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Health-Related Quality-of-Life (HRQoL) on an Average of 12 Years After Gastric Bypass Surgery
Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Surgery, Örebro University Hospital, Örebro, Sweden.
Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro universitet, Institutionen för hälsovetenskap och medicin.
Region Örebro län. Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden; Department of Medicine, School of Health and Medical Sciences, Örebro University, Örebro, Sweden .
Vise andre og tillknytning
2015 (engelsk)Inngår i: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 25, nr 7, s. 1119-1127Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

It is evident that morbidly obese patients have a low health-related quality-of-life (HRQoL), and this low HRQoL has become a common reason for them to seek bariatric surgery. Several HRQoL studies demonstrate a dramatic postoperative improvement, but most of these have had a short follow-up period.

An observational, cross-sectional study for HRQoL was conducted to study 486 patients (average age of 50.7 +/- 10.0 years, with 84 % of them being female) operated with gastric bypass (GBP) in the period 1993 to 2003 at the University Hospitals of A-rebro and Uppsala. Mean follow-up after gastric bypass was 11.5 +/- 2.7 years (range 7-17). Two HRQoL instruments were used, SF-36 and the Obesity-related Problems scale (OP). The study group was compared with two control groups, both matched for age and gender, one from the general population and one containing morbidly obese patients evaluated and awaiting bariatric surgery.

The study group scored better in the SF-36 domains (all four physical domains and the vitality subscore) and OP scale compared to obese controls, but their HRQoL scores were lower than those of the general population. HRQoL was better among younger patients and in the following subgroups: men, patients with satisfactory weight loss, satisfied with the procedure, free from co-morbidities and gastrointestinal symptoms, employment, good oral status and those not hospitalised or regularly followed up for non-bariatric reasons.

Long-term follow-up after GBP for morbid obesity showed better scores in most aspects of HRQoL compared to obese controls but did not achieve the levels of the general population. Patients with better medical outcome after gastric bypass operation had better HRQoL.

sted, utgiver, år, opplag, sider
2015. Vol. 25, nr 7, s. 1119-1127
Emneord [en]
Gastric bypass, Health-related quality-of-life, Long-term follow-up, SF-36, Morbid obesity
HSV kategori
Forskningsprogram
Kirurgi
Identifikatorer
URN: urn:nbn:se:oru:diva-45292DOI: 10.1007/s11695-014-1513-6ISI: 000355921600004PubMedID: 25566743Scopus ID: 2-s2.0-84930760360OAI: oai:DiVA.org:oru-45292DiVA, id: diva2:842850
Tilgjengelig fra: 2015-07-23 Laget: 2015-07-20 Sist oppdatert: 2018-06-30bibliografisk kontrollert

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