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

Obesity Surgery volume 25, pages 1119–1127 (2015)Cite this article

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.

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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

Author information

Affiliations

  1. Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden

    Mustafa Raoof, Ingmar Näslund & Eva Szabo

  2. Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden

    Jan Karlsson

  3. Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

    Magnus Sundbom, David Edholm, F. Anders Karlsson & Felicity Svensson

  4. Department of Medicine, School of Health and Medical Sciences, Örebro University, Örebro, Sweden

    Eva Rask & Jan Karlsson

  5. Department of Surgery, Örebro University Hospital, 70185, Örebro, Sweden

    Mustafa Raoof

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  1. Mustafa Raoof
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  2. Ingmar Näslund
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  3. Eva Rask
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  4. Jan Karlsson
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  5. Magnus Sundbom
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  6. David Edholm
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  7. F. Anders Karlsson
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  8. Felicity Svensson
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  9. Eva Szabo
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Correspondence to Mustafa Raoof.

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Cite this article

Raoof, M., Näslund, I., Rask, E. et al. Health-Related Quality-of-Life (HRQoL) on an Average of 12 Years After Gastric Bypass Surgery. OBES SURG 25, 1119–1127 (2015). https://doi.org/10.1007/s11695-014-1513-6

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  • DOI: https://doi.org/10.1007/s11695-014-1513-6

Keywords

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