Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 8/2020

01-08-2020 | Bariatric Surgery | Original Contributions

Prospective Analysis Regarding Health-Related Quality of Life (HR-QOL) between Morbid Obese Patients Following Bariatric Surgery Versus on a Waiting List

Authors: María Moreno Gijón, Tamara Díaz Vico, José Luis Rodicio Miravalles, Emilio López-Negrete Cueto, Aida Suárez Sánchez, Sonia Amoza Pais, Sandra Sanz Navarro, Covadonga Valdés Arias, Estrella O. Turienzo Santos, Lourdes M. Sanz Álvarez

Published in: Obesity Surgery | Issue 8/2020

Login to get access

Abstract

Background

Major impairment of health-related quality of life (HRQoL) is one of the main reasons why obese patients request surgical treatment.

Objective

To prospectively analyze the impact of HRQoL between obese patients who underwent surgery and those who were wait-listed.

Methods

Between April 2017 and March 2018, 70 surgical and 69 wait-listed patients were interviewed twice, at baseline and at the 12-month follow-up. Quality of life was measured by the SF-12v2 and the Impact of Weight on Quality of Life-Lite (IWQoL-Lite) questionnaires. Sociodemographic-, clinical-, and surgical-related variables were collected.

Results

One hundred thirty-nine patients were analyzed, showing similar baseline characteristics but differences in HRQoL. Performing more qualified work improved scores on some aspects of the SF-12 survey. In contrast, women scored worse on the self-esteem domain, and men scored worse on the mental health domain. By group, at the 12-month follow-up, statistically significant differences were found among all aspects of the questionnaires between both groups (P < 0.001) and between baseline and postoperative 12-month follow-up in the surgical group (P < 0.001). Furthermore, scores were lower in all domains in the evolution of wait-listed patients, with statistically significant differences among the Bodily Pain, Emotional Role, Mental Health, and Mental Component Summary Domains (P < 0.05).

Conclusion

HRQoL is a multimodal concept that allows the identification of factors impacting obese patients’ quality of life. It promotes the benefit of surgery against waiting list delays, which can take up to 4 years in our hospital. Therefore, HRQoL is an important pillar to justify more resources for reducing unacceptable surgical delays.
Literature
1.
Aguilera C, Labbé T, Busquets J, et al. Obesity: risk factor or primary disease? Rev Med Chil. 2019;147(4):470–4.PubMed
2.
3.
Varo JJ, Martínez-González MA, Martínez JA. Obesity prevalence in Europe. An Sist Sanit Navar. 2002;25(Suppl 1):103–8.PubMed
4.
Aranceta-Bartrina J, Pérez-Rodrigo C, Alberdi-Aresti G, et al. Prevalence of general obesity and abdominal obesity in the Spanish adult population (aged 25-64 years) 2014-2015: the ENPE study. Rev Esp Cardiol (Engl Ed). 2016;69(6):57–87.
5.
Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427–36.PubMed
6.
Giordano S, Victorzon M. Bariatric surgery in elderly patients: a systematic review. Clin Interv Aging. 2015;10:1627–35.PubMedPubMedCentral
7.
Nor Hanipah Z, Punchai S, Karas LA, et al. The outcome of bariatric surgery in patients aged 75 years and older. Obes Surg. 2018;28(6):1498–503.PubMed
8.
Gill RS, Majumdar SR, Wang X, et al. Prioritization and willingness to pay for bariatric surgery: the patient perspective. Can J Surg. 2014;57(1):33–9.PubMedPubMedCentral
9.
Owen-Smith A, Kipping R, Donovan J, et al. A NICE example? Variation in provision of bariatric surgery in England. BMJ. 2013;1(346):f2453.
10.
Arteaga-González IJ, Martín-Malagón AI. Ruiz de Adana JC, et al. bariatric surgery waiting lists in Spain. Obes Surg. 2018;28(12):3992–6.PubMed
11.
Padwal RS, Majumdar SR, Klarenbach S, et al. Health status, quality of life, and satisfaction of patients awaiting multidisciplinary bariatric care. BMC Health Serv Res. 2012 Jun 8;12:139.PubMedPubMedCentral
12.
Campbeel JA, Hensher M, Neil A, et al. An exploratory study of long-term publicly waitlisted bariatric surgery patients’ quality of life before and 1 year after bariatric surgery, and considerations for healthcare planners. Pharmacoecon Open. 2018;2(1):63–76.
13.
Hachem A, Brennan L. Quality of life outcomes of bariatric surgery: a systematic review. Obes Surg. 2016;26(2):395–409.PubMed
14.
Brethauer SA, Kim J, El Chaar M, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Surg Obes Relat Dis. 2015;11(3):489–506.PubMed
15.
Brethauer S, Kim J, el Chaar M, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Obes Surg. 2015;25(4):587–606.PubMed
16.
Warkentin LM, Majumdar SR, Johnson JA, et al. Weight loss required by the severely obese to achieve clinically important differences in health-related quality of life: two-year prospective cohort study. BMC Med. 2014;12:175.PubMedPubMedCentral
17.
Kolotkin RL, Crosby RD. 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.PubMed
18.
Kolotkin RL, Crosby RD, Gress RE, et al. 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.PubMedPubMedCentral
19.
Ware Jr J, Kosinski M, Keller SD. A 12-item short form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.PubMed
20.
Doll HA, Petersen SE, Stewart-Brown SL. Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. Obes Res. 2000;8(2):160–70.PubMed
21.
Marchesini G, Bellini M, Natale S, et al. Psychiatric distress and health-related quality of life in obesity. Diabetes Nutr Metab. 2003;16(3):145–54.PubMed
22.
Choban PS, Onyejekwe J, Burge JC, et al. A health status assessment of the impact of weight loss following roux-en-Y gastric bypass for clinically severe obesity. J Am Coll Surg. 1999;188(5):491–7.PubMed
23.
Dixon JB, Dixon ME, O’Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001;9(11):713–21.PubMed
24.
Borisenko O, Adam D, Funch-Jensen P, et al. Bariatric surgery can lead to net cost savings to health care systems: results from a comprehensive European decision analytic model. Obes Surg. 2015;25(9):1559–68.PubMedPubMedCentral
25.
Lindekilde N, Gladstone BP, Lübeck M, et al. The impact of bariatric surgery on quality of life: a systematic review and meta-analysis. Obes Rev. 2015;16(8):639–51.PubMed
26.
Herpertz S, Muller A, Burgmer R, et al. Health-related quality of life and psychological functioning 9 years after restrictive surgical treatment for obesity. Surg Obes Relat Dis. 2015;11(6):1361–70.PubMed
27.
Burgmer R, Legenbauer T, Müller A. el al. Psychological outcome 4 years after restrictive bariatric surgery. Obes Surg. 2014;24(10):1670–8.PubMed
28.
Campbell JA, Palmer AJ, Venn A. el al. A head-to-head comparison of the EQ-5D-5L and AqoL-8D multi-attribute utility instruments in patients who have previously undergone bariatric surgery. Patient. 2016;9(4):311–22.PubMed
29.
Teo KK, Spoor M, Pressey T, et al. Impact of managed waiting for coronary artery bypass graft surgery on patients' perceived quality of life. Circulation. 1998;98(19 Suppl):II29–33.PubMed
30.
Hirvonen J, Blom M, Tuominen U, et al. Health-related quality of life in patients waiting for major joint replacement. A comparison between patients and population controls. Health Qual Life Outcomes. 2006;4:3.PubMedPubMedCentral
31.
Kaplan GA, Goldberg DE, Everson SA, et al. Perceived health status and morbidity and mortality: evidence from the Kuopio ischaemic heart disease risk factor study. Int J Epidemiol. 1996;25(2):259–65.PubMed
32.
Busutil R, Espallardo O, Torres A, et al. The impact of obesity on health-related quality of life in Spain. Health Qual Life Outcomes. 2017;15(1):197.PubMedPubMedCentral
33.
Ul-Haq Z, Mackay DF, Fenwick E, et al. Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36. Obesity (Silver Spring). 2013;21(3):E322–7.
34.
Van Nunen AM, Wouters EJ, Vingerhoets AJ, et al. The health-related quality of life of obese persons seeking or not seeking surgical or non-surgical treatment: a meta-analysis. Obes Surg. 2007;17(10):1357–66.PubMedPubMedCentral
35.
Cherepanov D, Palta M, Fryback DG, et al. Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: evidence from four US nationally representative data sets. Qual Life Res. 2010;19(8):1115–24.PubMedPubMedCentral
36.
Orfila F, Ferrer M, Lamarca R, et al. Gender differences in health-related quality of life among the elderly: the role of objective functional capacity and chronic conditions. Soc Sci Med. 2006;63(9):2367–80.PubMed
37.
Vilagut G, Forero CG, Pinto-Meza A, et al. The mental component of the short-form 12 health survey (SF-12) as a measure of depressive disorders in the general population: results with three alternative scoring methods. Value Health. 2013;16(4):564–73.PubMed
38.
Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31(8):1248–61.
39.
Våge V, Solhaug JH, Viste A, et al. Anxiety, depression and health-related quality of life after jejunoileal bypass: a 25-year follow-up study of 20 female patients. Obes Surg. 2003;13(5):706–13.PubMed
40.
De Zwaan M, Lancaster KL, Mitchell JE, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12(6):773–80.PubMed
41.
Raaijmakers LC, Pouwels S, Thomassen SE, et al. Quality of life and bariatric surgery: a systematic review of short- and long-term results and comparison with community norms. Eur J Clin Nutr. 2017;71(4):441–9.PubMed
42.
43.
Sharman MJ, Venn AJ, Jose KA, et al. The support needs of patients waiting for publicly funded bariatric surgery - implications for health service planners. Clin Obes. 2017;7(1):46–53.PubMed
44.
O’Brien PE, Dixon JB, Laurie C, et al. Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: a randomized trial. Ann Intern Med. 2006;144(9):625–33.PubMed
45.
Karlsson J, Sjostrom L, Sullivan M. Swedish obese subjects (SOS)–an intervention study of obesity. Two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes Relat Metab Disord. 1998;22(2):113–26.PubMed
46.
Maciejewski ML, Patrick DL, Williamson DF. A structured review of randomized controlled trials of weight loss showed little improvement in health-related quality of life. J Clin Epidemiol. 2005;58(6):568–78.PubMed
Metadata
Title
Prospective Analysis Regarding Health-Related Quality of Life (HR-QOL) between Morbid Obese Patients Following Bariatric Surgery Versus on a Waiting List
Authors
María Moreno Gijón
Tamara Díaz Vico
José Luis Rodicio Miravalles
Emilio López-Negrete Cueto
Aida Suárez Sánchez
Sonia Amoza Pais
Sandra Sanz Navarro
Covadonga Valdés Arias
Estrella O. Turienzo Santos
Lourdes M. Sanz Álvarez
Publication date
01-08-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 8/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04652-8

Other articles of this Issue 8/2020

Obesity Surgery 8/2020 Go to the issue

Brief Communication

Gastric Remnant Perforation Caused by Peterson’s Hernia Following One Anastomosis Gastric Bypass: a Rare Complication

Letter to Editor/LED Reply

In Reply to the Letter to the Editor Concerning: Clinical Outcomes of Sleeve Gastrectomy Versus Roux-En-Y Gastric Bypass After Failed Adjustable Gastric Banding

Multimedia Article

Mesh Repair of a Giant Para-Esophageal Hernia + Sleeve Gastrectomy. Combined Treatment of Intra-Thoracic Stomach and Morbid Obesity: a Video Case Presentation

Multimedia Article

König’s Syndrome After Roux-en-Y Gastric Bypass: Candy Cane Twist

Original Contributions

Changes of Resting Energy Expenditure in Type 2 Diabetes Rats After Roux-en-Y Gastric Bypass

Original Contributions

Application of Vitamin E Acetate on Staple Lines and Anastomoses of Roux-en-Y Gastric Bypass: Impact on Postoperative Pain and Acute Phase Reactants