Quality of Life and Concurrent Procedures in Truncal Body Contouring Patients: A Single-Center Retrospective Study

Elfanagely, Omar; Mauch, Jaclyn T.; Mellia, Joseph A.; Byrnes, Yasmeen M.; Othman, Sammy; Messa, Charles A.; Fischer, John P.

doi:10.1007/s00266-021-02129-2

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…Second, measurement of the entire journey from obese to after BC is complex, and there are several parameters that we did not include in the analysis (eg, type and number of procedures, complications, weight at the time of surgery, weight regain, and comorbidities). 36,37 Third, this study takes only the total BODY-Q scale scores into consideration. Future research is needed to further investigate the multidimensionality of change in the individual constructs.…”

Section: Discussionmentioning

confidence: 99%

Body contouring surgery improves long-term satisfaction with appearance and health-related quality of life after bariatric surgery: BODY-Q results from a Danish cohort study

Poulsen

Rae

Simonsen

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Patient-reported outcomes are crucial in bariatric surgery (BaS) and body contouring surgery (BC) because patients’ goals include improvement in appearance and health-related quality of life (HR-QOL). The BODY-Q is a patient-reported outcome measure developed to measure change in satisfaction with appearance and HR-QOL in BaS and BC patients. The aim of this study was to examine BODY-Q scores over the entire weight loss journey, and to investigate the impact of BC after BaS. Methods: Patients completed the BODY-Q before and after BaS and BC at four hospital departments in Denmark between 2015 and 2019. Cross-sectional scores were analyzed by phase of weight loss journey using one-way analysis of variance. Scores for patients who provided longitudinal assessments were analyzed using repeated measures analysis of variance and paired t test. The impact of BC was examined over time after BaS, using an independent t test from before BaS through more than 7 years after BaS. Results: The study included 1527 patients who provided 2285 BODY-Q assessments. The cross-sectional analysis by phase of weight loss journey showed higher scores after BaS, lower scores before BC, and highest-level scores after BC. The longitudinal analysis showed higher postoperative mean scores compared with preoperative scores for both BaS and BC. The analysis over time after BaS revealed lower mean scores in patients who did not receive BC. Conclusion: The authors’ results provide evidence of the positive impact of BaS and BC on patients’ lives and emphasize the importance of considering BC to finalize the weight loss journey, as it helps to maintain improvements in appearance and HR-QOL. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Section: Discussionmentioning

confidence: 99%

Body contouring surgery improves long-term satisfaction with appearance and health-related quality of life after bariatric surgery: BODY-Q results from a Danish cohort study

Poulsen

Rae

Simonsen

et al. 2023

Plastic &Amp; Reconstructive Surgery

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“…3,28 Additionally, patients who underwent subsequent BC after weight loss scored higher compared with those who did not. 15,[29][30][31] However, a limitation in these studies was the inability to juxtapose patients' scores with reference values from the general population. Hence, there has been a crucial need for a reference point for weight loss and BC patients for each scale used in the BODY-Q to enable accurate comparison with the general population.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10][11][12] The BODY-Q is increasingly used worldwide and has a growing number of translations. [13][14][15][16] Recent literature showed that the BODY-Q stood out as the PROM with the highest level of validation evidence for use in weight loss and BC patients. [17][18][19] Recently, our team published general population normative values from 12 European and North American countries to enable interpretation of the BODY-Q scores for clinical research and care.…”

Section: Introductionmentioning

confidence: 99%

BODY-Q Normative Scores: Psychometric Validation of the BODY-Q in the General Population in Europe and North America

Dalaei,

de Vries,

Cano

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: BODY-Q is a rigorously developed patient-reported outcome measure designed to measure outcomes of weight loss and body contouring patients. To allow interpretation and comparison of BODY-Q scores across studies, normative BODY-Q values were generated from the general population. The aim of this study was to examine the psychometric properties of BODY-Q in the normative population. Methods: Data were collected using two crowdsourcing platforms (Prolific and Amazon Mechanical Turk) in 12 European and North American countries. Rasch measurement theory (RMT) was used to examine reliability and validity of BODY-Q scales. Results: RMT analysis supported the psychometric properties of BODY-Q in the normative sample with ordered thresholds in all items and nonsignificant chi-square values for 167 of 176 items. Reliability was high with person separation index of greater than or equal to 0.70 in 20 of 22 scales and Cronbach alpha values of greater than or equal to 0.90 in 17 of 22 scales. Mean scale scores measuring appearance, health-related quality of life, and eating-related concerns scales varied as predicted across subgroups with higher scores reported by participants who were more satisfied with their weight. Analysis to explore differential item functioning by sample (normative versus field-test) flagged some potential issues, but subsequent comparison of adjusted and unadjusted person estimates provided evidence that the scoring algorithm worked equivalently for the normative sample as in the field-test samples. Conclusions: The BODY-Q scales showed acceptable reliability and validity in the normative sample. The normative values can be used as reference in research and clinical practice in combination with local estimates for parallel analysis and comparison.

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“…5 Despite an associated increased risk, panniculectomies alone have shown to improve patient functionality and QoL, even when considering those who suffered complications such as seroma, infection, or delayed healing. [6][7][8] Previous studies examining concurrent VHR and panniculectomy procedures have reported higher rates of surgical site occurrences (SSOs) than VHRs alone. [9][10][11][12] However, patient QoL and recurrence rates remained comparable between VHR alone and VHR with simultaneous panniculectomy, leading many to conclude that concurrent VHR and panniculectomy procedures are a feasible option for patients requiring abdominal wall defect repair and excision of a symptomatic pannus.…”

mentioning

confidence: 99%

“…Despite an associated increased risk, panniculectomies alone have shown to improve patient functionality and QoL, even when considering those who suffered complications such as seroma, infection, or delayed healing 6–8 . Previous studies examining concurrent VHR and panniculectomy procedures have reported higher rates of surgical site occurrences (SSOs) than VHRs alone 9–12 .…”

mentioning

confidence: 99%

Comparative Analysis of Ventral Hernia Repair and Transverse Abdominis Release With and Without Panniculectomy

Amro,

Ryan,

Elhage

et al. 2024

Ann Plast Surg

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Introduction Amid rising obesity, concurrent ventral hernia repair and panniculectomy procedures are increasing. Long-term outcomes of transverse abdominis release (TAR) combined with panniculectomy remain understudied. This study compares clinical outcomes and quality of life (QoL) after TAR, with or without panniculectomy. Methods A single-center retrospective review from 2016 to 2022 evaluated patients undergoing TAR with and without panniculectomy. Propensity-scored matching was based on age, body mass index, ASA, and ventral hernia working group. Patients with parastomal hernias were excluded. Patient/operative characteristics, postoperative outcomes, and QoL were analyzed. Results Fifty subjects were identified (25 per group) with a median follow-up of 48.8 months (interquartile range, 43–69.7 months). The median age and body mass index were 57 years (47–64 years) and 31.8 kg/m2 (28–36 kg/m2), respectively. The average hernia defect size was 354.5 cm2 ± 188.5 cm2. There were no significant differences in hernia recurrence, emergency visits, readmissions, or reoperations between groups. However, ventral hernia repair with TAR and panniculectomy demonstrated a significant increase in delayed healing (44% vs 4%, P < 0.05) and seromas (24% vs 4%, P < 0.05). Postoperative QoL improved significantly in both groups (P < 0.005) across multiple domains, which continued throughout the 4-year follow-up period. There were no significant differences in QoL among ventral hernia working group, wound class, surgical site occurrences, or surgical site occurrences requiring intervention (P > 0.05). Patients with concurrent panniculectomy demonstrated a significantly greater percentage change in overall scores and appearance scores. Conclusions Ventral hernia repair with TAR and panniculectomy can be performed safely with low recurrence and complication rates at long-term follow-up. Despite increased short-term postoperative complications, patients have a significantly greater improvement in disease specific QoL.

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Quality of Life and Concurrent Procedures in Truncal Body Contouring Patients: A Single-Center Retrospective Study

Cited by 7 publications

References 24 publications

Body contouring surgery improves long-term satisfaction with appearance and health-related quality of life after bariatric surgery: BODY-Q results from a Danish cohort study

Body contouring surgery improves long-term satisfaction with appearance and health-related quality of life after bariatric surgery: BODY-Q results from a Danish cohort study

BODY-Q Normative Scores: Psychometric Validation of the BODY-Q in the General Population in Europe and North America

Comparative Analysis of Ventral Hernia Repair and Transverse Abdominis Release With and Without Panniculectomy

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