Perceived Benefits of Bariatric Surgery: Patient Perspectives.

Autor: Alsaqaaby MS; Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland.; Obesity Department, Obesity, Endocrine, and Metabolism Center, King Fahad Medical City, Makkah Al Mukarrama Branch Road, Riyadh, Saudi Arabia., Alabduljabbar KA; Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland.; Department of Family Medicine and Polyclinics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Alruwaili HR; Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland.; Obesity Department, Obesity, Endocrine, and Metabolism Center, King Fahad Medical City, Makkah Al Mukarrama Branch Road, Riyadh, Saudi Arabia., Neff KJ; Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland., Heneghan HM; Department of Surgery, St Vincent's University Hospital, University College Dublin, Elm Park, Dublin, Ireland., Pournaras DJ; Department of Upper GI and Bariatric Surgery, Southmead Hospital, Bristol, UK., Le Roux CW; Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland. carel.leroux@ucd.ie.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2024 Feb; Vol. 34 (2), pp. 583-591. Date of Electronic Publication: 2024 Jan 04.
DOI: 10.1007/s11695-023-07030-2
Abstrakt: Background: Obesity is a chronic and complex disease characterized by the excessive accumulation of adipose tissue, which has detrimental effects on health. Evaluating the changes in quality of life (QoL) after bariatric surgery complements the medical benefits which are documented by healthcare professionals.
Purpose: To study the perceived health benefits 1 year after substantial weight loss induced by bariatric surgery.
Methods: This pilot study evaluated patients 1 year after bariatric surgery using 13 questions related to the health domains of the KOSS: airway, body mass, cardiovascular risk, diabetes, economic impact, functional, gonadal impact, health status perceived, image, junction of the gastro-esophagus, kidney, liver, and medication. In addition, the patients were asked to score the most significant benefit as "1," while the least beneficial benefit was scored as "13."
Results: One hundred fourteen consecutive patients were evaluated (men = 37 and women = 77). The responses were divided into functional, metabolic, and mental/social benefits. Patients ranked the functional question, "I became more active, and I can do more things" as the most important (average score of 3.7 ± 0.2), followed by a question related to metabolic status: "I am less worried about my risk of heart disease" (4.5 ± 0.3), and then a social/mental question, "My clothes fit better" (5.4 ± 0.3). The three least valuable benefits for the cohort were sexual life improvements (8.9 ± 0.3), heartburn improvements (9.0 ± 0.3), and urinary incontinence improvements (9.8 ± 0.3).
Conclusions: Our observational pilot study demonstrated that patients value functional benefits after substantial weight loss the most, but that metabolic benefits and social/mental health benefits are also considered important.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: