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Published in: Current Obesity Reports 3/2020

Open Access 01-09-2020 | Obesity | Health Services and Programs (R Welbourn and C Borg, Section Editors)

Health-Related Quality of Life in Bariatric and Metabolic Surgery

Authors: Karen D. Coulman, Jane M. Blazeby

Published in: Current Obesity Reports | Issue 3/2020

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Abstract

Purpose of Review

This review describes the latest evidence for the impact of bariatric surgery on health-related quality of life (HRQL).

Recent Findings

The impact of bariatric surgery on HRQL is less well-understood than its clinical effectiveness on weight and co-morbidities. Poor-quality study design and different HRQL measures challenge systematic reviews and meta-analyses. Available limited evidence suggests that physical aspects of HRQL may improve more than mental health aspects of HRQL after bariatric surgery, reaching maximal benefits 1–2 years post-surgery. Comparative HRQL analyses between bariatric procedures cannot be made due to a lack of randomised data. Qualitative research highlights the tensions patients experience after bariatric surgery, which provides insights to observed changes in HRQL.

Summary

Standardized HRQL measures are being developed and agreed to improve future evidence synthesis. Two multi-centre randomised trials of bariatric surgical procedures including detailed HRQL assessment are in progress. It is hoped that the combination of comparative high-quality HRQL data and information from qualitative studies will provide new insights into patient well-being and health after bariatric surgery.
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Metadata
Title
Health-Related Quality of Life in Bariatric and Metabolic Surgery
Authors
Karen D. Coulman
Jane M. Blazeby
Publication date
01-09-2020
Publisher
Springer US
Published in
Current Obesity Reports / Issue 3/2020
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-020-00392-z

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