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Patient-Reported Satisfaction Following Post-bariatric Surgery: A Systematic Review

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  • Body Contouring
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Abstract

Introduction

The aims of our study were to identify studies that evaluated patient satisfaction following post-bariatric surgery, analyse existing questionnaires, and summarise their development, psychometric properties, and content.

Patients and Methods

A multistep search was undertaken on the web-based PubMed database from the National Library of Medicine to identify studies on patient satisfaction and quality of life following post-bariatric surgery. The authors summarised all the questionnaires used in every study and categorised them as generic, surgery specific, or ad hoc, and whether they contained either validated or unvalidated measures.

Results

Our search generated a total of 1754 articles. We performed a systematic review of the 12 remaining studies, because these had sufficient data and met the inclusion criteria. All the studies identified from the literature review were assessed to determine the type of surgery used, and whether or not the questionnaire used to analyse patient satisfaction had been validated. The questionnaires were analysed by reviewers to assess adherence to the rules of the US Food and Drug Administration and the Scientific Advisory Committee of the Medical Outcomes Trust. We identified 20 individual questionnaires that included 10 generic instruments that assessed quality of life, six instruments specific for post-bariatric surgery, three instruments specific for breast surgery.

Conclusions

In post-bariatric patients, the BODY-Q was shown to be a more objective and confident measure for evaluating the quality of life of patients following post-bariatric surgery.

Level of Evidence III

For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Klassen AF, Cano SJ, Scott A, Johnson J, Pusic AL (2012) Satisfaction and quality-of-life issues in body contouring surgery patients: a qualitative study. Obes Surg 22:1527–1534

    Article  PubMed  Google Scholar 

  2. https://www.plasticsurgery.org/documents/News/Statistics/2016/body-contouring-gender-confirmation-surgery-2016.pdf

  3. Cogliandro A, Barone M, Cassotta G, Salzillo R, Persichetti P (2018) Mastopexy on reconstructed breast following massive weight loss: an innovative technique using dermo-capsular flaps. Aesthet Plast Surg 42:396–399

    Article  CAS  Google Scholar 

  4. Vilà J, Balibrea JM, Oller B, Alastrué A (2014) Post-bariatric surgery body contouring treatment in the public health system: cost study and perception by patients. Plast Reconstr Surg 134:448–454

    Article  CAS  PubMed  Google Scholar 

  5. Barone M, Cogliandro A, La Monaca G, Tambone V, Persichetti P (2015) Cognitive investigation study of patients admitted for cosmetic surgery: information, expectations, and consent for treatment. Arch Plast Surg 42:46–51

    Article  PubMed  PubMed Central  Google Scholar 

  6. Lasch KE, Marquis P, Vigneux M, Abetz L, Arnould B, Bayliss M, Crawford B, Rosa K (2010) PRO development: rigorous qualitative research as the crucial foundation. Qual Life Res 19:1087–1096

    Article  PubMed  PubMed Central  Google Scholar 

  7. Di Stefano N (2017) The Idea of beauty and its biases: critical notes on the aesthetics of plastic surgery. Plast Reconstr Surg Glob Open 5:e1523

    Article  PubMed  PubMed Central  Google Scholar 

  8. Buetow S, Wallis K (2017) The beauty in perfect imperfection. J Med Humanit. https://doi.org/10.1007/s10912-017-9500-2

    Article  PubMed  Google Scholar 

  9. Harth W (2017) Was ist Schönheit? Manifest einer ästhetischen Charaktermedizin [What is beauty? Manifest for an aesthetic character medicine]. Hautarzt 68:950–958. https://doi.org/10.1007/s00105-017-4051-z

    Article  CAS  PubMed  Google Scholar 

  10. Klassen AF, Cano SJ, East CA, Baker SB, Badia L, Schwitzer JA, Pusic AL (2016) Development and psychometric evaluation of the FACE-Q scales for patients undergoing rhinoplasty. JAMA Facial Plast Surg 18:27–35

    Article  PubMed  PubMed Central  Google Scholar 

  11. Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, Cordeiro PG (2007) Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plast Reconstr Surg 120:823–837

    Article  CAS  PubMed  Google Scholar 

  12. Barone M, Cogliandro A, Di Stefano N, Tambone V, Persichetti P (2017) A systematic review of patient-reported outcome measures after rhinoplasty. Eur Arch Otorhinolaryngol 274:1807–1811

    Article  CAS  PubMed  Google Scholar 

  13. Barone M, Cogliandro A, Morelli Coppola M, Cassotta G, Di Stefano N, Tambone V, Persichetti P (2017) Patient-reported outcome measures following gynecomastia correction: a systematic review. Eur J Plast Surg. https://doi.org/10.1007/s00238-017-1375-y

    Article  Google Scholar 

  14. Barone M, Cogliandro A, Di Stefano N, Tambone V, Persichetti P (2017) A systematic review of patient-reported outcome measures following transsexual surgery. Aesthet Plast Surg 41:700–713

    Article  CAS  Google Scholar 

  15. U.S. Food and Drug Administration (2006) Guidance for Industry. Patient-reported outcome measures: use in medical product development to support labeling Claims. FDA web site. http://www.fda.gov/cder/guidance/index

  16. Aaronson N, Alonso J, Burnam A, Lohr KN, Patrick DL, Perrin E, Stein RE (2002) Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res 11:193–205

    Article  PubMed  Google Scholar 

  17. Harris DL, Carr AT (2001) The Derriford Appearance Scale (DAS59): a new psychometric scale for the evaluation of patients with disfigurements and aesthetic problems of appearance. Br J Plast Surg 54:216–222

    Article  CAS  PubMed  Google Scholar 

  18. Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. JAMA 282:1737–1744

    Article  CAS  PubMed  Google Scholar 

  19. Spitzer RL, Kroenke K, Williams JB, Löwe B (2006) A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 166:1092–1097

    Article  PubMed  Google Scholar 

  20. Brown TA, Cash TF, Mikulka PJ (1990) Attitudinal body-image assessment: factor analysis of the Body-Self Relations Questionnaire. J Pers Assess 55:135–144

    Article  CAS  PubMed  Google Scholar 

  21. Brazier JE, Harper R, Jones NM, O’Cathain A, Thomas KJ, Usherwood T, Westlake L (1992) Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ 305:160–164

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The mini-international neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33

    PubMed  Google Scholar 

  23. Steer RA, Ball R, Ranieri WF, Beck AT (1997) Further evidence for the construct validity of the beck depression inventory-II with psychiatric outpatients. Psychol Rep 80:443–446

    Article  CAS  PubMed  Google Scholar 

  24. Cloninger CR, Przybeck TR, Svrakic DM (1991) The Tridimensional Personality Questionnaire: u.S. normative data. Psychol Rep 69:1047–1057

    Article  CAS  PubMed  Google Scholar 

  25. Cuzzolaro M, Vetrone G, Marano G, Garfinkel PE (2006) The body uneasiness test (BUT): development and validation of a new body image assessment scale. Eat Weight Disord 11:1–13

    Article  CAS  PubMed  Google Scholar 

  26. Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Kitzinger HB, Abayev S, Pittermann A, Karle B, Kubiena H, Bohdjalian A et al (2012) The prevalence of body contouring surgery after gastric bypass surgery. Obes Surg 22:8–12

    Article  PubMed  Google Scholar 

  28. Al-Hadithy N, Welbourn R, Aditya H, Stewart K, Soldin M (2014) A preliminary report on the development of a validated tool for measuring psychosocial outcomes for massive weight loss patients. J Plast Reconstr Aesthet Surg 67:1523–1531

    Article  PubMed  Google Scholar 

  29. Klassen AF, Cano SJ, Kaur M, Breitkopf T, Pusic AL (2017) Further psychometric validation of the BODY-Q: ability to detect change following bariatric surgery weight gain and loss. Health Qual Life Outcomes 15:227

    Article  PubMed  PubMed Central  Google Scholar 

  30. Danilla S, Cuevas P, Aedo S, Dominguez C, Jara R, Calderón ME, Al-Himdani S, Rios MA, Taladriz C, Rodriguez D, Gonzalez R, Lazo Á, Erazo C, Benitez S, Andrades P, Sepúlveda S (2016) Introducing the Body-QoL®: a new patient-reported outcome instrument for measuring body satisfaction-related quality of life in aesthetic and post-bariatric body contouring patients. Aesthet Plast Surg 40:19–29

    Article  Google Scholar 

  31. Steffen KJ, Sarwer DB, Thompson JK, Mueller A, Baker AW, Mitchell JE (2012) Predictors of satisfaction with excess skin and desire for body contouring after bariatric surgery. Surg Obes Relat Dis 8:92–97

    Article  PubMed  Google Scholar 

  32. Zijlstra H, Larsen JK, de Ridder DT, van Ramshorst B, Geenen R (2009) Initiation and maintenance of weight loss after laparoscopic adjustable gastric banding. The role of outcome expectation and satisfaction with the psychosocial outcome. Obes Surg 19:725–731

    Article  PubMed  Google Scholar 

  33. Sigurdson L, Mykhalovskiy E, Kirkland S, Pallen A (2007) Symptoms and related severity experienced by women with breast hypertrophy. Plast Reconstr Surg 119:481–486

    Article  CAS  PubMed  Google Scholar 

  34. Kerrigan CL, Collins ED, Striplin D, Kim HM, Wilkins E, Cunningham B, Lowery J (2001) The health burden of breast hypertrophy. Plast Reconstr Surg 108:1591–1599

    Article  CAS  PubMed  Google Scholar 

  35. Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ (2009) Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg 124:345–353

    Article  CAS  PubMed  Google Scholar 

  36. Augustin M, Zschocke I, Sommer B, Sattler G (1999) Sociodemographic profile and satisfaction with treatment of patients undergoing liposuction in tumescent anesthesia. Dermatol Surg 25:480–483

    Article  CAS  PubMed  Google Scholar 

  37. Aldaqal SM, Makhdoum AM, Turki AM, Awan BA, Samargandi OA, Jamjom H (2013) Post-bariatric surgery satisfaction and body-contouring consideration after massive weight loss. N Am J Med Sci 5:301–305

    Article  PubMed  PubMed Central  Google Scholar 

  38. Azin A, Zhou C, Jackson T, Cassin S, Sockalingam S, Hawa R (2014) Body contouring surgery after bariatric surgery: a study of cost as a barrier and impact on psychological well-being. Plast Reconstr Surg 133:776e–782e

    Article  CAS  PubMed  Google Scholar 

  39. de Zwaan M, Georgiadou E, Stroh CE, Teufel M, Köhler H, Tengler M, Müller A (2014) Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: a comparison of pre- and post-surgery groups. Front Psychol 18(5):1310

    Google Scholar 

  40. Kitzinger HB, Abayev S, Pittermann A, Karle B, Bohdjalian A, Langer FB, Prager G, Frey M (2012) After massive weight loss: patients’ expectations of body contouring surgery. Obes Surg 22:544–548

    Article  PubMed  Google Scholar 

  41. Pavan C, Marini M, De Antoni E, Scarpa C, Brambullo T, Bassetto F, Mazzotta A, Vindigni V (2017) Psychological and psychiatric traits in post-bariatric patients asking for body-contouring surgery. Aesthet Plast Surg 41:90–97

    Article  Google Scholar 

  42. Klassen AF, Cano SJ, Alderman A, Soldin M, Thoma A, Robson S, Kaur M, Papas A, Van Laeken N, Taylor VH, Pusic AL (2016) The BODY-Q: a patient-reported outcome instrument for weight loss and body contouring treatments. Plast Reconstr Surg Glob Open 13(4):e679

    Article  Google Scholar 

  43. Poulsen L, Klassen A, Rose M, Roessler KK, Juhl CB, Støving RK, Sørensen JA (2017) Patient-reported outcomes in weight loss and body contouring surgery: a cross-sectional analysis using the BODY-Q. Plast Reconstr Surg 140:491–500

    Article  CAS  PubMed  Google Scholar 

  44. Sioka E, Tzovaras G, Katsogridaki G, Bakalis V, Bampalitsa S, Zachari E, Zacharoulis D (2015) Desire for body contouring surgery after laparoscopic sleeve gastrectomy. Aesthet Plast Surg 39:978–984

    Article  Google Scholar 

  45. Song P, Patel NB, Gunther S, Li CS, Liu Y, Lee CY, Kludt NA, Patel KB, Ali MR, Wong MS (2016) Body image and quality of life: changes with gastric bypass and body contouring. Ann Plast Surg 76(Suppl 3):S216–S221

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Steffen KJ, Sarwer DB, Thompson JK, Mueller A, Baker AW, Mitchell JE (2012) Predictors of satisfaction with excess skin and desire for body contouring after bariatric surgery. Surg Obes Relat Dis 8:92–97

    Article  PubMed  Google Scholar 

  47. van der Beek ES, Geenen R, de Heer FA, van der Molen AB, van Ramshorst B (2012) Quality of life long-term after body contouring surgery following bariatric surgery: sustained improvement after 7 years. Plast Reconstr Surg 130:1133–1139

    Article  CAS  PubMed  Google Scholar 

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Correspondence to A. Cogliandro.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Barone, M., Cogliandro, A., Salzillo, R. et al. Patient-Reported Satisfaction Following Post-bariatric Surgery: A Systematic Review. Aesth Plast Surg 42, 1320–1330 (2018). https://doi.org/10.1007/s00266-018-1146-6

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  • DOI: https://doi.org/10.1007/s00266-018-1146-6

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