Comprehensive Analysis of Improvements in Health-Related Quality of Life and Establishment of QALY Gains in a Government-Funded Bariatric Surgical Program with 5-Year Follow-up

被引:0
作者
Chadwick, Chiara [1 ,2 ]
Burton, Paul R. [1 ,2 ]
Reilly, Jennifer [1 ,3 ]
Playfair, Julie [1 ]
Laurie, Cheryl [1 ]
Shaw, Kalai [1 ,2 ]
Brown, Wendy A. [1 ,2 ]
机构
[1] Monash Univ, Cent Clin Sch, Dept Surg, Alfred Hlth, Melbourne, Vic, Australia
[2] Alfred Hlth, Oesophago Gastr & Bariatr Unit, Melbourne, Vic, Australia
[3] Alfred Hlth, Dept Anaesthesiol & Perioperat Med, Melbourne, Vic, Australia
关键词
Bariatric surgery; HRQoL; QALY; Quality of life; ADJUSTABLE GASTRIC BAND; SURGERY; PLACEMENT; OUTCOMES; OBESITY; SCALE; SF-36; SCORE; COST;
D O I
10.1007/s11695-022-06216-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
Purpose Bariatric surgery is an efficacious intervention for substantial and sustained weight reduction in individuals with morbid obesity resulting in health improvements. However, the changes to a patient's health related quality of life (HRQoL) in the medium to longer term after bariatric surgery have not been adequately characterized. Our aim was to evaluate the change to patient HRQoL 5 years following bariatric surgery in an Australian government-funded hospital system and determine the significance of relationships between change in physical and mental assessment scores and HRQoL utility scores. Materials and Methods We performed a longitudinal panel study of 81 adult patients who underwent primary bariatric surgery at an Australian tertiary government-funded hospital and completed multi-attribute utility (MAU), multi-attribute non-utility (MA), and disease-specific adjusted quality of life (AQoL) questionnaires before and after bariatric surgery. Results At a mean (SD) 5.72 (1.07) years postbariatric surgery, participants demonstrated statistically significant improvements in mean AQoL-8D utility (0.135 (0.21); P < 0.0001), yielding a mean 3.2 (1.67) QALYs gained. Beck Depression Inventory-II scores improved (baseline mean 17.35 (9.57); 5-year mean 14.7 (11.57); P = 0.037). Short Form-36 scores improved in the domains of physical functioning and role limitations due to physical health and general health. Change in depression scores and patient satisfaction with surgery were found to be significant predictors of follow up AQoL utility scores. Conclusions Bariatric surgery improves physical and psychological quality of life measures over 5 years. The improvement of patient QALYs provide insight to the potential cost utility of publicly funded bariatric surgery in the medium term.
引用
收藏
页码:3571 / 3580
页数:10
相关论文
共 38 条
[1]   Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies [J].
Andersen, John Roger ;
Aasprang, Anny ;
Karlsen, Tor-Ivar ;
Natvig, Gerd Karin ;
Vage, Villy ;
Kolotkin, Ronette L. .
SURGERY FOR OBESITY AND RELATED DISEASES, 2015, 11 (02) :466-473
[2]  
[Anonymous], Health-related quality of life
[3]   Long-Term Outcomes and Quality of Life at More than 10 Years After Laparoscopic Roux-en-Y Gastric Bypass Using Bariatric Analysis and Reporting Outcome System (BAROS) [J].
Askari, Alan ;
Dai, Dairui ;
Taylor, Charlotte ;
Chapple, Catherine ;
Halai, Sonal ;
Patel, Krashna ;
Mamidanna, Ravikrishna ;
Munasinghe, Aruna ;
Rashid, Farhan ;
Al-Taan, Omer ;
Jain, Vigyan ;
Whitelaw, Douglas ;
Jambulingam, Periyathambi ;
Adil, Md Tanveer .
OBESITY SURGERY, 2020, 30 (10) :3968-3973
[4]  
Australian Institute of Health and Welfare, 2017, PICT OV OB AUSTR 201
[5]  
Batsis JA, 2008, MAYO CLIN PROC, V83, P897, DOI 10.4065/83.8.897
[6]  
Beck A. T., 1996, MANUAL BECK DEPRESSI, DOI [10.1007/978-94-007-0753-5_156, DOI 10.1007/978-94-007-0753-5_156]
[7]   Interpreting score differences in the SF-36 Vitality scale: using clinical conditions and functional outcomes to define the minimally important difference [J].
Bjorner, Jakob B. ;
Wallenstein, Gene V. ;
Martin, Marie C. ;
Lin, Peggy ;
Blaisdell-Gross, Bonnie ;
Piech, Catherine Tak ;
Mody, Samir H. .
CURRENT MEDICAL RESEARCH AND OPINION, 2007, 23 (04) :731-739
[8]   Outcomes of high-volume bariatric surgery in the public system [J].
Burton, Paul ;
Brown, Wendy ;
Chen, Richard ;
Shaw, Kalai ;
Packiyanathan, Andrew ;
Bringmann, Ingra ;
Smith, Andrew ;
Nottle, Peter .
ANZ JOURNAL OF SURGERY, 2016, 86 (7-8) :572-577
[9]   Minimal clinically important difference on the Beck Depression Inventory - II according to the patient's perspective [J].
Button, K. S. ;
Kounali, D. ;
Thomas, L. ;
Wiles, N. J. ;
Peters, T. J. ;
Welton, N. J. ;
Ades, A. E. ;
Lewis, G. .
PSYCHOLOGICAL MEDICINE, 2015, 45 (15) :3269-3279
[10]   Assessing Cost-Effectiveness in Obesity (ACE-Obesity): an overview of the ACE approach, economic methods and cost results [J].
Carter, Rob ;
Moodie, Marj ;
Markwick, Alison ;
Magnus, Anne ;
Vos, Theo ;
Swinburn, Boyd ;
Haby, Michele M. .
BMC PUBLIC HEALTH, 2009, 9