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ArticleObesity surgery2025

Dutch Nationwide Cohort Experience with a New PROMs Set in Metabolic and Bariatric Surgery: BODY-Q Obesity Module.

Simon W Nienhuijs, Floris Bruinsma, Ruben Schouten, Maarten M Hoogbergen, Nienke G Cnossen, Chantal Gernette, Elisabeth F C van Rossum, Claire E E de Vries, Valery M Monpellier, Anne F Klassen and 3 more

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Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Article
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

13 authors.

Simon W NienhuijsDepartment of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands. simon.nienhuijs@cze.nl.ORCID 0000-0002-0104-9477
Floris BruinsmaDepartment of Surgery, Maastricht University Medical Center, NUTRIM School for Nutrition and Translational Research in Metabolism, 6229 ER, Maastricht, The Netherlands.
Ruben SchoutenDepartment of Surgery, Flevoziekenhuis, 1315 RA, Almere, The Netherlands.
Maarten M HoogbergenDepartment of Plastic and Reconstructive Surgery, Catharina Hospital, 5623 EJ, Eindhoven, The Netherlands.
Nienke G CnossenPatients' Representative, 3705 SJ, Zeist, The Netherlands.
Chantal GernettePatients' Representative, 3705 SJ, Zeist, The Netherlands.
Elisabeth F C van RossumDepartment of Endocrine, Erasmus MC, 3015 GD, Rotterdam, The Netherlands.
Claire E E de VriesDepartment of Plastic Surgery, Erasmus MC, 3015 GD, Rotterdam, The Netherlands.
Valery M MonpellierNederlandse Obesitas Kliniek, 3712 BA, Huis Ter Heide, The Netherlands.
Anne F KlassenDepartment of Pediatrics, McMaster University, Hamilton, ON, L8S 4L8, Canada.
Andrea L PusicDepartment of Surgery, Brigham and Women's Hospital, 75 Francs St., Boston, MA, 02115, USA.
Ronald S L LiemNederlandse Obesitas Kliniek, 2591 XR, The Hague & Gouda, The Netherlands.
Dutch Audit for Treatment of Obesity Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatient-reported outcomes are important as obesity is a chronic disease with a substantial impact. A multidisciplinary task force selected six scales (48 questions) from the validated BODY-Q questionnaire. This subset was gradually introduced and evaluated in a mandatory nationwide registry. The focus was to assess the scale's module results and its feasibility in a quality registry. MATERIALS AND

methodsAll Dutch patients undergoing bariatric surgery between 2019 and 2022 were selected. Completed questionnaires of RAND-36, EQ-5D-5L, and BODY-Q were reviewed with baseline and 1-year results. Uni- and multivariable regression analyses were performed to assess the relationship between baseline characteristics and quality of life scores over time.

resultsA total of 10,972 patients completed at least one BODY-Q scale. The lowest score was on the body image scale preoperatively (28.2, SD 20.9) and the highest on the social scale postoperatively (76.2, SD 18.8). A representative group of 510 patients with repeated measurements showed the most improvement on the body image scale (+ 32.2) followed by physical function (+ 26.3). Multivariable linear regression analysis showed a significant influence, primarily for gender, age, and BMI on BODY-Q scores. Score improvement for BODY-Q was mainly driven by weight loss, while EQ-5D-5L and RAND-36 showed no clear pattern. Comparing the three questionnaires showed significant correlations for physical and social function only.

conclusionThe BODY-Q obesity module demonstrates potential as a relevant PROM for inclusion in a quality registry. BODY-Q scores provide a foundation for future research, with notable improvements in quality of life observed, particularly in the body image and physical function scales.

Indexed as

Bariatric SurgeryPatient Reported Outcome MeasuresQuality of LifeAdultBody ImageCohort StudiesFemaleHumansMaleMiddle AgedNetherlandsObesity, MorbidRegistriesSurveys and QuestionnairesBariatric surgeryBODY-QObesityPatient-reported outcome measuresQuality of life

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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.