Quality of Life and Complications in the Morbidly Obese Patient following Post-Bariatric Body Contouring
- PDF / 460,190 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 47 Downloads / 207 Views
ORIGINAL ARTICLE
BODY CONTOURING
Quality of Life and Complications in the Morbidly Obese Patient following Post-Bariatric Body Contouring Omar Elfanagely1 • Sammy Othman1 John P. Fischer1
•
Joseph A. Mellia1 • Charles A. Messa IV1
•
Received: 20 August 2020 / Accepted: 1 November 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background With a growing obesity epidemic, an increasing number of patients are seeking body contouring procedures (BCP). The aim of this study was to assess the association of morbid obesity (BMI [40 kg/m2) with both clinical and health-related quality of life (H-RQOL) outcomes following BCP. Methods Patients evaluated for post-bariatric BCP at a large academic hospital by one surgeon were retrospectively identified. Patients were surveyed using the BODYQÓ during initial and postoperative visits. Demographic, clinical, operative characteristics, and surgical outcomes data were extracted. BODY-Q domain scores were compared between morbidly obese (MO) and non-morbidly obese (NMO). The absolute change in HR-QOL scores for MO and NMO was also compared. Results Overall, 59 patients were included (MO 72.9% vs. NMO 27.1%). The median age was 50 years old (Interquartile range [IQR] ± 17); the majority were nonHispanic (89.8%), non-diabetic (81.4%), non-smokers (67.8%). Assessment of surgical site occurrences, reoperations, and the complication composite outcome revealed no statistical differences between groups (p [0.05). MO
Accepted for poster at the American College of Surgeons Clinical Congress 2020, which was scheduled to take place in Chicago, IL. & John P. Fischer [email protected] Sammy Othman [email protected] 1
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA 19104, United States
patients showed lower net improvement in three HR-QOL domains: satisfaction with body (median 30 [IQR ± 53] vs. 65 [IQR ± 54]; p = 0.036), body image (median 39 [IQR ± 55] vs. 52 [IQR ± 44]; p = 0.025), and social function (median 12 [IQR ± 18] vs. 19 [IQR ± 35]; p = 0.015). Conclusion Post-bariatric BCP can be safely performed in the MO patient without increased risk of complication. However, the benefit of truncal BCP is less in MO as it pertains to specific QOL domains: satisfaction with body, body image, and social function. Level of evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Post-bariatric body contouring Patientreported outcomes Quality of life Morbid obesity Body contouring Plastic surgery
Introduction Obesity in the USA remains a vital concern for healthcare practitioners, with rates continuing to increase at an alarming rate [1–3]. Specifically, the
Data Loading...
