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Health-Related Quality of Life and Paid Work Participation after Duodenal Switch

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Abstract

Background

Morbid obesity can reduce the health-related quality of life (HRQL) and paid work participation, and the duodenal switch (DS) can induce large weight loss in patients suffering from this disease. However, data about HRQL combined with paid work participation after duodenal switch are lacking. The aim of this study was to provide longitudinal data of these issues.

Methods

Fifty-one consecutive morbidly obese patients accepted for DS gave their informed consent to participate in the study. Mean age was 37.7 years (SD, 8.0), and 54.9% were women. HRQL was assessed using the “Short-Form 36 Health Status Survey”. Eight subscores, the physical component summary (PCS), and the mental component summary (MCS) were calculated. Paid-work participation was assessed as performing or not performing paid work. Data were assessed before DS (T0), 1 year after DS (T1), and 2 years after DS (T2).

Results

All the SF-36 scores improved significantly from T0 to T1 and T2 (p < 0.001), when they were in the normal range compared to the population norm. The number of patients performing paid work increased from 28 (54.9%) at T0 to 34 (66.7%) at T2, p = 0.031. The patients who performed paid work had significantly better PCS and MCS scores than those who did not before, but not after, DS.

Conclusion

Our data indicate that the SF-36 scores of the patients were normalized after DS. A marked improvement in the paid work participation was also observed.

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Acknowledgments

This study was supported by a grant from Sogn and Fjordane University College, Norway. We are grateful for the statistical assistance provided by statistician Tore Wentzel-Larsen (Centre for Clinical Research, Western Norway Regional Health Authority). The authors also acknowledge the patients who participated in the study.

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Authors and Affiliations

  1. Faculty of Health Studies, Sogn and Fjordane University College, Box 523, 6803, Førde, Norway

    John Roger Andersen & Anny Aasprang

  2. Department of Psychiatry, Førde Central Hospital, 6807, Førde, Norway

    Per Bergsholm

  3. Department of Surgery, Førde Central Hospital, 6807, Førde, Norway

    Nils Sletteskog & Villy Våge

  4. Section of Nursing Science, Department of Public Health and Primary Health Care, University of Bergen, Box 7804, 5200, Bergen, Norway

    John Roger Andersen & Gerd Karin Natvig

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  1. John Roger Andersen
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  2. Anny Aasprang
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  4. Nils Sletteskog
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  5. Villy Våge
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Correspondence to John Roger Andersen.

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Roger Andersen, J., Aasprang, A., Bergsholm, P. et al. Health-Related Quality of Life and Paid Work Participation after Duodenal Switch. OBES SURG 20, 340–345 (2010). https://doi.org/10.1007/s11695-009-9837-3

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  • DOI: https://doi.org/10.1007/s11695-009-9837-3

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