Plastic & Reconstructive Surgery · 2022 · 17 citations · 16 references
MedicinePlastic SurgerySurgeryGeneral SurgeryOrthopedicsOutcomes ResearchHealth Outcomes MeasurementHealth-related Quality Of Life MeasurementPostoperative MorbidityPreoperative AssessmentPreoperative EvaluationWeight LossChi-square TestObesity As A Selection CriterionPatient-reported Outcome MeasurementPreoperative ComparisonPreoperative DiagnosesSurgical Outcome AssessmentSurgical Outcome EvaluationWilcoxon Signed-rank Test
BACKGROUND: Panniculectomy and abdominoplasty are uptrending procedures to address excess skin after weight loss which affects patient-reported quality of life. The authors aimed to identify factors associated with low preoperative quality of life, quantify the benefit of these procedures, and evaluate benefits across grades of obesity. METHODS: Patients seeking panniculectomy and abdominoplasty between 2018 and 2019 with a completed preoperative BODY-Q questionnaire were identified. Stratification by quality of life in tertiles for each BODY-Q domain allowed identification of characteristics associated with low quality of life using chi-square tests. Wilcoxon signed-rank tests were used to compare preoperative to postoperative change in quality of life. Differences in quality of life by obesity class (1-2 vs. 3) were ascertained using chi-square tests. RESULTS: A total of 183 patients completed preoperative quality-of-life questionnaires. Preoperative factors associated with low quality of life included age older than 40 years, Black race, public insurance, hypertension, and American Society of Anesthesiologists class (all p < 0.05). Of patients who completed a preoperative BODY-Q and underwent surgery, 46 (63 percent) completed both surveys. Quality of life improved postoperatively across all domains ( p < 0.01). The presence of a surgical site occurrence (e.g., infection, delayed healing, hematoma, seroma) did not impact postoperative quality of life in any domain ( p > 0.05). Obesity classification did not affect change in quality of life preoperatively to postoperatively ( p > 0.05). CONCLUSION: Quality of life is significantly lower at baseline in older, Black, publicly insured patients, and multimorbid patients, but improves dramatically after panniculectomy and abdominoplasty regardless of incidence of complications or degree of obesity. . CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
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Psychosocial Consequences of Weight Loss following Gastric Banding for Morbid Obesity
Johann F. Kinzl, Christian Traweger, Ernestine Trefalt et al. · Obesity Surgery · 2003 · 116 citations
Medicine, Psychology, Surgery +14
Plastic Surgery After Gastric Bypass Improves Long-Term Quality of Life
Ali Modarressi, Nicolas Balagué, Olivier Huber et al. · Obesity Surgery · 2012 · 105 citations · Full text