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Womens Satisfaction with and Reasons to Seek Bariatric Surgerya Prospective Study in Sweden with 1-Year Follow-up
Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden.
Karolinska Inst, Sweden.
Karolinska Inst, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Norrköping.
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2019 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 29, no 7, p. 2059-2070Article in journal (Refereed) Published
Abstract [en]

Background/Objectives Despite profound weight loss after bariatric surgery, some patients are dissatisfied with the results. Pre-surgery expectations, as well as post-surgery items of satisfaction, need to be clarified. The main objective in this study was to investigate the primary reasons to seek bariatric surgery and assess items of satisfaction 1-year post-surgery. Subjects/Methods This is a prospective cohort study of women (n = 50) undergoing bariatric surgery in Stockholm, Sweden. Presurgery assessment included reasons to seek surgery, expected weight loss, co-morbidities, and quality of life. Post-surgery assessment included items of satisfaction, weight loss, co-morbidities, and quality of life. In total, two women did not undergo surgery, and 40 women had complete data from all pre- and post-surgery assessments. Results Mean change in body mass index (BMI) pre- and post-surgery was -12.9 (3.7) kg/m(2). At 1-year post-surgery, the mean percent of excess weight loss (% EWL) was 86.9 (26.3). Pre-surgery, the most reported reason to seek surgery was "weight loss" (47.9%), while the most reported item of satisfaction post-surgery was "improved self-esteem" (55.6%). Satisfaction with the result 1-year post-surgery was associated with the extent of % EWL. Satisfied patients (n = 32) had a mean % EWL of 94.6 (22.9), while those not satisfied (n = 8) had a mean % EWL of 59.9 (17.6). Conclusions The primary reason to seek bariatric surgery was weight loss. However, despite profound weight loss, improved self-esteem was the item of most satisfaction post-surgery. Our findings may be useful in the clinical setting when informing patients pre- surgery about what to expect as well as when meeting a patient post-surgery to discuss results.

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 29, no 7, p. 2059-2070
Keywords [en]
Bariatric surgery; Patient expectations; Patient satisfaction; Weight loss; Health-related quality of life; Co-morbidity
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-158542DOI: 10.1007/s11695-019-03834-3ISI: 000469767700008PubMedID: 30955156OAI: oai:DiVA.org:liu-158542DiVA, id: diva2:1334919
Available from: 2019-07-03 Created: 2019-07-03 Last updated: 2019-07-03

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Wirén, Mikael
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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesDepartment of Surgery in Norrköping
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