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Two-year changes in...
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Mar, JavierClin Management Serv, Arrasate, Spain; Hlth Res Unit West Gipuzkoa, Arrasate, Spain
(författare)
Two-year changes in generic and obesity-specific quality of life after gastric bypass
- Artikel/kapitelEngelska2013
Förlag, utgivningsår, omfång ...
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2013-05-17
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Springer Science and Business Media LLC,2013
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:oru-56634
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-56634URI
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https://doi.org/10.1007/s40519-013-0039-6DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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The study objectives were to assess 2-year changes in health-related quality of life (HRQL) after gastric bypass in patients with severe obesity and to analyze HRQL improvements in relation to weight loss after bariatric surgery. This was a prospective intervention study with consecutive patients referred to two bariatric surgical units in the Basque Country. We used both generic (Short Form Health Survey, SF-36 and EuroQol, EQ-5D), and specific questionnaires (Moorehead-Ardelt, MA II and Obesity-related Problems Scale, OP). Effect sizes and receiver operating characteristic (ROC) curves were calculated to assess the change in quality of life. Spearman's correlation coefficient was calculated to assess whether there was an association between changes in body mass index (BMI) and HRQL. Of 82 patients who underwent surgery, 79 were followed-up for 2 years. Mean weight loss was 37 % of body weight (49 kg) and BMI fell from 50.6 to 31.8. The initial problems and final improvements were greater in the physical dimensions. Considerable benefits were observed in assessments with all the instruments used. However, the changes in weight/BMI and HRQL were not linear. The comparison with general population showed a similar profile in SF-36 dimensions after surgery. Severely obese patients have lower perceived health across all dimensions of quality of life. Moreover, the impact on functioning is so important that severe obesity can be described as a cause of disability that disappears 2 years after surgical treatment. ROC curves indicate that most of the HRQL measures are poor predictors of change in terms of reduction in body weight or BMI.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Karlsson, JanRegion Örebro län,Dept Med, Ctr Hlth Care Sci(Swepub:oru)jnks
(författare)
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Arrospide, ArantzazuHlth Res Unit AP OSIs Gipuzkoa, Alto Deba Hosp, Arrasate, Spain
(författare)
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Mar, BlancaDept Surg, Donostia Hosp, Donostia San Sebastian, Spain
(författare)
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Martinez de Aragon, GabrielDept Surg, Txagorritxu Hosp, Vitoria, Spain
(författare)
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Martinez-Blazquez, CandidoDept Surg, Txagorritxu Hosp, Vitoria, Spain
(författare)
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Region Örebro länClin Management Serv, Arrasate, Spain; Hlth Res Unit West Gipuzkoa, Arrasate, Spain
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Eating and Weight Disorders: Springer Science and Business Media LLC18:3, s. 305-3101124-49091590-1262
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