Evidence map›Paper›PMID 31515432›Full record

ArticleBMJ open2019

Changes in quality of life 5 years after sleeve gastrectomy: a prospective cohort study.

Tone Nygaard Flølo, Grethe S Tell, Ronette L Kolotkin, Anny Aasprang, Tone Merete Norekvål, Villy Våge, Karl Ove Hufthammer, John Roger Andersen

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tone Nygaard FløloDepartment of Surgery, Voss Hospital, Haukeland University Hospital, Voss, Norway tone.flolo@helse-bergen.no.
Grethe S TellDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Ronette L KolotkinFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Førde, Norway.
Anny AasprangFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Førde, Norway.
Tone Merete NorekvålFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Førde, Norway.ORCID 0000-0001-7302-4490
Villy VågeDepartment of Surgery, Haraldsplass Diakonale Sykehus, Bergen, Norway.
Karl Ove HufthammerCentre for Clinical Research, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0003-3170-9496
John Roger AndersenFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Førde, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSleeve gastrectomy (SG) is the most frequently performed bariatric surgery procedure worldwide, but reports on long-term quality of life (QOL) outcomes are scarce. We investigated 5-year trajectories in QOL and their associations with weight loss after SG.

designA prospective cohort study.

settingThe study was conducted in a single Norwegian bariatric surgery centre.

participantsOut of 150 operated patients, 127 were included. Mean age was 41 years, 68% were women and the follow-up rate at 1 year was 85% and 64% at 1 and 5 years, respectively. OUTCOME MEASURES: Data were collected preoperatively, and 1 and 5 years after surgery assessing three different levels of QOL. The main exposure was weight loss after SG, assessed as per cent excess body mass index (kg/m

resultsAll HRQOL/overall QOL measures significantly improved at 1 year, followed by modest decline from 1 to 5 years after surgery. Greater %EBMIL 5 years after surgery was significantly associated with improvements in OP and PCS scores, but not with MCS and Cantril Ladder scores. Although significant (p<0.001) and clinically relevant improvements in HRQOL/overall QOL outcomes were observed at 5 years, scores were still below the general population norms.

conclusionMost patients undergoing SG experience substantial weight loss accompanied by statistically significant and clinically relevant long-term improvements in HRQOL/overall QOL. However, an important minority of patients still report low HRQOL/overall QOL 5 years after SG. Further research should aim to identify other factors that contribute to impaired QOL after bariatric surgery, even in the presence of successful weight control.

Indexed as

Bariatric SurgeryObesity, MorbidQuality of LifeAdultBody Mass IndexFemaleHumansMaleMinimal Clinically Important DifferenceNorwayPatient Reported Outcome MeasuresPostoperative PeriodProspective StudiesTimeWeight LossBariatric surgeryobesity-related psychosocial functioningquality of lifesleeve gastrectomy

Identifiers

PMID31515432
PMCPMC6747667

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.