Cohen, Felicity

Isenring, Elisabeth

Jordaan, Jacobus

Marshall, Skye

Rich, Graeme

Soni, Asha

English

Background: Improvement in quality of life is an important patient-centred outcome of bariatric procedures. Objectives: To report the change in weight-related quality of life 6-months after a laparoscopic sleeve gastrectomy (LSG) or endoscopic sleeve gastroplasty (ESG). Methods: Adult patients were recruited prospectively over 12-months from Weight Loss Solutions Australia and followed from baseline to 6-months post-procedure. Quality of life was measured by the Impact of Weight on Quality of Life Assessment Tool (IWQOL-Lite) which assess overall quality of life and five sub-categories of: physical function, self-esteem, sexual life, public distress, work (or daily activities). All IWQOL scores were normalised to a scale of 0 (worst) to 100 (best) quality of life. Paired and independent t-tests were used to compare scores from baseline to follow-up and change over time between groups respectively. Results: At baseline, LSG (mean score 42.6(11.6)) and ESG (mean score 60.0(75.5)) had “severe” impacts on QoL; where LSG participants (n=12, age 37.5(6.7) years, BMI 41.9(6.2)kg/m2, 92% female) had a lower QoL compared to ESG participants (n=6, age 35.0(8.4) years, BMI 37.1 (5.7)kg/m2, 83% female) (p=0.027). At follow-up, LSG had a greater improvement in QoL compared to ESG (mean change 38.8(19.8) p&lt;0.0001 vs 15.6(21.9) p=0.142); however, this resulted in similar QoL in both groups 6-months post-procedure (p=0.131). The greater improvement in LSG compared to ESG was driven by self-esteem (mean difference 36.6 [95%CI:10.8,62.4) p=0.008) and sexual life (mean difference 45.7 [95%CI:17.8,73.5] p=0.003) domains. Conclusion: Participants who seek the LSG and ESG in Queensland have severe weight-related impacts on their quality of life; however, LSG patients have higher BMIs and worse QoL. Both LSG and ESG participants experience improvements in QoL; however, the LSG participants experienced a greater improvement compared to ESG to achieve similar levels of weight-related QoL 6-months post-procedure

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Bond UniversityResearch RepositoryWeight-related quality of life changes 6-months following Laparoscopic Sleeve Gastrectomyor Endoscopic Sleeve GastroplastyMarshall, Skye; Isenring, Elisabeth; Cohen, Felicity ; Jordaan, Jacobus; Soni, Asha; Rich,GraemePublished: 01/10/2019Document Version:Peer reviewed versionLink to publication in Bond University research repository.Recommended citation(APA):Marshall, S., Isenring, E., Cohen, F., Jordaan, J., Soni, A., & Rich, G. (2019). Weight-related quality of lifechanges 6-months following Laparoscopic Sleeve Gastrectomy or Endoscopic Sleeve Gastroplasty. Postersession presented at ANZGOSA ANZMOSS 2019, Brisbane, Australia.General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright ownersand it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.For more information, or if you believe that this document breaches copyright, please contact the Bond University research repositorycoordinator.Download date: 03 Dec 2019Submission ID 47 Title Weight-related quality of life changes 6-months following Laparoscopic Sleeve Gastrectomy or Endoscopic Sleeve Gastroplasty Abstract Background: Improvement in quality of life is an important patient-centred outcome of bariatric procedures.  Objectives: To report the change in weight-related quality of life 6-months after a laparoscopic sleeve gastrectomy (LSG) or endoscopic sleeve gastroplasty (ESG). Methods: Adult patients were recruited prospectively over 12-months from Weight Loss Solutions Australia and followed from baseline to 6-months post-procedure. Quality of life was measured by the Impact of Weight on Quality of Life Assessment Tool (IWQOL-Lite) which assess overall quality of life and five sub-categories of: physical function, self-esteem, sexual life, public distress, work (or daily activities). All IWQOL scores were normalised to a scale of 0 (worst) to 100 (best) quality of life. Paired and independent t-tests were used to compare scores from baseline to follow-up and change over time between groups respectively.  Results: At baseline, LSG (mean score 42.6(11.6)) and ESG (mean score 60.0(75.5)) had “severe” impacts on QoL; where LSG participants (n=12, age 37.5(6.7) years, BMI 41.9(6.2)kg/m2, 92% female) had a lower QoL compared to ESG participants (n=6, age 35.0(8.4) years, BMI 37.1 (5.7)kg/m2, 83% female) (p=0.027). At follow-up, LSG had a greater improvement in QoL compared to ESG (mean change 38.8(19.8) p<0.0001 vs 15.6(21.9) p=0.142); however, this resulted in similar QoL in both groups 6-months post-procedure (p=0.131). The greater improvement in LSG compared to ESG was driven by self-esteem (mean difference 36.6 [95%CI:10.8,62.4) p=0.008) and sexual life (mean difference 45.7 [95%CI:17.8,73.5] p=0.003) domains. Conclusion: Participants who seek the LSG and ESG in Queensland have severe weight-related impacts on their quality of life; however, LSG patients have higher BMIs and worse QoL. Both  LSG and ESG participants experience improvements in QoL; however, the LSG participants experienced a greater improvement compared to ESG to achieve similar levels of weight-related QoL 6-months post-procedure.    Authors and affiliations Dr Skye Marshall 1. Bond University Nutrition & Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Robina, Australia Ms Felicity Cohen 2. Weight Loss Solutions Australia, Varsity Lakes, Australia Dr Graeme Rich Bariatrics Australia, Sydney, Australia 2. Weight Loss Solutions Australia, Varsity Lakes, Australia Ms Asha Soni (Presenting) Author biography: Asha Soni completed her Bachelor Of Nursing at UTS and Master’s in Health Management at University Of Technology Sydney. She has been practising as a Registered Nurse for 20 years in clinical and management roles, mostly in the Intensive Care Unit for adults and pediatrics. Asha has also worked as a lecturer in nursing at University Technology Sydney for 4 years and at the Australian Institute of Health as a research assistant. Asha currently works at Weight Loss Solutions Australia as a Research Nurse and Bariatric Nurse. 2. Weight Loss Solutions Australia, Varsity Lakes, Australia Dr Jacobus Jordaan 2. Weight Loss Solutions Australia, Varsity Lakes, Australia Jordaan Surgical, Gold Coast, Australia Prof Elizabeth Isenring 1. Bond University Nutrition & Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Robina, Australia Presentation type Oral Categories 2 Outcomes from Bariatric Surgery Conflict of interest Yes Conflict details FC, GR, AS, and JJ are involved in the provision of services to the recruited participants. FC is a co-funder of the ENvISaGE Study through an Innovation Connections Grant. Previously presented None.     Table 1: Baseline characteristics of ESG and matched LSG patients in Queensland, Australia Variable ESG (n=6) LSG (n=12) Between groups  Baselinea Followupa Changea Baselinea Followupa Changea Baselineb Followupb Changeb BMIa          Weight-related physical functionac 54.2 (24.1) 84.5 (14.0) -30.3 (29)  p=0.051 47.8 (18.5) 86.2 (10.6) -38.5 (20.7) p<0.0001 6.4 (-15.4, 28.2) p=0.540 -1.7 (-14.2, 10.8) p=0.776 -8.1 (-33.2, 16.9) p=0.501 Weight-related self-esteemc 41.7 (28.8) 58.9 (24.5) -17.3 (25.1) p=0.153 17.6 (13.5) 71.4 (16.5) -53.9 (24.0) p<0.0001 24.1 (3.5, 44.7) p=0.024 -12.5 (-33.1, 8.1) p=0.216 -36.6 (-62.4, -10.8) p=0.008 Weight-related sexual lifec 74.0 (27.5) 63.5 (25.7) 10.4 (12.3) p=0.093 49.9 (23.7) 79.2 (14.7) -35.2 (30.6) p=0.002 30.0 (3.5, 56.5) p=0.029 -15.6 (-35.6, 4.3) p=0.117 -45.7 (-73.5, -17.8) p=0.003 Weight-related public distressc 74.2 (17.4) 82.5 (16.0) -8.3 (25.8) p=0.465 47.9 (27.3) 82.1 (22.4)  -34.2 (28.0) p=0.001 26.2 (0.2, 52.3) p=0.049 0.4 (-21.5, 22.2) p=0.968 -25.8 (-54.8, 3.1) p=0.077 Weight-related workc 76.0 (9.2) 83.3 (19.2) -7.3 (24.2) p=0.493 64.6 (20.2) 87.0 (18.0) -22.4 (22.5) p=0.005 11.5 (-7.0, 30.0) p=0.209 -3.6 (-23.1, 15.8) p=0.697 -15.1 (-39.5, 9.3) p=0.209 Total weight-related quality of lifec 60.0 (18.8) 75.5 (15.1) -15.6 p=0.142 42.6 (11.6) 81.4 (12.1) -38.8 (19.8) p<0.0001 17.4 (2.2, 32.5) p=0.027 -5.8 (-19.8, 8.1) p=0.386 -17.3 (-40.3, 5.7) p=0.131 a. Data presented mean (standard deviation) b. Data presented mean difference (95%CI) c. Values normalized to a scale of 0 (worst quality of life) to 100 (best quality of life).   

Weight-related quality of life changes 6-months following Laparoscopic Sleeve Gastrectomy or Endoscopic Sleeve Gastroplasty

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Weight-related quality of life changes 6-months following Laparoscopic Sleeve Gastrectomy or Endoscopic Sleeve Gastroplasty

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