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Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study.

Publication ,  Journal Article
Flølo, TN; Tell, GS; Kolotkin, RL; Aasprang, A; Norekvål, TM; Våge, V; Hufthammer, KO; Andersen, JR
Published in: BMJ Open
September 12, 2019

OBJECTIVES: Sleeve gastrectomy (SG) is the most frequently performed bariatric surgery procedure worldwide, but reports on long-term quality of life (QOL) outcomes are scarce. We investigated 5-year trajectories in QOL and their associations with weight loss after SG. DESIGN: A prospective cohort study. SETTING: The study was conducted in a single Norwegian bariatric surgery centre. PARTICIPANTS: Out of 150 operated patients, 127 were included. Mean age was 41 years, 68% were women and the follow-up rate at 1 year was 85% and 64% at 1 and 5 years, respectively. OUTCOME MEASURES: Data were collected preoperatively, and 1 and 5 years after surgery assessing three different levels of QOL. The main exposure was weight loss after SG, assessed as per cent excess body mass index (kg/m2) loss (%EBMIL). The Obesity-Related Problem (OP) scale was used to measure obesity-specific health-related QOL (HRQOL). Physical (PCS) and mental (MCS) composite summary scores of the Short Form 36 Health Survey were used to capture generic HRQOL and Cantril Ladder was used to assess overall QOL. RESULTS: All HRQOL/overall QOL measures significantly improved at 1 year, followed by modest decline from 1 to 5 years after surgery. Greater %EBMIL 5 years after surgery was significantly associated with improvements in OP and PCS scores, but not with MCS and Cantril Ladder scores. Although significant (p<0.001) and clinically relevant improvements in HRQOL/overall QOL outcomes were observed at 5 years, scores were still below the general population norms. CONCLUSION: Most patients undergoing SG experience substantial weight loss accompanied by statistically significant and clinically relevant long-term improvements in HRQOL/overall QOL. However, an important minority of patients still report low HRQOL/overall QOL 5 years after SG. Further research should aim to identify other factors that contribute to impaired QOL after bariatric surgery, even in the presence of successful weight control.

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Published In

BMJ Open

DOI

EISSN

2044-6055

Publication Date

September 12, 2019

Volume

9

Issue

9

Start / End Page

e031170

Location

England

Related Subject Headings

  • Weight Loss
  • Time
  • Quality of Life
  • Prospective Studies
  • Postoperative Period
  • Patient Reported Outcome Measures
  • Obesity, Morbid
  • Norway
  • Minimal Clinically Important Difference
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Flølo, T. N., Tell, G. S., Kolotkin, R. L., Aasprang, A., Norekvål, T. M., Våge, V., … Andersen, J. R. (2019). Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study. BMJ Open, 9(9), e031170. https://doi.org/10.1136/bmjopen-2019-031170
Flølo, Tone Nygaard, Grethe S. Tell, Ronette L. Kolotkin, Anny Aasprang, Tone Merete Norekvål, Villy Våge, Karl Ove Hufthammer, and John Roger Andersen. “Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study.BMJ Open 9, no. 9 (September 12, 2019): e031170. https://doi.org/10.1136/bmjopen-2019-031170.
Flølo TN, Tell GS, Kolotkin RL, Aasprang A, Norekvål TM, Våge V, et al. Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study. BMJ Open. 2019 Sep 12;9(9):e031170.
Flølo, Tone Nygaard, et al. “Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study.BMJ Open, vol. 9, no. 9, Sept. 2019, p. e031170. Pubmed, doi:10.1136/bmjopen-2019-031170.
Flølo TN, Tell GS, Kolotkin RL, Aasprang A, Norekvål TM, Våge V, Hufthammer KO, Andersen JR. Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study. BMJ Open. 2019 Sep 12;9(9):e031170.

Published In

BMJ Open

DOI

EISSN

2044-6055

Publication Date

September 12, 2019

Volume

9

Issue

9

Start / End Page

e031170

Location

England

Related Subject Headings

  • Weight Loss
  • Time
  • Quality of Life
  • Prospective Studies
  • Postoperative Period
  • Patient Reported Outcome Measures
  • Obesity, Morbid
  • Norway
  • Minimal Clinically Important Difference
  • Male