Dutch Nationwide Cohort Experience with a New PROMs Set in Metabolic and Bariatric Surgery: BODY-Q Obesity Module

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发表日期：

2024年12月26日

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Simon W. Nienhuijs,
Floris Bruinsma,
Ruben Schouten,
Maarten M. Hoogbergen,
Nienke G. Cnossen,
Chantal Gernette,
Elisabeth F. C. van Rossum,
Claire E. E. de Vries,
Valery M. Monpellier,
Anne F. Klassen,
Andrea L. Pusic,
Ronald S. L. Liem,
G. J. D. Acker,
J. A. Apers,
S. M. M. de Castro,
S. L. Damen,
I. F. Faneyte,
K. Göttgens,
J. W. M. Greve,
G.van’t Hof,
A. Jonker,
R. A. Klaassen,
A. W. J. M. van de Laar,
E. A. G. L. Lagae,
B. S. Langenhoff,
R. S. L. Liem,
A. A. P. M. Luijten,
S. W. Nienhuijs,
R. M. Smeenk,
S. J. M. Smeets,
W. Vening,
M. Takkenberg,
E. de Witte

摘要

Purpose

Patient-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 Methods

All 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.

Results

A 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.

Conclusion

The 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.

Graphical Abstract