Resultados a largo plazo en calidad de vida en cirugía de contorno corporal. Fase IV en la cohorte Body-Qol®

Abstract

IntroductionOne of the most important outcomes in patients undergoing body-contouring surgery is quality of life. Data on long-term quality of life is deficient. The main purpose of this study is to determine if short-term QoL after body contouring surgery maintains in the long-term follow up. MethodsA cohort study was designed; patients with at least one-year follow-up from the surgery were included. Quality of life was measured with the Body-Qol© instrument. All patients answered the preoperative Body-Qol© and at least one measurement after one year of follow-up from body contouring surgery. The preoperative scores, short-term scores and long-term follow-up scores were compared. The statistical analysis was made with Kruskal-Wallis y Kolmogorov-Smirnov tests. ResultsThe cohort was integrated by 112 patients; the long-term follow-up was of 75%. Quality of life improved between the preoperative measure (43.9±14.1 points) and both short-term and long-term measures (85.2±16.8 early postoperative y 83.6±13.5 late postoperative), which was statistically significant (P<.0001). There was no difference between the short-term and long-term measures (P=.112). The domain analysis demonstrated the same tendency. Massive weight loss patients had lower preoperative scores but improved more after BCS, reaching almost cosmetic values. ConclusionsQuality of life improves soon after surgery and is stable over time. This was observed for both massive weight loss and cosmetic patients.