maya.nirmalraj@gmail.com. 4. Department of Family Medicine, University of Nebraska Medical Center, 983075 Nebraska Medical Center, Omaha, NE, 68198-3075, USA. jessica.koran@unmc.edu. 5. Bariatrics Center, Nebraska Medicine, Omaha, NE, 68198, USA. lneumann-potash@nebraskamed.com. 6. Bariatrics Center, Nebraska Medicine, Omaha, NE, 68198, USA. clmcbride@unmc.edu.
Abstract
BACKGROUND: Bariatric surgery is typically associated with improvement in health-related quality of life (HRQoL). However, recent reports are conflicting, and the aim of this study was to determine factors that would be predictive for long-term outcomes after bariatric procedures. METHODS: One thousand five hundred and seventy-three patients at one Midwestern academic medical center who underwent any type of bariatric surgery were sent the SF-36 survey. Three hundred and fifty completed surveys collected over a 3-month period were returned. Multivariate analysis was conducted. RESULTS: The physical and mental component scores were significantly lower than the norm population mean. Age at time of surgery, pre-surgical body mass index (BMI) and duration since surgery were negatively related to HRQoL. CONCLUSIONS: Improvements in HRQoL following bariatric surgery do not appear to be sustained over the long term. Older patients and those with high pre-surgical obesity do not appear to have the same benefits in HRQoL over time.
BACKGROUND: Bariatric surgery is typically associated with improvement in health-related quality of life (HRQoL). However, recent reports are conflicting, and the aim of this study was to determine factors that would be predictive for long-term outcomes after bariatric procedures. METHODS: One thousand five hundred and seventy-three patients at one Midwestern academic medical center who underwent any type of bariatric surgery were sent the SF-36 survey. Three hundred and fifty completed surveys collected over a 3-month period were returned. Multivariate analysis was conducted. RESULTS: The physical and mental component scores were significantly lower than the norm population mean. Age at time of surgery, pre-surgical body mass index (BMI) and duration since surgery were negatively related to HRQoL. CONCLUSIONS: Improvements in HRQoL following bariatric surgery do not appear to be sustained over the long term. Older patients and those with high pre-surgical obesity do not appear to have the same benefits in HRQoL over time.
Entities:
Keywords:
Bariatric surgery; Biliary pancreatic diversion; Gastric banding; Gastric bypass; Health-related quality of life (HRQoL); Sleeve gastrectomy
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