PDF(Pubmed)
Abstract：
UNASSIGNED: Many patients seeking bariatric surgery experience reduced health-related quality of life (HRQOL). A simple clinical tool, the Patient-Reported Outcomes in Obesity (PROS), was developed to address patients\' HRQOL concerns during clinical consultations and facilitate meaningful dialogue. The present study aims to explore its sensitivity to change.
UNASSIGNED: A prospective study of patients undergoing bariatric surgery was conducted. The patients responded to items on the PROS and the Obesity-related Problems Scale (OP) before surgery and three, 12 and 24 months after surgery. Longitudinal mixed-effects models were applied to estimate the change in PROS and OP scores over time.
UNASSIGNED: Thirty-eight patients were included. A significant change over time was detected for the PROS with the largest effect size at 24 months (effect size -1.34, p ˂ 0.001), while the corresponding effect size for the OP was -1.32 (p ˂ 0.001). In all items of the PROS, the majority of patients responded not bothered at 24 months. The items physical activity, pain, sleep and self-esteem showed the largest change in the percentage of patients reporting not bothered from baseline to 24 months after surgery.
UNASSIGNED: The PROS is sensitive to change over time and may be used as a brief, easy to administer tool to facilitate a conversation about obesity-specific quality of life in clinical consultations.
UNASSIGNED: A prospective study of patients undergoing bariatric surgery was conducted. The patients responded to items on the PROS and the Obesity-related Problems Scale (OP) before surgery and three, 12 and 24 months after surgery. Longitudinal mixed-effects models were applied to estimate the change in PROS and OP scores over time.
UNASSIGNED: Thirty-eight patients were included. A significant change over time was detected for the PROS with the largest effect size at 24 months (effect size -1.34, p ˂ 0.001), while the corresponding effect size for the OP was -1.32 (p ˂ 0.001). In all items of the PROS, the majority of patients responded not bothered at 24 months. The items physical activity, pain, sleep and self-esteem showed the largest change in the percentage of patients reporting not bothered from baseline to 24 months after surgery.
UNASSIGNED: The PROS is sensitive to change over time and may be used as a brief, easy to administer tool to facilitate a conversation about obesity-specific quality of life in clinical consultations.
摘要：
■许多寻求减肥手术的患者的健康相关生活质量（HRQOL）降低。一个简单的临床工具，患者报告的肥胖结果（PROS），旨在解决临床咨询期间患者的HRQOL问题，并促进有意义的对话。本研究旨在探讨其对变化的敏感性。
■对接受减肥手术的患者进行了前瞻性研究。患者在手术前对PROS和肥胖相关问题量表(OP)上的项目做出了反应，术后12个月和24个月。纵向混合效应模型用于估计PROS和OP评分随时间的变化。
■38例患者被纳入。检测到24个月时具有最大效应大小的PROS随时间的显着变化（效应大小-1.34，p=0.001），而OP的相应效应大小为-1.32(p=0.001)。在PROS的所有项目中，大多数患者在24个月时没有反应.身体活动项目，疼痛,睡眠和自尊显示,从基线至术后24个月,报告患者中没有受到困扰的患者百分比变化最大.
■PROS对随时间的变化很敏感，可以用作摘要，易于管理的工具，以促进在临床咨询中关于肥胖特定生活质量的对话。
■对接受减肥手术的患者进行了前瞻性研究。患者在手术前对PROS和肥胖相关问题量表(OP)上的项目做出了反应，术后12个月和24个月。纵向混合效应模型用于估计PROS和OP评分随时间的变化。
■38例患者被纳入。检测到24个月时具有最大效应大小的PROS随时间的显着变化（效应大小-1.34，p=0.001），而OP的相应效应大小为-1.32(p=0.001)。在PROS的所有项目中，大多数患者在24个月时没有反应.身体活动项目，疼痛,睡眠和自尊显示,从基线至术后24个月,报告患者中没有受到困扰的患者百分比变化最大.
■PROS对随时间的变化很敏感，可以用作摘要，易于管理的工具，以促进在临床咨询中关于肥胖特定生活质量的对话。
