Obesity Surgery

, Volume 25, Issue 7, pp 1119–1127 | Cite as

Health-Related Quality-of-Life (HRQoL) on an Average of 12 Years After Gastric Bypass Surgery

  • Mustafa Raoof
  • Ingmar Näslund
  • Eva Rask
  • Jan Karlsson
  • Magnus Sundbom
  • David Edholm
  • F. Anders Karlsson
  • Felicity Svensson
  • Eva Szabo
Original Contributions
First Online:

Abstract

Background

It is evident that morbidly obese patients have a low health-related quality-of-life (HRQoL), and this low HRQoL has become a common reason for them to seek bariatric surgery. Several HRQoL studies demonstrate a dramatic postoperative improvement, but most of these have had a short follow-up period.

Material and Methods

An observational, cross-sectional study for HRQoL was conducted to study 486 patients (average age of 50.7 ± 10.0 years, with 84 % of them being female) operated with gastric bypass (GBP) in the period 1993 to 2003 at the University Hospitals of Örebro and Uppsala. Mean follow-up after gastric bypass was 11.5 ± 2.7 years (range 7–17). Two HRQoL instruments were used, SF-36 and the Obesity-related Problems scale (OP). The study group was compared with two control groups, both matched for age and gender, one from the general population and one containing morbidly obese patients evaluated and awaiting bariatric surgery.

Results

The study group scored better in the SF-36 domains (all four physical domains and the vitality subscore) and OP scale compared to obese controls, but their HRQoL scores were lower than those of the general population. HRQoL was better among younger patients and in the following subgroups: men, patients with satisfactory weight loss, satisfied with the procedure, free from co-morbidities and gastrointestinal symptoms, employment, good oral status and those not hospitalised or regularly followed up for non-bariatric reasons.

Conclusion

Long-term follow-up after GBP for morbid obesity showed better scores in most aspects of HRQoL compared to obese controls but did not achieve the levels of the general population. Patients with better medical outcome after gastric bypass operation had better HRQoL.

Keywords

Gastric bypass Health-related quality-of-life Long-term follow-up SF-36 Morbid obesity 
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Notes

Conflict of Interest

The authors declare that there is no conflict of interest that could be perceived as impairing the impartiality of the research reported.

Mustafa Raoof, M.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

Ingmar Näslund, M.D., Ph.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

Eva Rask, M.D., Ph.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

Jan Karlsson, Ph.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

Magnus Sundbom, M.D., Ph.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

David Edholm, M.D., Ph.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

F. Anders Karlsson, M.D., Ph.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

Felicity Svensson, .M.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported,

Eva Szabo, M.D., Ph.D. the author declare no conflict of interest that could be perceived as impairing the impartiality of the research reported

References

  1. 1.
    Renzaho A, Wooden M, Houng B. Associations between body mass index and health-related quality of life among Australian adults. Qual Life Res. 2010;19(4):515–20.PubMedCrossRefGoogle Scholar
  2. 2.
    Wiczinski E, Döring A, John J, et al. Obesity and health-related quality of life: does social support moderate existing associations? Br J Health Psychol. 2009;14(Pt 4):717–34.PubMedCrossRefGoogle Scholar
  3. 3.
    VonLengerke T, Janssen C, John J, et al. Sense of coherence, health locus of control, and quality of life in obese adults: physical limitations and psychological normalcies. Int J Public Health. 2007;52(1):16–26.CrossRefGoogle Scholar
  4. 4.
    Kolotkin RL, Davidson LE, Crosby RD, et al. Six-year changes in health-related quality of life in gastric bypass patients versus obese comparison groups. Surg Obes Relat Dis. 2012;8(5):625–33.PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Edholm D, Svensson F, Näslund I, et al. Long-term results 11 years after primary gastric bypass in 384 patients. Surg Obes Relat Dis. 2013;9(5):708–13.PubMedCrossRefGoogle Scholar
  6. 6.
    Edholm D, Näslund I, Anders Karlsson F, et al. Twelve-year results for revisional gastric bypass after failed restrictive surgery in 131 patients. Surg Obes Relat Dis. 2013.Google Scholar
  7. 7.
    Karefylakis C, Näslund I, Edholm D, et al. Vitamin D status 10 years after primary gastric bypass: Gravely high prevalence of hypovitaminosis D and raised PTH levels. Obes Surg. doi: 10.1007/s11695-013-1104-y.
  8. 8.
    Sullivan M, Karlsson J, Ware Jr JE. The Swedish SF-36 Health Survey–I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Soc Sci Med. 1995;41(10):1349–58.PubMedCrossRefGoogle Scholar
  9. 9.
    Karlsson J, Taft C, Sjöström L, et al. Psychosocial functioning in the obese before and after weight reduction: construct validity and responsiveness of the Obesity-related Problems scale. Int J Obes Relat Metab Disord. 2003;27(5):617–30.PubMedCrossRefGoogle Scholar
  10. 10.
  11. 11.
    Ekbäck G. Satisfaction with oral health and associated factors in Sweden and Norway – cross-sectional and longitudinal perspectives. Doctoral thesis. The University of Bergen; 2010.Google Scholar
  12. 12.
    Julia C, Ciangura C, Capuron L, et al. Quality of life after Roux-en-Y gastric bypass and changes in body mass index and obesity-related comorbidities. Diabetes Metab. 2013;39(2):148–54.PubMedCrossRefGoogle Scholar
  13. 13.
    Adams TD, Davidson LE, Litwin SE, et al. Health benefits of gastric bypass surgery after 6 years. JAMA. 2012;308(11):1122–31.PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    de Zwaan M, Lancaster KL, Mitchell JE, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12:773–80.PubMedCrossRefGoogle Scholar
  15. 15.
    Suter M, Donadini A, Romy S, et al. Laparoscopic Roux-en-Y gastric bypass: significant long-term weight loss, improvement of obesity-related comorbidities and quality of life. Ann Surg. 2011;254(2):267–73.PubMedCrossRefGoogle Scholar
  16. 16.
    Aftab H, Risstad H, Søvik TT, et al. Five-year outcome after gastric bypass for morbid obesity in a Norwegian cohort. Surg Obes Relat Dis. 2013.Google Scholar
  17. 17.
    Karlsen TI, Lund RS, Røislien J, et al. Health related quality of life after gastric bypass or intensive lifestyle intervention: a controlled clinical study. Health Qual Life Outcomes. 2013;11:17.PubMedCentralPubMedCrossRefGoogle Scholar
  18. 18.
    Kolotkin RL, Crosby RD, Gress RE, et al. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Relat Dis. 2009;5:250–6.PubMedCrossRefGoogle Scholar
  19. 19.
    Himpens J, Verbrugghe A, Cadière GB, et al. Long-term results of laparoscopic Roux-en-Y Gastric bypass: evaluation after 9 years. Obes Surg. 2012;22(10):1586–93.PubMedCrossRefGoogle Scholar
  20. 20.
    Noel P, Nedelcu M, Nocca D, et al. Revised sleeve gastrectomy: another option for weight loss failure after sleeve gastrectomy. Surg Endosc. 2013. doi: 10.1007/s00464-013-3277-9.Google Scholar
  21. 21.
    Miranda WR, Batsis JA, Sarr MG, et al. Impact of bariatric surgery on quality of life, functional capacity, and symptoms in patients with heart failure. Obes Surg. 2013;23(7):1011.PubMedCrossRefGoogle Scholar
  22. 22.
    Engström M, Forsberg A. Whishing for deburdening through a sustainable control after bariatric surgery. Int J Qual Stud Health Well-Being. 2011;6. doi: 10.3402/qhw.v6i1.5091.
  23. 23.
    Kim HJ, Madan A, Fenton-Lee D. Does patient compliance with follow-up influence weight loss after gastric bypass surgery? A systematic review and meta-analysis. Obes Surg. 2014;24(4):647–51. doi: 10.1007/s11695-014-1178-1.PubMedCrossRefGoogle Scholar
  24. 24.
    Modarressi A, Balagué N, Huber O, et al. Plastic surgery after gastric bypass improves long-term quality of life. Obes Surg. 2013;23(1):24–30. doi: 10.1007/s11695-012-0735-8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Mustafa Raoof
    • 1
    • 5
  • Ingmar Näslund
    • 1
  • Eva Rask
    • 4
  • Jan Karlsson
    • 2
    • 4
  • Magnus Sundbom
    • 3
  • David Edholm
    • 3
  • F. Anders Karlsson
    • 3
  • Felicity Svensson
    • 3
  • Eva Szabo
    • 1
  1. 1.Department of Surgery, Faculty of Medicine and HealthÖrebro UniversityÖrebroSweden
  2. 2.Centre for Health Care SciencesÖrebro University HospitalÖrebroSweden
  3. 3.Department of Surgical SciencesUppsala UniversityUppsalaSweden
  4. 4.Department of Medicine, School of Health and Medical SciencesÖrebro UniversityÖrebroSweden
  5. 5.Department of SurgeryÖrebro University HospitalÖrebroSweden

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