TY - JOUR
T1 - Dutch Nationwide Cohort Experience with a New PROMs Set in Metabolic and Bariatric Surgery
T2 - BODY-Q Obesity Module
AU - Nienhuijs, Simon W.
AU - Bruinsma, Floris
AU - Schouten, Ruben
AU - Hoogbergen, Maarten M.
AU - Cnossen, Nienke G.
AU - Gernette, Chantal
AU - van Rossum, Elisabeth F. C.
AU - de Vries, Claire E. E.
AU - Monpellier, Valery M.
AU - Klassen, Anne F.
AU - Pusic, Andrea L.
AU - Liem, Ronald S. L.
AU - Dutch Audit for Treatment of Obesity Research Group
PY - 2025/1/1
Y1 - 2025/1/1
N2 - 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.
AB - 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.
KW - Patient-reported outcome measures
KW - Obesity
KW - Bariatric surgery
KW - Quality of life
KW - BODY-Q
KW - WEIGHT-LOSS
KW - REVIEWS
U2 - 10.1007/s11695-024-07615-5
DO - 10.1007/s11695-024-07615-5
M3 - Article
SN - 0960-8923
VL - 35
SP - 67
EP - 77
JO - Obesity Surgery
JF - Obesity Surgery
IS - 1
M1 - e13452
ER -