School of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.
Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia.
Clin Obes. 2024 Oct;14(5):e12668. doi: 10.1111/cob.12668. Epub 2024 Apr 20.
Bariatric surgery is an effective treatment for severe obesity, affording significant improvements in weight loss and health-related quality of life. However, bariatric surgeons' views on whether certain pre-operative factors predict improvements in post-operative health-related quality of life, and if so, which ones, are largely unknown. This cross-sectional survey study examined the views of 58 bariatric surgeons from Australia and New Zealand. A total of 18 factors were selected for exploration based on their mention in the literature. Participants rated the extent to which they thought these pre-operative factors would improve post-operative health-related quality of life. Responses showed that bariatric surgeons held diverse perspectives and revealed a lack of consensus regarding "predictive" factors. Generally, respondents agreed that better than average health literacy, higher socioeconomic status, good physical and psychological health, and positive social support were predictors of improved health-related quality of life following surgery. However, poor eating behaviours, smoking, and the use of alcohol or other substances were deemed negative predictors. Interestingly, aside from higher socioeconomic status, good psychological health, and positive social support, none of the aforementioned views aligned with existing literature. This study offers an initial insight into bariatric surgeons' views on the influence of different pre-operative factors on post-operative health-related quality of life. The array of views identified suggests that there may be an opportunity for medical education, but the findings warrant caution due to the sample size. Replication with a larger survey may be useful, especially as predicted health-related quality of life outcomes could guide decisions regarding surgical (non)progression.
减重手术是治疗重度肥胖症的有效方法，可显著改善体重减轻和与健康相关的生活质量。然而，减重外科医生对于某些术前因素是否能预测术后与健康相关的生活质量改善的看法，以及如果可以预测，哪些因素可以预测，在很大程度上是未知的。本横断面调查研究调查了来自澳大利亚和新西兰的 58 名减重外科医生的观点。基于文献中提到的因素，共选择了 18 个因素进行探讨。参与者评估了他们认为这些术前因素在多大程度上会改善术后与健康相关的生活质量。研究结果表明，减重外科医生的观点存在差异，对于“预测性”因素缺乏共识。一般来说，受访者认为，健康素养较好、社会经济地位较高、身心健康状况良好、社会支持积极是手术后与健康相关的生活质量改善的预测因素。然而，不良的饮食习惯、吸烟以及饮酒或其他物质的使用被认为是负面预测因素。有趣的是，除了社会经济地位较高、心理健康状况良好和社会支持积极之外，上述观点均与现有文献不一致。本研究初步探讨了减重外科医生对不同术前因素对术后与健康相关的生活质量影响的看法。研究结果表明，可能有机会进行医学教育，但由于样本量较小，结果需要谨慎。采用更大规模的调查进行复制可能会很有用，尤其是因为预测与健康相关的生活质量结果可以指导手术（非）进展的决策。
