Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system

Detalhes bibliográficos
Autor(a) principal: Khawali, Cristina [UNIFESP]
Data de Publicação: 2012
Outros Autores: Ferraz, Marcos Bosi [UNIFESP], Zanella, Maria Teresa [UNIFESP], Ferreira, Sandra Roberta Gouvea [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/0013000000s8w
Texto Completo: http://dx.doi.org/10.1590/S0004-27302012000100006
http://repositorio.unifesp.br/handle/11600/6949
Resumo: OBJECTIVES: To assess QoL of obese patients in the Brazilian public healthcare system, before and after bariatric surgery, and to determine the appropriateness of the Moorehead-Ardelt Questionnaire II (M-A-QoLQII) compared with the Short-Form Health Survey (SF-36). SUBJECTS AND METHODS: Forty-one severe obese patients in a waiting-list, and 84 patients who underwent bariatric surgery were included. Correlations were tested and reliability determined by the Cronbach's coefficient. RESULTS: BMI differed between the pre- and post-surgery groups (52.3 ± 8.3 kg/m² vs. 32.5 ± 6.4 kg/m², p < 0.001). The latter showed better scores in the SF-36 domains than in the pre-surgery. SF-36 and M-A-QoLQII categories were correlated (r = 0.53, 0.49 and 0.47, for vitality, mental health, and general health domains, p < 0.001). In the logistic regression, age, previous BMI, and loss of excess weight were associated with functional capacity. CONCLUSIONS: The outcomes of bariatric surgery obtained in a Brazilian public healthcare center were successful. M-A-QoLII represents a useful tool to assess surgery outcomes, including QoL.
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spelling Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare systemAvaliação da qualidade de vida de pacientes com obesidade grave submetidos à cirurgia bariátrica em um sistema público de saúdeSevere obesityquality of lifeassessmentbariatric surgerypublic health systemObesidade gravequalidade de vidaavaliaçãocirurgia bariátricasistema público de saúdeOBJECTIVES: To assess QoL of obese patients in the Brazilian public healthcare system, before and after bariatric surgery, and to determine the appropriateness of the Moorehead-Ardelt Questionnaire II (M-A-QoLQII) compared with the Short-Form Health Survey (SF-36). SUBJECTS AND METHODS: Forty-one severe obese patients in a waiting-list, and 84 patients who underwent bariatric surgery were included. Correlations were tested and reliability determined by the Cronbach's coefficient. RESULTS: BMI differed between the pre- and post-surgery groups (52.3 ± 8.3 kg/m² vs. 32.5 ± 6.4 kg/m², p < 0.001). The latter showed better scores in the SF-36 domains than in the pre-surgery. SF-36 and M-A-QoLQII categories were correlated (r = 0.53, 0.49 and 0.47, for vitality, mental health, and general health domains, p < 0.001). In the logistic regression, age, previous BMI, and loss of excess weight were associated with functional capacity. CONCLUSIONS: The outcomes of bariatric surgery obtained in a Brazilian public healthcare center were successful. M-A-QoLII represents a useful tool to assess surgery outcomes, including QoL.OBJETIVOS: Avaliar a qualidade de vida de pacientes obesos do sistema público de saúde brasileiro antes e após cirurgia bariátrica e a adequação do questionário Moorehead-Ardelt II (M-A-QoLQII) em relação ao SF-36. SUJEITOS E MÉTODOS: Quarenta e um pacientes obesos graves em lista de espera e 84 submetidos à cirurgia bariátrica foram incluídos. Correlações foram testadas e confiabilidade determinada pelo coeficiente de Cronbach. RESULTADOS: O IMC diferiu entre os grupos pré- e pós-cirurgia (52,3 ± 8,3 kg/m² vs. 32,5 ± 6,4 kg/m², p < 0,001). O último apresentou melhores escores nos domínios do SF-36 que o pré-cirurgia. As categorias do SF-36 e M-A-QoLQII se correlacionaram (r = 0,53; 0,49; 0,47 para vitalidade, saúde mental e saúde geral, p 0,001). Na regressão logística, idade, IMC prévio e excesso de peso perdido associaram-se independentemente à capacidade funcional. CONCLUSÕES: Resultados da cirurgia bariátrica em centro de saúde público brasileiro foram promissores. O M-A-QoLQII representa ferramenta útil para avaliar seus resultados, inclusive a QV.Federal University of São Paulo Internal Medicine Department Division of EndocrinologyUNIFESP São Paulo Center for Health Economics Internal Medicine DepartmentUniversity of São Paulo School of Public Health Nutrition DepartmentUNIFESP, Internal Medicine Department Division of EndocrinologyUNIFESP, São Paulo Center for Health Economics Internal Medicine DepartmentSciELOSociedade Brasileira de Endocrinologia e MetabologiaUniversidade Federal de São Paulo (UNIFESP)Universidade de São Paulo (USP)Khawali, Cristina [UNIFESP]Ferraz, Marcos Bosi [UNIFESP]Zanella, Maria Teresa [UNIFESP]Ferreira, Sandra Roberta Gouvea [UNIFESP]2015-06-14T13:43:35Z2015-06-14T13:43:35Z2012-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion33-38application/pdfhttp://dx.doi.org/10.1590/S0004-27302012000100006Arquivos Brasileiros de Endocrinologia & Metabologia. Sociedade Brasileira de Endocrinologia e Metabologia, v. 56, n. 1, p. 33-38, 2012.10.1590/S0004-27302012000100006S0004-27302012000100006.pdf0004-2730S0004-27302012000100006http://repositorio.unifesp.br/handle/11600/6949WOS:000301636400006ark:/48912/0013000000s8wengArquivos Brasileiros de Endocrinologia & Metabologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-30T14:47:16Zoai:repositorio.unifesp.br/:11600/6949Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T19:49:15.953075Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
Avaliação da qualidade de vida de pacientes com obesidade grave submetidos à cirurgia bariátrica em um sistema público de saúde
title Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
spellingShingle Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
Khawali, Cristina [UNIFESP]
Severe obesity
quality of life
assessment
bariatric surgery
public health system
Obesidade grave
qualidade de vida
avaliação
cirurgia bariátrica
sistema público de saúde
title_short Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
title_full Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
title_fullStr Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
title_full_unstemmed Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
title_sort Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system
author Khawali, Cristina [UNIFESP]
author_facet Khawali, Cristina [UNIFESP]
Ferraz, Marcos Bosi [UNIFESP]
Zanella, Maria Teresa [UNIFESP]
Ferreira, Sandra Roberta Gouvea [UNIFESP]
author_role author
author2 Ferraz, Marcos Bosi [UNIFESP]
Zanella, Maria Teresa [UNIFESP]
Ferreira, Sandra Roberta Gouvea [UNIFESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
dc.contributor.author.fl_str_mv Khawali, Cristina [UNIFESP]
Ferraz, Marcos Bosi [UNIFESP]
Zanella, Maria Teresa [UNIFESP]
Ferreira, Sandra Roberta Gouvea [UNIFESP]
dc.subject.por.fl_str_mv Severe obesity
quality of life
assessment
bariatric surgery
public health system
Obesidade grave
qualidade de vida
avaliação
cirurgia bariátrica
sistema público de saúde
topic Severe obesity
quality of life
assessment
bariatric surgery
public health system
Obesidade grave
qualidade de vida
avaliação
cirurgia bariátrica
sistema público de saúde
description OBJECTIVES: To assess QoL of obese patients in the Brazilian public healthcare system, before and after bariatric surgery, and to determine the appropriateness of the Moorehead-Ardelt Questionnaire II (M-A-QoLQII) compared with the Short-Form Health Survey (SF-36). SUBJECTS AND METHODS: Forty-one severe obese patients in a waiting-list, and 84 patients who underwent bariatric surgery were included. Correlations were tested and reliability determined by the Cronbach's coefficient. RESULTS: BMI differed between the pre- and post-surgery groups (52.3 ± 8.3 kg/m² vs. 32.5 ± 6.4 kg/m², p < 0.001). The latter showed better scores in the SF-36 domains than in the pre-surgery. SF-36 and M-A-QoLQII categories were correlated (r = 0.53, 0.49 and 0.47, for vitality, mental health, and general health domains, p < 0.001). In the logistic regression, age, previous BMI, and loss of excess weight were associated with functional capacity. CONCLUSIONS: The outcomes of bariatric surgery obtained in a Brazilian public healthcare center were successful. M-A-QoLII represents a useful tool to assess surgery outcomes, including QoL.
publishDate 2012
dc.date.none.fl_str_mv 2012-02-01
2015-06-14T13:43:35Z
2015-06-14T13:43:35Z
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/S0004-27302012000100006
Arquivos Brasileiros de Endocrinologia & Metabologia. Sociedade Brasileira de Endocrinologia e Metabologia, v. 56, n. 1, p. 33-38, 2012.
10.1590/S0004-27302012000100006
S0004-27302012000100006.pdf
0004-2730
S0004-27302012000100006
http://repositorio.unifesp.br/handle/11600/6949
WOS:000301636400006
dc.identifier.dark.fl_str_mv ark:/48912/0013000000s8w
url http://dx.doi.org/10.1590/S0004-27302012000100006
http://repositorio.unifesp.br/handle/11600/6949
identifier_str_mv Arquivos Brasileiros de Endocrinologia & Metabologia. Sociedade Brasileira de Endocrinologia e Metabologia, v. 56, n. 1, p. 33-38, 2012.
10.1590/S0004-27302012000100006
S0004-27302012000100006.pdf
0004-2730
S0004-27302012000100006
WOS:000301636400006
ark:/48912/0013000000s8w
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos Brasileiros de Endocrinologia & Metabologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 33-38
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
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
_version_ 1818602377526116352

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