CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0004-28032013000200033 http://repositorio.unifesp.br/handle/11600/7934 |
Resumo: | Context It is unclear whether health-related quality of life (HRQL) is sustained in a long-term follow-up of morbidly obese patients who underwent Roux-en-Y gastric bypass (RYGB). Objective This study aims to analyze the HRQL changes following RYGB in short and long-term follow-up. Methods We compared the health-related quality of life among three separate patient groups, using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Group A - 50 preoperative morbidly obese patients; Group B - 50 RYGB patients 1-2 years post-surgery; Group C - 50 RYGB patients more than 7 years post-surgery. Results The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term. |
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CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITYAlteracoes da qualidade de vida no seguimento a curto e longo prazos de individuos obesos morbidos submetidos a derivacao gastrica com Y de RouxMorbid obesityGastric bypassWeight lossQuality of lifeObesidade morbidaDerivacao gastricaPerda de pesoQualidade de vidaContext It is unclear whether health-related quality of life (HRQL) is sustained in a long-term follow-up of morbidly obese patients who underwent Roux-en-Y gastric bypass (RYGB). Objective This study aims to analyze the HRQL changes following RYGB in short and long-term follow-up. Methods We compared the health-related quality of life among three separate patient groups, using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Group A - 50 preoperative morbidly obese patients; Group B - 50 RYGB patients 1-2 years post-surgery; Group C - 50 RYGB patients more than 7 years post-surgery. Results The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term.Contexto Ainda não está claro se as melhorias na qualidade de vida relacionada a saúde se sustentam no acompanhamento a longo prazo de pacientes obesos mórbidos que se submetem a derivação gástrica com Y de Roux (RYGB). Objetivo Este estudo tem como objetivo analisar as alterações na qualidade de vida relacionada a saúde no acompanhamento a curto e longo prazos de obesos mórbidos submetidos a RYGB. Métodos Foram comparados aspectos da qualidade de vida relacionada a saúde entre os três grupos distintos de pacientes, usando o questionário 36-Item Health Survey Short-Form (SF-36). Grupo A - 50 pacientes obesos mórbidos no pré-operatório, Grupo B - 50 pacientes submetidos à RYGB 1-2 anos pós-cirurgia e, Grupo C - 50 pacientes submetidos à RYGB há mais de 7 anos. Resultados Os grupos comparados eram semelhantes quanto ao sexo, idade e índice de massa corporal antes da cirurgia. Quanto aos aspectos componentes do questionário SF-36, observou-se que capacidade funcional, aspectos social e emocional e saúde mental não variaram quando se comparou os resultados dos três grupos. Quanto ao componente aspectos físicos, observou-se que permaneceu inalterado na avaliação de curto prazo e piorou em comparação aos valores obtidos no pré-operatório no seguimento a longo prazo. O componente dor corporal melhorou após a operação, mas voltou para nível semelhante ao pré-operatório após 7 anos. Vitalidade e estado geral de saúde melhoraram após a operação e apresentaram manutenção destes resultados após 7 anos, em comparação com as percepções pré-operatórias. Conclusões RYGB melhorou a qualidade de vida relacionada a saúde em três domínios do SF-36 (dor, estado geral de saúde e vitalidade) no seguimento a curto prazo e dois domínios SF-36 (estado geral de saúde e vitalidade) a longo prazo.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de CirurgiaHospital do Mandaqui Departamento de CirurgiaUNIFESP, EPM, Depto. de CirurgiaSciELOInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBEDUniversidade Federal de São Paulo (UNIFESP)Hospital do Mandaqui Departamento de CirurgiaLaurino Neto, Rafael Melillo [UNIFESP]Herbella, Fernando A. M.2015-06-14T13:45:36Z2015-06-14T13:45:36Z2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion186-190application/pdfhttp://dx.doi.org/10.1590/S0004-28032013000200033Arquivos de Gastroenterologia. Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, v. 50, n. 3, p. 186-190, 2013.10.1590/S0004-28032013000200033S0004-28032013000300186.pdf0004-2803S0004-28032013000300186http://repositorio.unifesp.br/handle/11600/7934engArquivos de Gastroenterologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-05T07:00:09Zoai:repositorio.unifesp.br/:11600/7934Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-05T07:00:09Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY Alteracoes da qualidade de vida no seguimento a curto e longo prazos de individuos obesos morbidos submetidos a derivacao gastrica com Y de Roux |
title |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY |
spellingShingle |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY Laurino Neto, Rafael Melillo [UNIFESP] Morbid obesity Gastric bypass Weight loss Quality of life Obesidade morbida Derivacao gastrica Perda de peso Qualidade de vida |
title_short |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY |
title_full |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY |
title_fullStr |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY |
title_full_unstemmed |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY |
title_sort |
CHANGES IN QUALITY OF LIFE AFTER SHORT AND LONG TERM FOLLOW-UP OF ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY |
author |
Laurino Neto, Rafael Melillo [UNIFESP] |
author_facet |
Laurino Neto, Rafael Melillo [UNIFESP] Herbella, Fernando A. M. |
author_role |
author |
author2 |
Herbella, Fernando A. M. |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Hospital do Mandaqui Departamento de Cirurgia |
dc.contributor.author.fl_str_mv |
Laurino Neto, Rafael Melillo [UNIFESP] Herbella, Fernando A. M. |
dc.subject.por.fl_str_mv |
Morbid obesity Gastric bypass Weight loss Quality of life Obesidade morbida Derivacao gastrica Perda de peso Qualidade de vida |
topic |
Morbid obesity Gastric bypass Weight loss Quality of life Obesidade morbida Derivacao gastrica Perda de peso Qualidade de vida |
description |
Context It is unclear whether health-related quality of life (HRQL) is sustained in a long-term follow-up of morbidly obese patients who underwent Roux-en-Y gastric bypass (RYGB). Objective This study aims to analyze the HRQL changes following RYGB in short and long-term follow-up. Methods We compared the health-related quality of life among three separate patient groups, using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Group A - 50 preoperative morbidly obese patients; Group B - 50 RYGB patients 1-2 years post-surgery; Group C - 50 RYGB patients more than 7 years post-surgery. Results The groups were similar for gender, age and body mass index before surgery. We observed that physical functioning, social function, emotional role functioning and mental health scales did not vary between the three groups. The physical role functioning scale was unchanged in the short-term and decreased compared to the preoperative scale in the long-term follow-up. Bodily pain improved after the operation but returned to the initial level after 7 years. The vitality and general health perceptions improved after the operation and maintained these results after 7 years compared with the preoperative perceptions. Conclusions RYGB improved health-related quality of life in three SF-36 domains (bodily pain, general health perceptions and vitality) in the short-term and two SF-36 domains (general health perceptions and vitality) in the long-term. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-09-01 2015-06-14T13:45:36Z 2015-06-14T13:45:36Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0004-28032013000200033 Arquivos de Gastroenterologia. Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, v. 50, n. 3, p. 186-190, 2013. 10.1590/S0004-28032013000200033 S0004-28032013000300186.pdf 0004-2803 S0004-28032013000300186 http://repositorio.unifesp.br/handle/11600/7934 |
url |
http://dx.doi.org/10.1590/S0004-28032013000200033 http://repositorio.unifesp.br/handle/11600/7934 |
identifier_str_mv |
Arquivos de Gastroenterologia. Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED, v. 50, n. 3, p. 186-190, 2013. 10.1590/S0004-28032013000200033 S0004-28032013000300186.pdf 0004-2803 S0004-28032013000300186 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arquivos de Gastroenterologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
186-190 application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED |
publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE Colégio Brasileiro de Cirurgia Digestiva - CBCD Sociedade Brasileira de Motilidade Digestiva - SBMD Federação Brasileira de Gastroenterologia - FBGSociedade Brasileira de Hepatologia - SBHSociedade Brasileira de Endoscopia Digestiva - SOBED |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268420752932864 |