TY - JOUR
T1 - Patient-Level Factors Associated with Health-Related Quality of Life and Satisfaction with Body After Bariatric Surgery
T2 - a Multicenter, Cross-Sectional Study
AU - Makarawung, Dennis J. S.
AU - de Vries, Claire E. E.
AU - List, Emile B.
AU - Monpellier, Valerie M.
AU - Mou, Danny
AU - Klassen, Anne F.
AU - Pusic, Andrea L.
AU - van Veen, Ruben N.
AU - Mink van der Molen, Aebele B.
N1 - Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/9
Y1 - 2022/9
N2 - Background: Health-Related Quality of Life (HRQL) is a key outcome of success after bariatric surgery. Not all patients report improved HRQL scores postoperatively, which may be due to patient-level factors. It is unknown which factors influence HRQL after surgery. Our objective was to assess patient-level factors associated with HRQL after surgery. Methods: This international cross-sectional study included 730 patients who had bariatric surgery. Participants completed BODY-Q scales pertaining to HRQL and satisfaction with body, and demographic characteristics were obtained. The sample was divided into three groups based on time since surgery: 0 – 1 year, 1 – 3 years and more than 3 years. Uni- and multivariable linear regression analyses were conducted to identify variables associated with the BODY-Q scales per group. Results: The 0 – 1 year postoperative group included 377 patients (50.9%), the 1 – 3 years postoperative group 218 (29.4%) and the more than 3 years postoperative group 135 patients (18.2%). Lower current body-mass index (BMI), more weight loss (%TWL), being employed, having no comorbidities, higher age and shorter time since surgery were significantly associated with improved HRQL outcomes postoperatively. None of these factors influenced all BODY-Q scales. The effect of current BMI increased with longer time since surgery. Conclusion: Factors including current BMI, %TWL, employment status, presence of comorbidities, age and time since surgery were associated with HRQL postoperatively. This information may be used to optimize patient-tailored care, improve patient education and underline the importance of long-term follow-up with special attention to weight regain to ensure lasting improvement in HRQL. Graphical abstract: [Figure not available: see fulltext.]
AB - Background: Health-Related Quality of Life (HRQL) is a key outcome of success after bariatric surgery. Not all patients report improved HRQL scores postoperatively, which may be due to patient-level factors. It is unknown which factors influence HRQL after surgery. Our objective was to assess patient-level factors associated with HRQL after surgery. Methods: This international cross-sectional study included 730 patients who had bariatric surgery. Participants completed BODY-Q scales pertaining to HRQL and satisfaction with body, and demographic characteristics were obtained. The sample was divided into three groups based on time since surgery: 0 – 1 year, 1 – 3 years and more than 3 years. Uni- and multivariable linear regression analyses were conducted to identify variables associated with the BODY-Q scales per group. Results: The 0 – 1 year postoperative group included 377 patients (50.9%), the 1 – 3 years postoperative group 218 (29.4%) and the more than 3 years postoperative group 135 patients (18.2%). Lower current body-mass index (BMI), more weight loss (%TWL), being employed, having no comorbidities, higher age and shorter time since surgery were significantly associated with improved HRQL outcomes postoperatively. None of these factors influenced all BODY-Q scales. The effect of current BMI increased with longer time since surgery. Conclusion: Factors including current BMI, %TWL, employment status, presence of comorbidities, age and time since surgery were associated with HRQL postoperatively. This information may be used to optimize patient-tailored care, improve patient education and underline the importance of long-term follow-up with special attention to weight regain to ensure lasting improvement in HRQL. Graphical abstract: [Figure not available: see fulltext.]
KW - (Post-) bariatric surgery
KW - Health-related quality of life
KW - Patient reported outcomes
KW - Patient-level factors
KW - Predictors
UR - http://www.scopus.com/inward/record.url?scp=85134508028&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s11695-022-06214-6
DO - https://doi.org/10.1007/s11695-022-06214-6
M3 - Article
C2 - 35859022
SN - 0960-8923
VL - 32
SP - 3079
EP - 3087
JO - Obesity surgery
JF - Obesity surgery
IS - 9
ER -