Assessment of functional ability of nonambulatory patients with obesity: after and before bariatric surgery

Bhandari, Mohit; Mathur, Winni; Kosta, Susmit; Salvi, Prashant; Fobi, Mathias

doi:10.1016/j.soard.2019.09.068

Cited by 7 publications

(15 citation statements)

References 30 publications

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“…Four studies measured pain intensity using NPS. 38, 40, 42, 43 Among all patients (with or without back pain), the mean back pain intensity score was 2.9 points lower after bariatric surgery compared to before. In our meta-analysis the change in NPS-score after bariatric surgery showed a significant change (ES −2.96, 95%CI [−4.78, −1.15], p=0.000) (Fig.…”

Section: Resultsmentioning

confidence: 93%

“…examined 45 nonambulatory patients with functional disabilities (walker-dependent, wheelchair-bound, or bedridden) undergoing bariatric surgery to assess functional ability and to determine correlation between BMI, sex, age, comorbidities and functional abilities 12 months postoperatively. 38 . The RMD significantly improved after 12 months, with a p = 0.001.…”

Section: Resultsmentioning

confidence: 99%

“…similarly showed a significant correlation of enhancement of specific functional ability scores and change in BMI, with NPS preoperatively r = −0.29 (p = 0.004) and r = 0.40 (p = 0.002) postoperatively. 38 Although Koueir et al . and Lidar et al .…”

Section: Discussionmentioning

confidence: 99%

“…Two studies recruited patients with a history of pre-existing back pain, 39,45 and six recruited patients with or without back pain. 38,[40][41][42][43][44] The study characteristics of all included studies are presented in Table 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All the eight studies were observational studies, including 3 cohort studies [38][39][40] and 5 case series. [41][42][43][44][45] One progressive study recruited a non-randomized control group, 40 and seven had no control groups.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Changes in back pain scores after bariatric surgery in obese patients: A systematic review and meta-analysis

Koremans

Chen

Das

et al. 2020

Preprint

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Objective: To evaluate if back pain scores in morbidly obese patients change after bariatric surgery. Summary Background Data: Obese patients often complain of low back pain (LBP), however the underlying mechanism is not fully understood. Recent research shows that, next to mechanical loading, the chronic low-grade inflammation that arises in obese patients is contributing to LBP due to intervertebral disc degeneration. Therefore, it is hypothesized that bariatric surgery will have an effect on the LBP in obese patients. Methods: We searched four online databases for randomized controlled trials and observational studies. In obese patients, eligible for bariatric surgery, the changes in pre- and postoperative pain scores, assessed by Numeric Rating Pain Scale (NPS) or Visual Analogue Scale (VAS), were considered as primary outcomes. Effect size (ES) and their 95% confidence intervals (CI) were evaluated. Results: Eight observational studies met the eligibility criteria. All studies showed a reduction of LBP following bariatric surgery, with a mean change of -2.9 points in NPS and of -3.8 cm in VAS. Among the patients undergoing bariatric surgery, based on a fixed effect estimated by pain assessment, the pain score decreased significantly in both groups; in NPS (ES -3.49, 95%CI [-3.86, -3.12]) and in VAS (ES -3.975, 95%CI [-4.45, -3.50]). Conclusions: From this meta-analysis, the data of back pain improvement following bariatric surgery seems encouraging. Substantial weight loss following bariatric surgery might be associated with a reduction in back pain intensity.

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