We evaluated quality of life among bariatric surgery patients using patient-reported outcomes (PROs). We hypothesized that physical function would improve after bariatric surgery.
We prospectively collected PROs beginning in December 2015. We used the validated Patient-Reported Outcomes Measurement Information System (PROMIS) instruments because of their broad applicability and ability to use computer-adapted technology to survey. Measures are repeated at clinic visits, both pre- and postoperatively. Data were reviewed through February 2018. Data were analyzed comparing pre- and postop physical function PRO (PF PRO) by procedure: laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (LSG). Additional variables were included in an adjusted linear mixed-effects regression model in order to isolate the effect of surgery on PF PRO over time.
This cohort included 279 bariatric surgery patients. The mean follow-up time was 1.5 years after surgery. The procedure groups were similar in terms of age and race but differed by gender and preoperative BMI. The PF-PRO measure showed significant improvement following surgery for both procedures.
Patient-reported physical function improved significantly after bariatric surgery. There was no significant difference between procedures.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Karlsson J, Taft C, Ryden A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31:1248–61.
Schalet BD, Hays RD, Jensen SE, et al. Validity of PROMIS physical function measured in diverse clinical samples. J Clin Epidemiol. 2016;73:112–8.
Schalet BD, Pilkonis PA, Yu L, et al. Clinical validity of PROMIS depression, anxiety, and anger across diverse clinical samples. J Clin Epidemiol. 2016;73:119–27.
Sjostrom L. Review of the key results from the Swedish Obese Subjects (SOS) trial—a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273:219–34.
Adams TD, Gress RE, Smith SC, et al. Long-term mortality after gastric bypass surgery. N Engl J Med. 2007;357:753–61.
Arterburn DE, Courcoulas AP. Bariatric surgery for obesity and metabolic conditions in adults. BMJ. 2014;349:g3961.
Arterburn DE, Olsen MK, Smith VA, et al. Association between bariatric surgery and long-term survival. JAMA. 2015;313:62–70.
Adult obesity: obesity rises among adults. 2010, August. at https://www.cdc.gov/vitalsigns/adultobesity/index.html.)
Chang SH, Stoll CR, Song J, et al. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surg. 2014;149:275–87.
Flum DR, Dellinger EP. Impact of gastric bypass operation on survival: a population-based analysis. J Am Coll Surg. 2004;199:543–51.
Rosenthal RJ, Morton J, Brethauer S, et al. Obesity in America. Surg Obes Relat Dis. 2017;13:1643–50.
Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52.
Batsis JA, Lopez-Jimenez F, Collazo-Clavell ML, Clark MM, Somers VK, Sarr MG. Quality of life after bariatric surgery: a population-based cohort study. Am J Med 2009;122:1055 e1- e10.
Kolotkin RL, Davidson LE, Crosby RD, et al. Six-year changes in health-related quality of life in gastric bypass patients versus obese comparison groups. Surg Obes Relat Dis. 2012;8:625–33.
Vegel AJ, Shah N, Lidor AO, et al. Patient-reported quality of life after bariatric surgery: a single institution analysis. J Surg Res. 2017;218:117–23.
Strain GW, Kolotkin RL, Dakin GF, et al. The effects of weight loss after bariatric surgery on health-related quality of life and depression. Nutr Diabetes. 2014;4:e132.
Jumbe S, Bartlett C, Jumbe SL, et al. The effectiveness of bariatric surgery on long term psychosocial quality of life - a systematic review. Obes Res Clin Pract. 2016;10:225–42.
Brodke DJ, Saltzman CL, Brodke DS. PROMIS for orthopaedic outcomes measurement. J Am Acad Orthop Surg. 2016;24:744–9.
Crins MHP, van der Wees PJ, Klausch T, van Dulmen SA, Roorda LD, Terwee CB. Psychometric properties of the PROMIS Physical Function item bank in patients receiving physical therapy. PLoS One. 2018;13(2):e0192187. Published 2018 Feb 12. doi:https://doi.org/10.1371/journal.pone.0192187
Hung M, Voss MW, Bounsanga J, et al. Psychometrics of the patient-reported outcomes measurement information system physical function instrument administered by computerized adaptive testing and the disabilities of arm, shoulder and hand in the orthopedic elbow patient population. J Shoulder Elb Surg. 2018;27(3):515–22. https://doi.org/10.1016/j.jse.2017.10.015.
Adil MT, Jain V, Rashid F, et al. Meta-analysis of the effect of bariatric surgery on physical function. Br J Surg. 2018;105:1107–18.
Biber J, Ose D, Reese J, et al. Patient reported outcomes - experiences with implementation in a University Health Care setting. J Patient Rep Outcomes 2017;2:34.
Rose M, Bjorner JB, Becker J, et al. Evaluation of a preliminary physical function item bank supported the expected advantages of the Patient-Reported Outcomes Measurement Information System (PROMIS). J Clin Epidemiol. 2008;61:17–33.
Conflict of Interest
The authors declare that they have no conflict of interest.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
Morrow, E., Chang, J.w., Biber, J. et al. Prospective Collection of PROMIS Physical Function Measure Demonstrates Significant Improvement After Bariatric Surgery. OBES SURG (2020). https://doi.org/10.1007/s11695-020-04413-7
- Bariatric surgery
- Patient-reported outcomes
- Physical function