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Three years durability of the improvements in health-related quality of life observed after gastric banding.
MedLine Citation:
PMID:  25487634     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Improvements in health-related quality of life (HR-QoL) occur after bariatric surgery. However, sustainability of these changes over time remains debated.
METHODS: Data collected in a prospective 3-year multicenter Italian study on changes of HR-QoL after laparoscopic adjustable gastric banding were used. HR-QoL has investigated with the SF-36 questionnaire. Hunger, satiety, and the self-perceived effects of LAGB were recorded.
RESULTS: A total of 230 patients (53 male and 177 female) were analyzed. Body mass index was 41.4±5.4 kg/m(2) at baseline, declined to 33.8±5.8 kg/m(2) 12 months after surgery (P<.001), and further reduced to 31.9±5.1 kg/m(2) 36 months after surgery (P<.001 versus 12 months). Scores in the SF-36 subscales were lower than in the general Italian population at baseline. The physical component summary score was 51.9±11.6 at baseline, improved to 79.2±15.4 at 12 months (P<.001), and stabilized to 79.8±15.6 at 36 months. The mental summary score was 52.3±11.8 at baseline, improved to 75.2±17.3 at 12 months (P<.001), and stabilized to 74.2±17.5 at 36 months. A decline>10 points between 12 and 36 months in the summary scores was observed in 22.0% of the patients for PCS and in 26.8% for MCS. In a multiple linear regression analysis, deterioration in HR-QoL in the 12-36 months period was associated to the presence of better HR-QoL values at 12 months and to a more pronounced reduction of the self-perceived effect of the banding at 36 months.
CONCLUSION: Improvements in HR-QoL observed in the first year after surgery maintained up to the third year after gastric banding.
Authors:
Luca Busetto; Enrico Mozzi; Angelo Michele Schettino; Francesco Furbetta; Cristiano Giardiello; Giancarlo Micheletto; Vincenzo Pilone;
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-4-28
Journal Detail:
Title:  Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery     Volume:  -     ISSN:  1878-7533     ISO Abbreviation:  Surg Obes Relat Dis     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-12-9     Completed Date:  -     Revised Date:  2014-12-10    
Medline Journal Info:
Nlm Unique ID:  101233161     Medline TA:  Surg Obes Relat Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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