Abstract
IntroductionPatients 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 MethodsPatients 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.ResultsA 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).ConclusionAt 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.
Highlights
Patients with low socioeconomic status have been reported to experience poorer outcome after several types of surgery
The aim of the present study was to investigate to what extent socioeconomic status influences health-related quality-of-life (HRQoL) after laparoscopic gastric bypass surgery in a large nationwide cohort
43,096 patients operated with a primary laparoscopic gastric bypass procedure were identified
Summary
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. 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. Bariatric surgery reduces the incidence of Living with severe obesity is associated with several negative psychological consequences, body image concerns, low self-esteem and low health-related quality-of-life (HRQoL) [9, 10]. Patients with lower socioeconomic status and low level of education have an increased risk for short-term complications after bariatric surgery [16] and poorer outcome after other surgical procedures such as arthroplasty and OBES SURG (2019) 29:3569–3576 neurosurgery [17, 18]. Whether socioeconomic status and education level influence HRQoL after bariatric surgery remains unclear
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