Skip to main content

Advertisement

SpringerLink
Log in

The Effect of Bariatric Surgery on Mobility, Health-Related Quality of Life, Healthcare Resource Utilization, and Employment Status

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

An Erratum to this article was published on 13 February 2017

Abstract

Background

A sub-study of the Ontario Bariatric Registry was conducted to evaluate the impact of bariatric surgery on mobility, health-related quality of life (HRQoL), healthcare resource utilization (HRU), and employment status.

Methods

The 1-year change in mobility following bariatric surgery was evaluated using the mobility domain of the EuroQOL-5D-5L (EQ-5D-5L), which was self-administered at baseline and 1 year after bariatric surgery along with questions on HRU. Another questionnaire was used to document employment status at time of surgery and 1 year later.

Results

The population included 304 individuals (mean age = 46 years; 85 % female). At baseline, 68 % of participants had some problems in walking compared to 14 % at 1 year following surgery (p < 0.001). The EQ-5D-5L health utility score increased from 0.73 to 0.90 (p < 0.001). The number of hospitalizations increased significantly before and after surgery (p = 0.021). Of the 304 study participants, 138 completed the questionnaire and responses indicated that more individuals reported a change in their employment status within 1 year following surgery (26 %) compared to 1 year prior to the surgery (9 %) (p < 0.001).

Conclusions

Within the limitations of this study, there is a suggestion that bariatric surgery has a major impact on mobility and HRQoL. More research is warranted to understand the benefits, costs, and cost-effectiveness of bariatric surgery in Canada.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Twells LK, Gregory DM, Reddigan J, et al. Current and predicted prevalence of obesity in Canada: a trend analysis. CMAJ Open. 2014;2:E18–26.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Tran BX, Nair AV, Kuhle S, et al. Cost anal-yses of obesity in Canada: scope, quality, and implications. Cost Eff Resour Alloc. 2013;11:3.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:Cd003641.

    Google Scholar 

  4. Courcoulas AP, Yanovski SZ, Bonds D, et al. Long-term outcomes of bariatric sur-gery: a national institutes of health symposium. JAMA Surg. 2014;149:1323–9.

    Article  PubMed  Google Scholar 

  5. Padwal R, Klarenbach S, Wiebe N, et al. Bariatric surgery: a systematic review of the clinical and economic evidence. J Gen Intern Med. 2011;26:1183–94.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Puzziferri N, Roshek TB, Mayo HG, et al. Long-term follow-up after bariatric surgery: a sys-tematic review. JAMA. 2014;312:934–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Lindekilde N, Gladstone BP, Lubeck M, et al. The impact of bariatric surgery on quality of life: a systematic review and meta-analysis. Obes Rev. 2015;16:639–51.

    Article  CAS  PubMed  Google Scholar 

  8. Steele T, Cuthbertson DJ, Wilding JP. Impact of bariatric surgery on physical functioning in obese adults. Obes Rev. 2015;16:248–58.

    Article  CAS  PubMed  Google Scholar 

  9. King WC, Engel SG, Elder KA, et al. Walking capacity of bariatric surgery candidates. Surg Obes Relat Dis. 2012;8(1):48–59.

    Article  PubMed  Google Scholar 

  10. Holmgren M, Lindgren A, de Munter J, et al. Impacts of mobility disability and high and increasing body mass index on health-related quality of life and participation in society: a population-based cohort study from Sweden. BMC Public Health. 2014;14:381.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Xie F, Pullenayegum E, Gaebel K, et al. 5D-5 L valuation study group a time trade-off-derived value set of the EQ-5D-5 L for Canada. Med Care. 2016;54(1):98–105.

    Article  PubMed  Google Scholar 

  12. Manning WG, Mullahy J. Estimating log models: to transform or not to transform? J Health Econ. 2001;20:461–94.

    Article  CAS  PubMed  Google Scholar 

  13. Moran JL, Solomon PJ, Peisach AR, et al. New models for old questions: generalized linear models for cost prediction. J Eval Clin Pract. 2007;13:381–9.

    Article  PubMed  Google Scholar 

  14. Warkentin LM, Majumdar SR, Johnson JA, et al. Weight loss required by the severely obese to achieve clinically important differences in health-related quality of life: two-year prospective cohort study. BMC Med. 2014;12:175.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Lin VW, Wong ES, Wright A, et al. Association between health-related quality of life and body mass after adjustable gastric banding: a nonlinear approach. Value Health. 2013;16:823–9.

    Article  PubMed  Google Scholar 

  16. Mar J, Karlsson J, Arrospide A, et al. Two-year changes in generic and obesity-specific quality of life after gastric bypass. Eat Weight Disord. 2013;18:305–10.

    Article  PubMed  Google Scholar 

  17. Date RS, Walton SJ, Ryan N, et al. Is selection bias toward super obese individuals in the rationing of metabolic surgery justified?-a pilot study from the United Kingdom. Surg Obes Relat Dis. 2013;9:981–6.

    Article  PubMed  Google Scholar 

  18. Oh SH, Song HJ, Kwon JW, et al. The improvement of quality of life in individuals treated with bariatric surgery in Korea. J Korean Surg Soc. 2013;84:131–9.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Ribaric G, Buchwald JN, d’Orsay G, et al. 3-year real-world outcomes with the Swedish adjustable gastric band in France. Obes Surg. 2013;23:184–96.

    Article  CAS  PubMed  Google Scholar 

  20. King WC, Chen JY, Belle SH, et al. Changes in pain and physicial fundction following bariatri surgery for severe obesity. JAMA. 2016;315(13):1362–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Durand-Moreau Q, Gautier A, Becouarn G, et al. Employment and professional outcomes in 803 individuals undergoing bariatric surgery in a French reference center for obesity. Int J Occup Environ Med. 2015;6:95–103.

    CAS  PubMed  Google Scholar 

  22. Hawkins SC, Osborne A, Finlay IG, et al. Paid work increases and state benefit claims decrease after bariatric surgery. Obes Surg. 2007;17:434–7.

    Article  PubMed  Google Scholar 

  23. Wagner AJ, Fabry Jr JM, Thirlby RC. Return to work after gastric bypass in Medicaid-funded morbidly obese individuals. Arch Surg. 2007;142:935–40.

    Article  PubMed  Google Scholar 

  24. Sockalingam S, Wnuk S, Kantarovich K, et al. Employment outcomes one year after bariatric surgery: the role of patient and psychosocial factors. Obes Surg. 2015;25:514–22.

    Article  PubMed  Google Scholar 

  25. Agborsangaya CB, Majumdar SR, Sharma AM, et al. Multimorbidity in a prospective cohort: prevalence and associ-ations with weight loss and health status in severely obese patients. Obesity (Silver Spring). 2015;23(3):707–12.

    Article  Google Scholar 

  26. Warkentin LM, Majumdar SR, Johnson JA, et al. Weight loss required by the severely obese to achieve clinically important differences in health-related quality of life: two-year prospective cohort study. BMC Med. 2014;12:175.

  27. Warkentin LM, Majumdar SR, Johnson JA, et al. Predictors of health-related quality of life in 500 severely obese patients. Obesity (Silver Spring). 2014;22(5):1367–72.

    Article  Google Scholar 

  28. Padwal RS, Rueda-Clausen CF, Sharma AM, et al. Weight loss and outcomes in wait-listed, medically managed, and surgically treated patients enrolled in a population-based bariatric program: prospective cohort study. Med Care. 2014;52(3):208–15.

    Article  PubMed  Google Scholar 

  29. Padwal RS, Majumdar SR, Klarenbach S, et al. Health status, quality of life, and satisfaction of patients awaiting multidisciplinary bariatric care. BMC Health Serv Res. 2012;12:139.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Sharma AM. Inequalities in access to bariatric surgery in Canada. CMAJ. 2015.

  31. Padwal RS, Chang HJ, Klarenbach S, et al. Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada. Int J Equity Health. 2012;11:54.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

The study was funded by the Canadian Institute of Health Research and the Ontario Bariatric Network. The authors would like to acknowledge all individuals who participated in this study as well as Gloria Wong and Wanna Fong who conducted the initial statistical analyses at the Population Health Research Institute (PHRI).

Author information

Authors and Affiliations

  1. Department of Clinical Epidemiology & Biostatistics, McMaster University, 43 Charlton Ave E 2nd Floor, Hamilton, ON, L8N 1Y3, Canada

    Jean-Eric Tarride, Jason R Guertin & Daria O’Reilly

  2. Programs for Assessment of Technology in Health (PATH) Research Institute, St. Joseph Healthcare Hamilton, 43 Charlton Ave E 2nd Floor, Hamilton, ON, L8N 1Y3, Canada

    Jean-Eric Tarride

  3. Centre for Surgical Invention & Innovation, 39 Charlton Avenue East, Hamilton, ON, L8N 1Y3, Canada

    Ruth Breau

  4. Faculty of Medicine & Dentistry, 1-116 Li Ka Shing Centre for Health Research Innovation, University of Alberta, Edmonton, AB, T6G2E1, Canada

    Arya M Sharma

  5. Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S4L8, Canada

    Dennis Hong, Scott Gmora & Anvari Mehran

  6. Department of Clinical Epidemiology & Biostatistics, McMaster University, St. Joseph’s Hospital, Room H306, Martha Wing, 50 Charlton Ave. E, Hamilton, ON, L8N 4A6, Canada

    Feng Xie

Authors
  1. Jean-Eric Tarride
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ruth Breau
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Arya M Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dennis Hong
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Scott Gmora
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jason R Guertin
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Daria O’Reilly
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Feng Xie
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Anvari Mehran
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jean-Eric Tarride.

Ethics declarations

Conflict of Interest

Author 3 declares fees received from Novo Nordisk and Takeda. All other authors declare they have no conflict of interest.

Ethical Statement

The study was approved by the Research Ethics Board at the institution where the research was conducted.

Consent Statement

Informed consent was obtained from all individual participants included in the study.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s11695-017-2598-5.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tarride, JE., Breau, R., Sharma, A.M. et al. The Effect of Bariatric Surgery on Mobility, Health-Related Quality of Life, Healthcare Resource Utilization, and Employment Status. OBES SURG 27, 349–356 (2017). https://doi.org/10.1007/s11695-016-2298-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-016-2298-6

Keywords

Search

Navigation