Why Patients Seek Bariatric Surgery: A Qualitative and Quantitative Analysis of Patient Motivation

Muñoz, Daniel; Lal, Mona; Chen, Eric; Mansour, Mena; Fischer, Sarah; Roehrig, Megan; Sánchez-Johnsen, Lisa; Dymek-Valenitine, Maureen; Alverdy, John C.; Grange, Daniel Le

doi:10.1007/s11695-008-9427-9

Cited by 124 publications

(100 citation statements)

References 16 publications

(10 reference statements)

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“…Among patients with severe obesity, bariatric surgery candidates are at a particularly increased risk of having reduced HRQoL [6] , and the desire for an improved HRQoL is often a major motivation for seeking bariatric surgery [7,8] . Although many studies have reported significant improvements in HRQoL after bariatric surgery [9] there are few long-term prospective studies (e.g., ≥ 5 years).…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies

Andersen

Aasprang²,

Karlsen

et al. 2015

Surgery for Obesity and Related Diseases

129

103

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Impaired health-related quality of life (HRQoL) is common in bariatric surgery candidates and is often one of the motivating factors for seeking bariatric surgery. Although many studies have reported changes in HRQoL after bariatric surgery, few are long-term prospective studies and no systematic review has been conducted. A systematic database search identified studies reporting HRQoL preoperatively and ≥ 5 years after bariatric surgery. Change in HRQoL over time was the outcome variable, divided into primary and secondary outcomes. Seven prospective cohort studies met the inclusion criteria. Eight HRQoL measures and six surgical methods were identified. Longterm follow-up time ranged from 5-10 years, sample sizes from 44 to 655 patients, and follow-up rates from 61 to 92%. None of the seven studies were randomized controlled trails and only two studies used control groups. Six out of seven studies showed statistically significant improvements in all of the primary outcomes, while one study showed statistically significant improvements in one of two primary outcomes. Of the statistically significant HRQoL improvements, 92 percent were clinically meaningful. Peak improvements in primary HRQoL outcomes were typically observed during the first years of follow-up, followed by a gradual decline that seemed to stabilize five years postoperatively. Long-term HRQoL scores typically remained improved relative to preoperative scores but were somewhat below population norm scores. In conclusion, while bariatric surgery candidates reported impaired HRQoL pre-surgically, their HRQoL improved considerably after bariatric surgery and much of the initial HRQoL improvements were maintained over the long term.

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Section: Introductionmentioning

confidence: 99%

Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies

Andersen

Aasprang²,

Karlsen

et al. 2015

Surgery for Obesity and Related Diseases

129

103

View full text Add to dashboard Cite

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“…Including relative size allows for interpretations about health because it is known that waist circumference estimates pathogenic adipose tissue beyond body mass index (BMI) alone (Fox et al, 2007;Janssen, Heymsfield, Allison, Kotler, & Ross, 2002). For those who are obese, health may be the more salient concern than issues of appearance (Munoz et al, 2007;Putterman & Linden, 2004;Reas, Masheb, & Grilo, 2004). However, the perception of a "healthy size" may present differently for men and women given different body ideals (Flegal, Carroll, Ogden, & Johnson, 2002;McCreary & Sadava, 2001;Neighbors & Sobal, 2007).…”

Section: Introductionmentioning

confidence: 99%

Predicting ideal body mass index: What does clothing size have to do with it?

et al. 2011

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This study examined demographic and anthropometric variables as predictors of ideal body mass index (BMI) from cross-sectional, archival, self-reported data from the Psychology of Size Survey of 4014 U.S. residents collected in 2007. As hypothesized, ideal BMI can be predicted by a within gender hierarchical multiple regression analysis with the predictor variables of age, number of clothing sizes from ideal size, and current BMI; these variables account for 54.1% of variance in women's ideal BMI and 65.5% of variance in men's ideal BMI. Findings also demonstrated a logarithmic relationship between current BMI and ideal BMI, with increasing variance in ideal BMI for individuals with high current BMIs. These findings evidence the strong role of current body characteristics in the formation of ideals. Understanding how individuals conceptualize body ideals can inform researchers and practitioners alike, as this evidence has important implications related to both medical and psychological health.

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“…In our process of organising a comprehensive alternative to try to match gastric bypass, we found it necessary to learn more about patients' motivation for treatment. Recent research reveals an increased interest for obese patients' motivation with publications on topics including patients' expectations to and how patients value different treatment outcomes [6]; patients' reasons for wanting to loose weight [7][8][9]; and the possible link between motivation and treatment outcome [10]. However, literature provide only limited insight into why obese patients refuse treatment [3], and none at all on why they choose one treatment rather than another.…”

Section: Introductionmentioning

confidence: 99%

Bariatric surgery or lifestyle intervention? An exploratory study of severely obese patients’ motivation for two different treatments

Strømmen

Kulseng

Vedul‐Kjelsås

et al. 2009

Obesity Research & Clinical Practice

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Why Patients Seek Bariatric Surgery: A Qualitative and Quantitative Analysis of Patient Motivation

Abstract: Patients in the present sample appear motivated for surgery primarily to control current medical problems. However, a significant portion of patients do endorse psychological and quality of life factors as important in their decision to seek weight loss surgery.

Cited by 124 publications

References 16 publications

Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies

Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies

Predicting ideal body mass index: What does clothing size have to do with it?

Bariatric surgery or lifestyle intervention? An exploratory study of severely obese patients’ motivation for two different treatments

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