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ANZMOSS - ANZGOSA 2020 Virtual Conference
ANZMOSS – ANZGOSA 2020 Virtual Conference
ANZMOSS - ANZGOSA 2020 Virtual Conference

Public Hospital Bariatric Surgery after 5 years: Quality of Life outcomes

Bariatric surgery has been established as an effective intervention for significant and sustained weight reduction in morbidly obese individuals resulting in significant health improvements. However, there is a paucity of published data analysing the change to a patient’s quality of life 5 years after bariatric surgery.

To determine whether bariatric surgery is associated with an improvement in adjusted quality of life outcomes among patients with obesity.

Prospective cohort study. 

Tertiary Victorian public hospital.

82 patients who underwent primary bariatric surgery at a tertiary public hospital who had completed self-assessment questionnaires relating to quality of life prior to and post bariatric surgery.

Change in adjusted quality of life outcome scores. 

At a median of 5 years post bariatric surgery, participants demonstrated statistically significant improvements in median AQoL-8D utility (0.135 [CI95% 0.05 – 0.19], p value <0.0001) and Beck Depression Inventory (17 [CI95% 12-20], p value = 0.021) scores.  SF-36 scores improved in the domains of physical functioning, role limitations due to physical health and general health.  Dysphagia and regurgitation Dakkak severity scores increased by mean a 18.5 [CI95% 15.5 – 22.5], p value <0.0001 and 19.25 [CI95% 16-24], p value < 0.0001 respectively representing a median shift from nil to mild dysphagia/regurgitation symptom severity class.

Bariatric surgery has been demonstrated to improve physical and psychological quality of life measures 5 years post primary procedure.  Our findings further emphasise the global health benefits of sustained weight loss in morbidly obese patients.
Cheryl Laurie - Monash University, Julie Playfair - Monash University, Kalai Shaw - Monash University and The Alfred hospital, Paul Burton - Monash university and The Alfred hospital, Wendy Brown - Monash University and The Alfred hospital, and Chiara Chadwick - Monash University and The Alfred Hospital