Long-term health-related quality of life in bariatric surgery patients : A systematic review and meta-analysis

© 2015 The Obesity Society..

OBJECTIVE: Bariatric surgery results in significant weight loss in the majority of patients. Improvement in health-related quality of life (HRQoL) is an equally important outcome; however, there are few studies reporting long-term (≥5 years) HRQoL outcomes. This study assesses the quality of evidence and effectiveness of surgery on HRQoL ≥ 5 years.

METHODS: PubMed, Cochrane Review, EmBase, CINANL, PsycInfo, obesity conference abstracts, and reference lists were searched. Keywords were bariatric surgery, obesity, and quality of life. Studies were included if (1) there was ≥5 years follow-up, (2) patients had class II or III obesity, (3) individuals completed a validated HRQoL survey, and (4) there was a nonsurgical comparison group with obesity. Two reviewers independently assessed each study.

RESULTS: From 1376 articles, 9 studies were included in the systematic review (SR) and 6 in the meta-analysis (MA). Inconsistent results for long-term improvements in physical and mental health emerged from the SR. In contrast, the MA found significant improvements in these domains ≥5 years after surgery.

CONCLUSIONS: Study findings provide evidence for a substantial and significant improvement in physical and mental health favoring the surgical group compared with controls spanning 5 to 25 years after surgery.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Obesity (Silver Spring, Md.) - 24(2016), 1 vom: 03. Jan., Seite 60-70

Sprache:

Englisch

Beteiligte Personen:

Driscoll, Shannon [VerfasserIn]
Gregory, Deborah M [VerfasserIn]
Fardy, John M [VerfasserIn]
Twells, Laurie K [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review

Anmerkungen:

Date Completed 22.07.2016

Date Revised 30.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/oby.21322

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM255297114