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The Influence of Socioeconomic Factors on Quality-of-Life After Laparoscopic Gastric Bypass Surgery
Orebro Univ Hosp, Fac Med & Hlth, Dept Surg, SE-70185 Orebro, Sweden.
Orebro Univ, Fac Med & Hlth, Dept Community Med & Publ Hlth, Orebro, Sweden;Reg Orebro Cty, Dept Sustainable Dev, Orebro, Sweden.
Orebro Univ Hosp, Fac Med & Hlth, Dept Surg, SE-70185 Orebro, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Upper Abdominal Surgery.ORCID iD: 0000-0002-6243-2859
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2019 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 29, no 11, p. 3569-3576Article in journal (Refereed) Published
Abstract [en]

Introduction: Patients with low socioeconomic status have been reported to experience poorer outcome after several types of surgery. The influence of socioeconomic factors on health-related quality-of-life (HRQoL) after bariatric surgery is unclear.

Materials and Methods: Patients operated with a primary laparoscopic gastric bypass procedure in Sweden between 2007 and 2015 were identified in the Scandinavian Obesity Surgery Register. Patients with a completed assessment of health-related quality-of-life based on the Obesity-related Problem Scale (OP Scale) were included in the study. Socioeconomic status was based on data from Statistics Sweden.

Results: A total of 13,723 patients (32% of the 43,096 operated during the same period), with complete OP scores at baseline and two years after surgery, were included in the study. Age, lower preoperative BMI, male gender, higher education, professional status and disposable income as well as not receiving social benefits (not including retirement pension), and not a first- or second-generation immigrant, were associated with a higher postoperative HRQoL. Patients aged 30-60 years, with lower BMI, higher socioeconomic status, women and those born in Sweden by Swedish parents experienced a higher degree of improvement in HRQoL. Postoperative weight-loss was associated with higher HRQoL (unadjusted B 16.3, 95%CI 14.72-17.93, p < 0.0001).

Conclusion: At 2 years, a strong association between weight loss and improvement in HRQoL was seen, though several factors influenced the degree of improvement. Age, sex, preoperative BMI and socioeconomic status all influence the postoperative HRQoL as well as the improvement in HRQoL after laparoscopic gastric bypass surgery.

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 29, no 11, p. 3569-3576
Keywords [en]
Bariatric surgery, Gastric bypass, Laparoscopy, Quality-of-life, Risk factors
National Category
Surgery
Identifiers
URN: urn:nbn:se:uu:diva-398013DOI: 10.1007/s11695-019-04028-7ISI: 000495797200023PubMedID: 31190262OAI: oai:DiVA.org:uu-398013DiVA, id: diva2:1375265
Available from: 2019-12-04 Created: 2019-12-04 Last updated: 2019-12-04Bibliographically approved

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