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Patient-Reported Outcome Measures 2 Years After Standard and Distal Gastric Bypass-a Double-Blind Randomized Controlled Trial.

Publication ,  Journal Article
Svanevik, M; Risstad, H; Karlsen, T-I; Kristinsson, JA; Småstuen, MC; Kolotkin, RL; Søvik, TT; Sandbu, R; Mala, T; Hjelmesæth, J
Published in: Obes Surg
March 2018

BACKGROUND: The preferred surgical procedure for treating morbid obesity is debated. Patient-reported outcome measures (PROMs) are relevant for evaluation of the optimal bariatric procedure. METHODS: A total of 113 patients with BMI from 50 to 60 were randomly assigned to standard (n = 57) or distal (n = 56) Roux-en-Y gastric bypass (RYGB). Validated PROMS questionnaires were completed at baseline and 2 years after surgery. Data were analyzed using mixed models for repeated measures and the results are expressed as estimated means and mean changes. RESULTS: Obesity-related quality of life improved significantly after both procedures, without significant between-group differences (- 0.4 (95% CI = - 8.4, 7.2) points, p = 0.88, ES = 0.06). Both groups had significant reductions in the number of weight-related symptoms and symptom distress score, with a mean group difference (95% CI) of 1.4 (- 0.3, 3.3) symptoms and 5.0 (2.9. 12.8) symptom distress score points. There were no between-group differences for uncontrolled eating (22.0 (17.2-26.7) vs. 28.9 (23.3-34.5) points), cognitive restraint (57.4 (52.0-62.7) vs. 62.1 (57.9-66.2) points), and emotional eating (26.8 (20.5-33.1) vs. 32.6 (25.5-39.7) points). The prevalence of anxiety was 33% after standard and 25% after distal RYGB (p = 0.53), and for depression 12 and 9%, respectively (p = 0.76). CONCLUSIONS: There were no statistically significant differences between standard and distal RYGB 2 years post surgery regarding weight loss, obesity-related quality of life, weight-related symptoms, anxiety, depression, or eating behavior. TRIAL REGISTRATION: Clinical Trials.gov number NCT00821197.

Duke Scholars

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

March 2018

Volume

28

Issue

3

Start / End Page

606 / 614

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Surveys and Questionnaires
  • Surgery
  • Self Report
  • Quality of Life
  • Patient Reported Outcome Measures
  • Obesity, Morbid
  • Middle Aged
  • Male
 

Citation

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Svanevik, M., Risstad, H., Karlsen, T.-I., Kristinsson, J. A., Småstuen, M. C., Kolotkin, R. L., … Hjelmesæth, J. (2018). Patient-Reported Outcome Measures 2 Years After Standard and Distal Gastric Bypass-a Double-Blind Randomized Controlled Trial. Obes Surg, 28(3), 606–614. https://doi.org/10.1007/s11695-017-2891-3
Svanevik, Marius, Hilde Risstad, Tor-Ivar Karlsen, Jon A. Kristinsson, Milada Cvancarova Småstuen, Ronette L. Kolotkin, Torgeir T. Søvik, Rune Sandbu, Tom Mala, and Jøran Hjelmesæth. “Patient-Reported Outcome Measures 2 Years After Standard and Distal Gastric Bypass-a Double-Blind Randomized Controlled Trial.Obes Surg 28, no. 3 (March 2018): 606–14. https://doi.org/10.1007/s11695-017-2891-3.
Svanevik M, Risstad H, Karlsen T-I, Kristinsson JA, Småstuen MC, Kolotkin RL, et al. Patient-Reported Outcome Measures 2 Years After Standard and Distal Gastric Bypass-a Double-Blind Randomized Controlled Trial. Obes Surg. 2018 Mar;28(3):606–14.
Svanevik, Marius, et al. “Patient-Reported Outcome Measures 2 Years After Standard and Distal Gastric Bypass-a Double-Blind Randomized Controlled Trial.Obes Surg, vol. 28, no. 3, Mar. 2018, pp. 606–14. Pubmed, doi:10.1007/s11695-017-2891-3.
Svanevik M, Risstad H, Karlsen T-I, Kristinsson JA, Småstuen MC, Kolotkin RL, Søvik TT, Sandbu R, Mala T, Hjelmesæth J. Patient-Reported Outcome Measures 2 Years After Standard and Distal Gastric Bypass-a Double-Blind Randomized Controlled Trial. Obes Surg. 2018 Mar;28(3):606–614.
Journal cover image

Published In

Obes Surg

DOI

EISSN

1708-0428

Publication Date

March 2018

Volume

28

Issue

3

Start / End Page

606 / 614

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Surveys and Questionnaires
  • Surgery
  • Self Report
  • Quality of Life
  • Patient Reported Outcome Measures
  • Obesity, Morbid
  • Middle Aged
  • Male