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Health-related quality of life after sleeve gastrectomy equal to Roux-en-Y gastric bypass patients?

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Abstract

Purpose

Sleeve gastrectomy (SG) is the most popular type of bariatric surgery. It has often been compared to Roux-en-Y gastric bypass (RYGB) in terms of clinical outcomes. However, health-related quality of life (HRQoL) has been sparsely studied after SG. The goal was to study HRQoL after SG using a generic (RAND-36) and an obesity-specific (impact of weight on quality of life-lite, IWQOL-lite) questionnaire and to compare the results with RYGB.

Methods

HRQoL and weight were measured before and 9, 15, and 24 months after surgery. RAND-36 physical health summary (PHS) and mental health summary (MHS), and IWQOL-lite total score were calculated. A mixed model analysis was conducted to study the change in HRQoL and compare SG with RYGB.

Results

A total of 219 patients (8.7%) underwent a SG and 2309 patients (91.3%) a RYGB. PHS, MHS, and IWQOL-lite significantly improved after SG when comparing baseline to all follow-up moments (p < 0.001 in all). There were no significant differences when comparing SG with RYGB: change in PHS (β − 0.10, 95% CI − 1.24 to 1.04, p = 0.861), MHS (β − 0.51, 95% CI − 1.56 to 0.52, p = 0.330), and IWQOL-lite (β 0.310, 95% CI − 0.85 to 1.47, p = 0.601).

Conclusion

HRQoL significantly improved after SG. In the included populations, weight loss was comparable and the extent to which HRQoL improved did not differ between SG and RYGB, when measured with the RAND-36 or IWQOL-lite. This might be partly caused by the fact that these questionnaires do not assess specific bariatric HRQoL and/or complaints.

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Funding

The contribution of Maartje M. van Stralen was supported by the Innovational Research Incentives Scheme Veni from NWO‐SSH (Netherlands Organization for Scientific Research—Division for Social Sciences and Humanities) under Project Number 451-16-018.

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Authors and Affiliations

  1. Nederlandse Obesitas Kliniek (Dutch Obesity Clinic), Huis ter Heide, The Netherlands

    Valerie M. Monpellier, Luella W. Smith Jr., Vera Voorwinde & Ignace M. C. Janssen

  2. Department of Health Sciences and Amsterdam Public Health Research Institute, Faculty of Science, VU University, Amsterdam, The Netherlands

    Luella W. Smith Jr., Vera Voorwinde & Maartje M. van Stralen

  3. Nederlandse Obesitas Kliniek, Postbus 601, 3700 AP, Zeist, The Netherlands

    Valerie M. Monpellier

Authors
  1. Valerie M. Monpellier
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  2. Luella W. Smith Jr.
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  4. Ignace M. C. Janssen
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  5. Maartje M. van Stralen
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Corresponding author

Correspondence to Valerie M. Monpellier.

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Conflict of interest

Valerie M. Monpellier is a research coordinator at the NOK; Vera Voorwinde is psychologist at the NOK; Ignace M. C. Janssen is medical director of the NOK; Luella W. Smith and Maartje M. van Stralen have no conflict of interest.

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Monpellier, V.M., Smith, L.W., Voorwinde, V. et al. Health-related quality of life after sleeve gastrectomy equal to Roux-en-Y gastric bypass patients?. Qual Life Res 29, 1847–1854 (2020). https://doi.org/10.1007/s11136-020-02449-x

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