Physical and Mental Health–Related Quality of Life Changes Among Insurer Subgroups Following Bariatric Surgery

Abstract

Objective This study sought to determine improvements in mental and physical health–related quality of life (HRQOL) following bariatric surgery in Medicaid and commercially insured patients. Methods Using data from the Longitudinal Assessment of Bariatric Surgery, an observational cohort study of adults undergoing bariatric surgery (2006‐2009), changes in Short Form 36 mental component summary (MCS) and physical component summary (PCS) scores were examined in 1,529 patients who underwent Roux‐en‐Y gastric bypass, laparoscopic adjustable band, or sleeve gastrectomy and were followed for 5 years. Piecewise linear mixed‐effects models estimated MCS and PCS scores as a function of insurance group (Medicaid, N = 177; commercial, N = 1,352) from 0 to 1 year and from 1 to 5 years after surgery, with interactions between insurance group and surgery type. Results Patients with Medicaid had lower PCS and MCS scores at baseline. At 1 year after surgery, patients with Medicaid and commercial insurance experienced similar improvement in PCS scores (commercial‐Medicaid difference in PCS change [95% CI]: Roux‐en‐Y gastric bypass, 1.5 [−0.2, 3.3]; laparoscopic adjustable band, 1.9 [−2.2, 6.0]; sleeve gastrectomy, 6.4 [0.0, 12.8]). One‐year MCS score improvement was minimal and similar between insurance groups. In years 1 to 5, PCS and MCS scores were stable in all groups. Conclusions Both insurance groups experienced improvements in physical HRQOL and minimal changes in mental HRQOL.

Quality of Life 10 Years After Bariatric Surgery

“…In the short-term follow-up (1-2 years), authors report comparable outcomes with significant improvement of QoL after both LSG and LRYGB [40,41]. A study by Takemoto et al reported significant improvement in both mental and physical aspects of QoL 1 year after bariatric procedures, which remained stable during the following 5 years [42]. Our results did not show a significant difference in QoL improvement between groups undergoing LSG an LRYGB 1 year after surgery.…”

Correlation between Ankle Imaging Findings and Self-Reported Outcomes: A Longitudinal Assessment in Patients with Tibiofibular Diastasis

“…Similarly, the positive correlation between ankle dorsiflexion and HADS Anxiety at the 2-month mark highlights the intricate relationship between physical recovery and psychological well-being. These findings are in line with current literature which emphasizes the holistic nature of patient recovery, suggesting that physical improvements post-surgery can have far-reaching effects on mental health and overall quality of life [40,41]. The correlation analysis in our study not only confirms these established notions but also provides a nuanced understanding of how specific clinical interventions like screw removal in tibiofibular diastasis can influence various dimensions of patient health.…”

Health-Related Quality of Life in Bariatric and Metabolic Surgery

“…These findings are supported by two recent American prospective cohort studies [45,46]. The Utah Obesity Study examined 12-year changes in HRQL in people undergoing RYGB compared with people with severe obesity who sought (but did not undergo) surgery and those who did not seek bariatric surgery [45].…”

“…Limitations of this study were the large amount of missing HRQL data at 12-year follow-up, with important baseline differences noted between completers and non-completers [ 45 , 47 ]. The multi-centre Longitudinal Study of Bariatric Surgery (LABS) reported SF-36 scores up to 5 years post-surgery in 1529 people who underwent RYGB, SG and AGB (comparisons between procedures were not made) [ 46 ]. Clinically meaningful improvements in PCS were found at 1-year post-surgery followed by relatively stable levels between 1 and 5 years.…”