مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
چهارشنبه 12 اردیبهشت 1403
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دوره 13، شماره 1 - ( 1402 )
جلد 13 شماره 1 صفحات 81-71 |
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E. Shehab M, M. Isa H, M. Saleh L, A. Alafeya Z. Satisfaction and Quality of Life in Patients Who Underwent Post Massive Weight Loss Body Contouring Procedures: A Tertiary Center Experience in Bahrain. WJPS 2024; 13 (1) :71-81
URL: http://wjps.ir/article-1-1246-fa.html
URL: http://wjps.ir/article-1-1246-fa.html
Satisfaction and Quality of Life in Patients Who Underwent Post Massive Weight Loss Body Contouring Procedures: A Tertiary Center Experience in Bahrain. مجله جهانی جراحی پلاستیک. 1402; 13 (1) :71-81
چکیده: (468 مشاهده)
Background: Incidence of body contouring surgeries (BCS) rose significantly to overcome problems resulted from post-Bariatric Surgery (BS). We aimed to evaluate satisfaction level and quality of life (QOL) in patients’ post-BCS.
Methods: In this retrospective prospective study, patients who underwent BCS in Plastic Surgery Department, Salmaniya Medical Complex, Bahrain, in 2017-2018, were enrolled. Demographic and anthropometric data were collected. BS-group’s QOL and satisfaction level were assessed using a questionnaire.
Results: Of 929 plastic surgery admissions, 316 (34%) were for BCS (249 patients). Fifty-eight (28%) patients underwent 82 BS were recruited, mostly females (n=42, 72.4%). The mean age was 37.4±9.6 years. Excess abdominal skin was the most area of concern (n=50, 86.2%). Median pre-BCS body mass index was 26.9 (interquartile range: 25.6-29.8) kg/m2. Most patients were overweight (n=26, 44.8%). Abdominoplasty was the commonest BCS (n=172, 50.6%). This was also the case in 82 BCS in post-BS group (n=38, 46.3%). In post-BS group, post-operative complications were noted in 25/82 (30.5%) patients with wound problems being the most frequent (n=14, 17.1%). Most patients rated their experience as better in all questionnaire domains and most (n=45, 54.9%) rated their satisfaction level as excellent. Older age gave better overall satisfaction (P<0.001) while employed patients had better overall QOL (P=0.012) and self-confidence (P=0.048). Females had better satisfaction with body appearance (P<0.001) while those underwent abdominoplasty or breast surgeries had lower physical activity (P=0.042).
Conclusion: This study showed improvement in patient’s QOL post-BCS with excellent overall satisfaction, findings that could be affected by age, sex, and occupation.
Methods: In this retrospective prospective study, patients who underwent BCS in Plastic Surgery Department, Salmaniya Medical Complex, Bahrain, in 2017-2018, were enrolled. Demographic and anthropometric data were collected. BS-group’s QOL and satisfaction level were assessed using a questionnaire.
Results: Of 929 plastic surgery admissions, 316 (34%) were for BCS (249 patients). Fifty-eight (28%) patients underwent 82 BS were recruited, mostly females (n=42, 72.4%). The mean age was 37.4±9.6 years. Excess abdominal skin was the most area of concern (n=50, 86.2%). Median pre-BCS body mass index was 26.9 (interquartile range: 25.6-29.8) kg/m2. Most patients were overweight (n=26, 44.8%). Abdominoplasty was the commonest BCS (n=172, 50.6%). This was also the case in 82 BCS in post-BS group (n=38, 46.3%). In post-BS group, post-operative complications were noted in 25/82 (30.5%) patients with wound problems being the most frequent (n=14, 17.1%). Most patients rated their experience as better in all questionnaire domains and most (n=45, 54.9%) rated their satisfaction level as excellent. Older age gave better overall satisfaction (P<0.001) while employed patients had better overall QOL (P=0.012) and self-confidence (P=0.048). Females had better satisfaction with body appearance (P<0.001) while those underwent abdominoplasty or breast surgeries had lower physical activity (P=0.042).
Conclusion: This study showed improvement in patient’s QOL post-BCS with excellent overall satisfaction, findings that could be affected by age, sex, and occupation.
فهرست منابع
1. World health organization. Obesity and overweight. [Cited 2019 Sep 25]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
2. World health organization. Nutrition clinics. [Cited 2019 Sep 25]. Available from: https://www.who.int/features/2014/bahrain-tackle-obesity/en/
3. Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH. The disease burden associated with overweight and obesity. JAMA 1999;282:1523-1529. doi: 10.1001/jama.282.16.1523 [DOI:10.1001/jama.282.16.1523]
4. Prospective Studies Collaboration, Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet 2009;373:1083-1096. doi 10.1016/S0140-6736(09)60318-4 [DOI:10.1016/S0140-6736(09)60318-4]
5. Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, et al. Swedish Obese Subjects Study. Effects of bariatric surgery on mortality in Swedish obese subjects.; N Engl J Med 2007;357:741-752. doi: 10.1056/NEJMoa066254. [DOI:10.1056/NEJMoa066254]
6. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004;292:1724-1737. doi: 10.1001/jama.292.14.1724 [DOI:10.1001/jama.292.14.1724]
7. Sarwer DB1, Wadden TA, Moore RH, Eisenberg MH, Raper SE, Williams NN. Changes in quality of life and body image after gastric bypass surgery. Surg Obes Relat Dis 2010;6:608-614. doi: 10.1016/j.soard.2010.07.15 [DOI:10.1016/j.soard.2010.07.015]
8. Shiri S, Gurevich T, Feintuch U, Beglaibter N. Positive psychological impact of bariatric surgery.Obes Surg 2007;17:663-668. doi: 10.1007/s11695-007-9111-5 [DOI:10.1007/s11695-007-9111-5]
9. Elliot VS. Bariatric surgery maintains, doesn't gain. American Medical News. https://amednews.com/article/20120423/business/304239976/4/ (25 September 2019)
10. Kitzinger HB, Abayev S, Pittermann A, Karle B, Bohdjalian A, Langer FB, Prager G, Frey M. After massive weight loss: patients' expectations of body contouring surgery. Obes Surg 2012; 22:544-548. doi: 10.1007/s11695-011-0551-6 [DOI:10.1007/s11695-011-0551-6]
11. Staalesen T, Fagevik Olsén M, Elander A. Experience of excess skin and desire for body contouring surgery in post-bariatric patients. Obes Surg 2013;23:1632-1644. doi: 101007/s11695-013-0978-z [DOI:10.1007/s11695-013-0978-z]
12. Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 2004;351:2683-2693. doi: 10.1056/NEJMoa035622. [DOI:10.1056/NEJMoa035622]
13. Balagué N, Combescure C, Huber O, Pittet-Cuénod B, Modarressi A. Plastic surgery improves long-term weight control after bariatric surgery. Plast Reconstr Surg 2013;132:826-833. doi: 10.1097/PRS.ob013e31829fe531. [DOI:10.1097/PRS.0b013e31829fe531]
14. American Society of Plastic Surgeon, Plastic surgery statistics report; 2012. Body contouring after massive weight loss. https://www.plasticsurgery.org/documents/News/Statistics/2012/plastic-surgery-statistics-full-report-2012.pdf (25 September 2023)
15. Al-Hadithy N, Mennie J, Magos T, Stewart K. Desire for post bariatric body contouring in South East Scotland. J Plast Reconstr Aesthet Surg 2013;66:87-94. doi: 10.1016/j.bjps.2012.08.041. [DOI:10.1016/j.bjps.2012.08.041]
16. Aldaqal SM, Samargandi OA, El-Deek BS, Awan BA, Ashy AA, Kensarah AA. Prevalence and desire for body contouring surgery in postbariatric patients in saudi arabia. N Am J Med Sci 2012;4:94-98. doi: 10.4103/1947-2714.93386. [DOI:10.4103/1947-2714.93386]
17. Jabir S. Assessing improvement in quality of life and patient satisfaction following body contouring surgery in patients with massive weight loss: a critical review of outcome measures employed. Plast Surg Int 2013;2013:515737. doi: 10.1155/2013/515737. [DOI:10.1155/2013/515737]
18. Hasabegovic E, Sorenson JA. Complications following body contouring surgery after massive weight loss: A meta-analysis. J Plast Reconstr Aesthet Surg 2014,67:295-301. doi: 10.1016/j.bjps.2013.10.031. [DOI:10.1016/j.bjps.2013.10.031]
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