Quality of life after @entity3813 -band placement: influence of time, XXXX , and comorbidities.

@entity1 @entity1032 @entity353 @entity28 @entity3813 @entity717 @entity2483
OBJECTIVE: To assess the quality of life (QOL) in severely @entity28 subjects before and after @entity3813 -Band gastric restrictive surgery and identify factors that may influence change. RESEARCH METHODS AND PROCEDURES: All @entity1 , over a 3-year period, attending for preoperative assessment (n = 459) or annual review after surgery (n = 641) have completed the Short Form-36 (SF-36) health survey. Eight domain and @entity2483 ( @entity2483 ) and @entity1032 ( @entity1032 ) scores were calculated. Scores were analyzed in groups based on time after surgery and compared with community normal (CN) values. Paired preoperative and 1-year scores (n = 218) data were used to find predictors of QOL change. RESULTS: All preoperative mean scores (n = 459) were lower than CN values, with greater impairment in the @entity2483 (36.8 +/- 9.5 vs. CN: 51.3 +/- 8.3, p < 0.001) than in the @entity1032 (45.7 +/- 8.2 vs. CN: 48.8 +/- 9.5, p < 0.001) scores. After 1 year, scores were closer to CN scores ( @entity2483 : 52.4 +/- 8.2 and @entity1032 : 48.4 +/- 7.7), and these remained closer for 4 years. @entity28 comorbidity, especially @entity717 , was the best predictor of poor preoperative SF-36 scores and of improvement in scores at 1 year. The percentage of excess @entity353 at 1 year (46 +/- 16%) was of little predictive value of improved QOL. DISCUSSION: Severely @entity28 subjects have poor health-related QOL as measured by the SF-36 health survey. @entity3813 -Band surgery for this group has provided a dramatic and sustained improvement in all measures of the SF-36. Improvement is greater in those with greater preoperative disability, and the extent of @entity353 is not a good predictor of improved QOL.
