Original articleHealth-related quality of life does not vary among patients seeking different surgical procedures to assist with weight loss
Section snippets
Procedures
The patients who qualified for surgically assisted weight loss according to the National Institutes of Health criteria [15] and who had chosen a surgical procedure were asked to review and sign an informed consent form approved by our institutional review board. At their surgical consultation they completed 3 forms to assess their QOL and mood dysphoria before surgery. Trained personnel reviewed the forms for completeness and performed the scoring.
Medical Outcomes Study Short Form 36-item Health Survey
The Medical Outcomes Study Short Form 36-item
Results
At their surgical consultation, 367 patients, 114 men (31.2%) and 253 women (68.8%), completed all 3 questionnaires before undergoing the procedure they had chosen. Table 1 lists the data on age, gender, and BMI of the 3 patient groups. No significant differences were found in the gender distribution or age of the patients requesting the 3 surgery types. The BMI differed significantly by surgery type (F = 22.97; df = 2363; P < .001). Post hoc comparisons revealed that the mean BMI for the
Discussion
Reviewing the published data, we found little information on differences in HRQOL and mood dysphoria related to the choice of surgical procedure to assist with weight loss. Because most surgical weight loss centers offer limited surgical options, patients' choices might be restricted. However, patients are known to seek out surgical centers related to the types of procedures that are offered. In some surgical centers, for research purposes, patients have agreed to a random assignment to a
Conclusion
Although patients choosing bariatric surgery reported moderate to severe impairments in QOL and symptoms of depression compared with community norms, their scores on the SF-36, IWQOL-Lite, and BDI did not generally differ among the 3 surgical groups. The BPD/DS group had a greater BMI and the adjustable AGB group had better overall physical HRQOL on the SF-36 than did the larger BPD/DS patients. From these observations, it is apparent that for these patients within this wide range of severe
Disclosures
The authors have no commercial associations that might be a conflict of interest in relation to this article.
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