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Overall Treatment Satisfaction 5 Years After Bariatric Surgery

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Abstract

Introduction

Up to 30 % of patients undergoing bariatric surgery are dissatisfied with treatment outcomes in the long term. The aim of this study was to examine overall satisfaction with treatment 5 years after bariatric surgery and its association with body mass index (BMI) and health-related quality of life (HRQOL).

Methods

Patients were surveyed 5 years after bariatric surgery; 108 patients had duodenal switch (DS) and 153 patients had laparoscopic sleeve gastrectomy (LSG). The main outcome was overall treatment satisfaction, assessed by a single question, and analyzed by multiple logistic regression. Estimates for continuous independent variables represent the odds ratios (OR) for a 2-standard deviation difference.

Results

Five years after surgery, 82.4 % of the patients were very satisfied or satisfied, whereas 17.6 % were unsure or dissatisfied. The following variables assessed at 5 years were associated with being dissatisfied/unsure: a higher BMI (OR = 6.1, 95 % CI = 2.7–14.0, p < 0.001), reduced obesity-specific HRQOL (OR = 3.0, 95 % CI = 1.1–7.8, p = 0.03), and reduced mental HRQOL (OR = 0.3, 95 % CI = 0.1–0.8, p = 0.02). We also found that a higher proportion of patients who underwent LSG, compared to DS, reported being dissatisfied/unsure (OR = 3.3, 95 % CI = 1.3–8.8, p = 0.01).

Conclusion

Reduced mental HRQOL and obesity-related HRQOL, as well as higher BMI, were associated with less satisfaction with overall treatment outcomes 5 years after bariatric surgery. Differences in overall treatment satisfaction by type of operation warrant further investigation.

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Authors and Affiliations

  1. Faculty of Health and Caring Sciences, Western Norway University of Applied Sciences, Pb 523, 6803, Førde, Norway

    Pål André Hegland, Anny Aasprang, Ronette L. Kolotkin & John Roger Andersen

  2. Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway

    Pål André Hegland & Grethe S. Tell

  3. Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC, USA

    Ronette L. Kolotkin

  4. Centre of Health Research, District General Hospital of Førde, Førde, Norway

    Ronette L. Kolotkin & John Roger Andersen

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  1. Pål André Hegland
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  2. Anny Aasprang
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  4. Grethe S. Tell
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Correspondence to Pål André Hegland.

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Hegland, P.A., Aasprang, A., Kolotkin, R.L. et al. Overall Treatment Satisfaction 5 Years After Bariatric Surgery. OBES SURG 30, 206–213 (2020). https://doi.org/10.1007/s11695-019-04141-7

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  • DOI: https://doi.org/10.1007/s11695-019-04141-7

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