Download or read book Appraisal of the Impact of Bariatric Surgery on Health Related Quality of Life and Work Productivity in Morbidly Obese Patients written by Nathalie Desrosiers and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Appraisal of the impact of Bariatric surgery on health related quality of life and work productivity in morbidly obese patients Background: In the last decades, morbid obesity has emerged as an increasingly prevalent chronic metabolic disorder affecting populations located in both developed and emerging countries. Obesity is associated with increased morbidity, disability and premature mortality. Given the impact of obesity on health status and its related economic burden, it is reasonable to anticipate that weight loss in obese patients will be associated with health and economic benefits. Bariatric surgery has emerged as a treatment of choice for this patient population. Significant reductions in mean percent excess weight loss and BMI percent change are observed as a consequence of Bariatric surgery. Several studies have established that obese individuals experience significant impairments in quality of life as a result of their condition. Health related quality of life (HRQoL) represents a particularly important and relevant outcome when assessing the overall impact of chronic conditions such as obesity. The data published as of date reports a significant correlation between excess weight loss and improvement in weight specific and physical aspects of HRQoL. However, trends toward decreases in HRQoL associated with weight regain between the first and sixth year post surgery have also been reported. The evidence relating to change in HRQoL in obese patients following Bariatric surgery for weight loss is currently either of relatively low quality or mainly focussed on evaluating the short-term impact of the intervention on HRQoL. Often overlooked but equally important is the relationship between obesity and its outcome on work productivity. Ample evidence underlining the correlation between obesity, increased work limitation and productivity loss may be found in the literature. The need for further evaluation of HRQoL and productivity loss outcomes over longer time horizons, following Bariatric surgery, has actually been identified as key areas of focus in this field of research, given the chronic nature of the disease and its considerable economic burden. Long-term outcomes data related to HRQoL and productivity loss following Bariatric surgery remains scarce in the Canadian setting. Objective: To describe the impact of Bariatric surgery on HRQoL and work productivity in patients with morbid obesity. Methodology: A cross-sectional survey measuring health related quality of life and work productivity outcomes, using the SF-36, the EQ-5D and the WLQ, for morbidly obese patients sampled from a population of patients being treated at the McGill University Health Centre (MUHC). Results: We observed Improvements in HRQoL and WLQ outcomes over the follow-up time period following Bariatric surgery and that, for all outcome measures. Conclusion: Following Bariatric surgery, patients may experience less physical disability and mental health issues and the perception of their health related quality of life state was reported to be significantly better than before the surgery. Per our findings, the initial positive impact of Bariatric surgery on HRQoL appeared to be sustained over time. Increases in physical disability, work limitations and decreases in patients' perception of their health status may be consequential to increments in BMI units and years of follow-up since the surgical intervention. Our findings further corroborated trends towards decreases in the occurrence of chronic comorbidities following Bariatric surgery." --

Download or read book Bariatric Surgery and Its Impact on Long term 5 Years Health Related Quality of Life written by Shannon Driscoll and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery results in significant weight loss in the majority of patients living with severe obesity (BMI≥35kg/m2). Improvement in Health Related Quality of Life (HRQoL) is an equally important patient reported outcome; however, there are few studies reporting the impact of bariatric surgery on long-term (≥5 years) HRQoL outcomes. The main aim of this thesis was two-fold: first to conduct a SR in order to assess the quality of evidence and effectiveness of bariatric surgery on HRQoL ≥ 5 years in patients ≥18 years compared to non-surgical control groups and second to conduct a meta-analysis (MA) of studies that have been deemed appropriate. PubMed, Cochrane Review, EmBase, CINANL, PsycInfo, obesity conference abstracts, and reference lists of published papers were searched. Keywords were bariatric surgery, obesity, and quality of life. Studies were included if (1) there was ≥5 years follow-up, (2) patients had class II or III obesity, (3) individuals completed a validated HRQoL survey, and (4) there was a nonsurgical comparison group with obesity. Two reviewers independently assessed each study. From the initial 1376 articles, 9 studies were included in the SR and 6 in the MA. Inconsistent results for long-term improvements in physical and mental health emerged from the SR. However, in contrast, the MA found significant improvements in these domains ≥5 years after bariatric surgery. These study findings provide evidence for a substantial and significant improvement in physical and mental health favoring the surgical group compared with controls spanning 5 to 25 years after surgery, an important finding for patients, clinicians and decisionmakers.

Download or read book A Multidisciplinary Approach to Bariatric Surgery written by Ana Andrés and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This monograph covers the medical, psychological and biological features of bariatric surgery. From a multidisciplinary view, important aspects both before and after bariatric surgery are considered. Firstly, this monograph focuses on the evaluation of bariatric surgery candidates, both considering the pathology and psychopathology of morbidly obese patients. Also, special attention is given to measurement instruments applied during the psychological assessment of these patients. Secondly, surgical techniques used in bariatric surgery are covered. A detailed description of these techniques, also considering their possible postoperative and late complications is provided. A comparison of long-term results obtained by the different surgical techniques is also included. Other features related to surgical intervention, such as revision surgery or plastic surgery are also covered. Thirdly, a chapter about bariatric surgery in adolescents has been included. Specific guidelines and considerations of the application of bariatric surgery to adolescents are discussed. Another aspect that is covered in the present publication are metabolic changes in morbidly obese patients, both before and after bariatric surgery. A description of changes in carbohydrate and lipid metabolism, satiety factors and other metabolic parameters involved in morbid obesity are also provided. Adherence to dietary recommendations is also considered. Dietary recommendations before and after bariatric surgery, and cognitive and behavioural techniques that promote their adherence are provided. Finally, the impact of morbid obesity on health-related quality of life, its improvement after bariatric surgery and the therapeutic approach to improve quality of life among these patients is included.

Download or read book Quality in Obesity Treatment written by John M. Morton and published by Springer Nature. This book was released on 2019-10-15 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews quality definition, measurement, improvement, value, and accountability for obesity management. The interplay between quality, cost, access and satisfaction is fully depicted with a goal toward not only fulfilling current standards but also anticipating future needs. A thorough inventory of current best practices in all aspects of obesity care is cataloged with a gap analysis also employed for potential areas of improvement to be road mapped. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information, take home messages, and questions towards following the requirements of quality certification in obesity management. Quality in Obesity Treatment provides a comprehensive, contemporary review of this field and serves as a valuable resource for Bariatric Surgeons, Primary Care Physicians, Policy Makers, Insurance Administrators, Bariatricians, and any medical specialty interested in obesity quality management with likely candidates coming from GI, endocrinology, cardiology, sleep medicine and orthopedics.

Download or read book A Multidisciplinary Approach to Bariatric Surgery written by Ana Andrés and published by . This book was released on 2014-05-14 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: This monograph covers the medical, psychological and biological features of bariatric surgery. From a multidisciplinary view, important aspects both before and after bariatric surgery are considered. Firstly, this monograph focuses on the evaluation of bariatric surgery candidates, both considering the pathology and psychopathology of morbidly obese patients. Also, special attention is given to measurement instruments applied during the psychological assessment of these patients. Secondly, surgical techniques used in bariatric surgery are covered. A detailed description of these techniques, also considering their possible postoperative and late complications is provided. A comparison of long-term results obtained by the different surgical techniques is also included. Other features related to surgical intervention, such as revision surgery or plastic surgery are also covered. Thirdly, a chapter about bariatric surgery in adolescents has been included. Specific guidelines and considerations of the application of bariatric surgery to adolescents are discussed. Another aspect that is covered in the present publication are metabolic changes in morbidly obese patients, both before and after bariatric surgery. A description of changes in carbohydrate and lipid metabolism, satiety factors and other metabolic parameters involved in morbid obesity are also provided. Adherence to dietary recommendations is also considered. Dietary recommendations before and after bariatric surgery, and cognitive and behavioural techniques that promote their adherence are provided. Finally, the impact of morbid obesity on health-related quality of life, its improvement after bariatric surgery and the therapeutic approach to improve quality of life among these patients is included.

Download or read book Bariatric surgery obesity surgery written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt: The long-term results of bariatric surgery are usually significantly better than those achieved with conventional management. The greatest benefits offered by bariatric surgery include a reduction in obesity-related diseases and a perceived improvement in the quality of life. Gastric bypass is the most commonly performed operation for weight loss. Surgery may be considered as a treatment option for patients with a body mass index (BMI) greater than 40 kg/m2, provided that the patient has precedingly participated in a weight management group programme with success (weight loss > 7%). Surgery may also be considered for patients with a BMI of 35–40 kg/m2 when obesity is associated with pharmacologically treated type 2 diabetes or hypertension, severe sleep apnoea (CPAP therapy) or severe disease of the musculoskeletal system.

Download or read book Psychiatric Care in Severe Obesity written by Sanjeev Sockalingam and published by Springer. This book was released on 2016-12-16 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.

Download or read book Bariatric Psychology and Psychiatry written by Alfonso Troisi and published by Springer Nature. This book was released on 2020-05-07 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a step-by-step guide to mental health assessment for bariatric surgery patients. A general introduction explains the concepts of bariatric psychology and psychiatry, their relevance in contemporary bariatric surgery, and reasons to include psychologists and psychiatrists in multidisciplinary teams taking care of bariatric patients. The following four chapters address the aspects of mental health that are investigated by bariatric psychology. The psychological processes analyzed here play a major role in influencing patients’ perception of the outcomes of bariatric surgery and in determining their commitment to lifestyle changes and follow-up programs. The second part of the book includes nine chapters addressing the clinical conditions relevant to bariatric psychiatry. For each condition, the major focus is on the impact of psychopathology on bariatric surgery outcomes (weight loss, weight regain, quality of life) and the impact of surgery on its course (remission, worsening, de novo onset). Each chapter in this part includes a discussion of the diagnostic instruments (i.e., structured interviews, clinician-rated tests, and patient-rated tests) that should be used to obtain a valid assessment of the patient’s mental status. Separate chapters focus on psychiatric complications (e.g., suicide and addiction transfer) and psychological problems related to quality of life (e.g., body image dissatisfaction) that may emerge postoperatively. Data on these postsurgery conditions has been reported only recently and, therefore, no published book deals with them. The final chapter offers an overview of unsolved issues in bariatric psychology and psychiatry and reviews emerging research findings that are likely to change assessment and care of bariatric patients’ mental health in the near future. Given its scope—and its wealth of tables, diagrams, mnemonics, and key fact boxes—the book will be an invaluable reference tool for clinicians.

Download or read book Psychosocial Assessment and Treatment of Bariatric Surgery Patients written by James E. Mitchell and published by Taylor & Francis. This book was released on 2012-04-27 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.

Download or read book Bariatric Surgery written by James E. Mitchell and published by Routledge. This book was released on 2007-12-11 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients. It also serves as a valuable resource to surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work. An accompanying questionnaire is available at http://www.eatingdisordersarena.com/resources/EDQ.pdf

Download or read book Bariatric Surgery written by Mandy Chambers and published by Nova Science Publishers. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to rapidly increasing rates of obesity, bariatric weight loss surgeries have increased worldwide, reaching approximately 341,000 procedures in 2011. Bariatric surgery is a major medical intervention with the primary goals of chronically reducing excess weight loss, decreasing incidence and severity of obesity related co-morbidities, and overall improvement in quality of life. Despite widespread evidence of bariatric surgery effectiveness on excess weight loss and resolution of co-morbidities, the effects of weight loss surgery on overall cardiorespiratory fitness and physical activity levels (two critical components of overall health) have yet to be defined. This book discusses the prevalence of bariatric surgery, as well as the complications and its impact on quality of life.

Download or read book The Impact of Quality of Life Issues and Psychological Evaluation written by Erin Robinson and published by ProQuest. This book was released on 2009 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Center for Disease Control (2006) named obesity as the nation's leading health problem, citing 61% of all Americans are classified as being overweight with 27% of that population meeting criteria for obesity. An increasing number of these people are turning to bariatric surgery for weight loss. Much research has been conducted on both the health and psychological benefits of weight loss surgeries. For a client to have surgery, many programs require that a candidate complete a psychological evaluation. This research was conducted to examine how psychological evaluators rate typical bariatric clients' satisfaction within various quality of life (QOL) domains. It also explored how important evaluators believe these QOL domains to be in the functioning of bariatric clients. These results were compared with pre-surgery and post-surgery clients' ratings of satisfaction and importance across the same QOL domains of functioning. Results showed that, overall, there is little change in satisfaction and importance scores as a result of bariatric surgery in the two client groups; with no significant changes post-surgery in importance ratings, and no significant changes noted in satisfaction scores with the exception of health, self-esteem, and play. There was a significant increase in self-esteem scores, as measured by the Rosenberg Self Esteem Scales, and a significant decrease in depression, as measured by the Zung Depression Inventory, after surgery. Clinicians, overall, mirrored client satisfaction scores in areas of improvement, as well as, cited "goals and values" and "ability to help others" as significantly improved post-surgery for clients. However, clinicians also routinely underrated client satisfaction within the QOL life domains, and attributed less importance across 11 of the 16 QOL domains, as well as total importance scores, than did bariatric surgery clients in this study. This research concluded that clients reported greater life satisfaction than credited, on average, by psychological evaluators, and surgery does not make significant global alterations within clients' global functioning. The finding also suggested that clinicians rate the pre-surgery evaluation as important, whereas pre and post-surgery clients do not put as great of a value on the assessment process. Surgery clients only differed on assessing substance abuse history, in which post-surgery clients found it more important than pre-surgery clients.

Download or read book Bariatric Surgery written by Nadey S. Hakim and published by World Scientific. This book was released on 2011 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the last two decades, obesity has reached epidemic proportions in the world, resulting in suffering and premature death. Morbid obesity is a chronic medical illness that has long-reaching consequences and is caused by multiple factors. Bariatric surgery and other non-invasive procedures in carefully selected patients are effective treatments for obesity. It is the only tool for sustained and effective long-term weight loss. The field of surgery is developing rapidly offering innovative options for patients who have failed to lose weight by diet, exercise and pharmacological methods. The editors review problems that the patients face in the perioperative period and in the long term, as well as their adjustments in lifestyle and healthcare management. The text is authored by authorities who participate in the multidisciplinary care of bariatric patients. It will address the assessment and selection of patients' treatment before surgery, options for surgical intervention and postoperative medical management.

Download or read book Bariatric Surgery written by R. Armour Forse and published by CRC Press. This book was released on 2024-06-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: With obesity levels continuing to rise despite efforts in diet, exercise, and medical management, the focus has now turned to surgery to help combat the obesity epidemic. The operation is just the beginning, and there can be many different complications and side effects associated with weight loss surgery. Bariatric Surgery: What Every Provider Needs to Know takes a multidisciplinary team approach to maximize the patient’s weight loss and to minimize complications, from patient selection to postoperative care. This book was written for any healthcare providers or students involved with bariatric surgical patients to provide them with the important information needed to manage their patient. Drs. R. Armour Forse and Caroline M. Apovian and more than 50 contributors have designed Bariatric Surgery: What Every Provider Needs to Know to provide practical information for non-surgeons and non-nutrition experts who are involved in the care of a patient undergoing bariatric surgery and makes the concepts easy to understand and to apply when caring for a patient with obesity. Bariatric Surgery: What Every Provider Needs to Know covers the fundamental issues that need to be addressed with the overall care of the surgical patient for a multidisciplinary team, including nurse practitioners, physician assistants, gastroenterology residents, dieticians, and medical students. Some topics covered include: Adolescent obesity and weight loss surgery Various surgical procedures such as gastric banding, sleeve gastrectomy, and gastric bypass Anesthetic issues in the patient with obesity undergoing surgery Bariatric surgery and the elderly Immediate postoperative complications Medical management of the patient after bariatric surgery Psychological issues in the bariatric surgery patient

Download or read book The ASMBS Textbook of Bariatric Surgery written by Ninh T. Nguyen and published by Springer. This book was released on 2014-09-17 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed by the American Society for Metabolic and Bariatric Surgery (ASMBS), The ASMBS Textbook of Bariatric Surgery provides a comprehensive guide of information dealing with the ever evolving field of bariatric surgery. Volume 1: Bariatric Surgery covers the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities and improvement in quality of life. A section focuses on revisional bariatric surgery and new innovative endoscopic bariatric procedures. Other special emphasis given to the topics of metabolic surgery and surgery for patients with lower BMI (30-35). Volume II: Integrated Health is divided into 3 sections: bariatric medicine, psychosocial and nutritional aspects of bariatric surgery. The first section deals with the psychosocial issues associated with morbid obesity. The second section deals with the role of bariatric physicians in preoperative and postoperative support of the bariatric patients. The nutritional section discusses the preoperative and postoperative nutritional support for the bariatric patient. The ASMBS Textbook of Bariatric Surgery will be of great value to surgeons, residents and fellows, bariatric physicians, psychologists, psychiatrists and integrated health members that manage the morbidly obese.

Download or read book Management of Morbid Obesity written by Harvey J. Sugerman and published by CRC Press. This book was released on 2005-09-29 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited by world-renowned bariatric surgeons, this comprehensive reference provides a clear overview of multidisciplinary approaches to bariatric surgery and clearly details the techniques and outcomes of commonly performed bariatric operations, potential complications associated with bariatric surgery, and practices in long-term follow-up and nutri

Download or read book Global Bariatric Surgery written by Rami Lutfi and published by Springer. This book was released on 2018-09-07 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text captures the global standards of bariatric surgery practice at a time of change, excitement, and lots of controversy. The text sheds the light on best practices globally by providing a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. The text provides high definition illustrations of these techniques to go with the didactic chapters written by the thought leaders in the field. In addition to the technical part, an important part of the book focuses on quality and outcome measures. The rapid growth and innovations impose the need for strict guidelines and quality control. Thought leaders who created the concept of “Centers of Excellence” shed light on outcome measures and different ways to monitor quality. This will appeal to administrators and different ancillary service providers. The medical section plays a major role as combination therapy seems to be the future. An entire section is dedicated to medical weight management with discussions of the dietary and psychological component of care. The text also provides a dedicated discussion of the metabolic aspect of bariatric surgery, cosmetic surgery and issues of training future surgeons. Thease features differentiate the book from others that only discuss the surgical component, and will broaden the level of interest to all who are involved in the management of this complex disease.