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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003681naa a2200409 4500
001oai:DiVA.org:oru-56634
003SwePub
008170321s2013 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-566342 URI
024a https://doi.org/10.1007/s40519-013-0039-62 DOI
040 a (SwePub)oru
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Mar, Javieru Clin Management Serv, Arrasate, Spain; Hlth Res Unit West Gipuzkoa, Arrasate, Spain4 aut
2451 0a Two-year changes in generic and obesity-specific quality of life after gastric bypass
264 c 2013-05-17
264 1b Springer Science and Business Media LLC,c 2013
338 a print2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng
653 a Morbid obesity
653 a Gastric bypass
653 a Quality of life
653 a Disability
653 a ROC curves
700a Karlsson, Janu Region Örebro län,Dept Med, Ctr Hlth Care Sci4 aut0 (Swepub:oru)jnks
700a Arrospide, Arantzazuu Hlth Res Unit AP OSIs Gipuzkoa, Alto Deba Hosp, Arrasate, Spain4 aut
700a Mar, Blancau Dept Surg, Donostia Hosp, Donostia San Sebastian, Spain4 aut
700a Martinez de Aragon, Gabrielu Dept Surg, Txagorritxu Hosp, Vitoria, Spain4 aut
700a Martinez-Blazquez, Candidou Dept Surg, Txagorritxu Hosp, Vitoria, Spain4 aut
710a Region Örebro länb Clin Management Serv, Arrasate, Spain; Hlth Res Unit West Gipuzkoa, Arrasate, Spain4 org
773t Eating and Weight Disordersd : Springer Science and Business Media LLCg 18:3, s. 305-310q 18:3<305-310x 1124-4909x 1590-1262
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-56634
8564 8u https://doi.org/10.1007/s40519-013-0039-6

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