Journal ArticleDOI
Bariatric Analysis and Reporting Outcome System (BAROS)
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TLDR
The Bariatric Analysis and Reporting Outcome System (BAROS) analyzes outcomes in a simple, objective, unbiased, and evidence-based fashion and can be adapted to evaluate other forms of medical intervention for the control of obesity.Abstract:
Background: The lack of standards for comparison of results was identified by the NIH Consensus Conference panellsts as one of the key problems in evaluating reports in the surgical treatment of severe obesity. The analysis of outcomes after bariatric surgery should include weight loss, improvement in comorbidities related to obesity, and quality-of-life (QOL) assessment. Definitions of success and failure should be established and the presentation of results standardized. Methods: A survey among experienced bariatric surgeons was conducted to study the reporting of results. The concept of evaluating outcomes by using a scoring system was introduced in 1997 and has now been refined further. Psychologists with expertise in bariatrics were asked to recommend a disease-specific instrument to analyze QOL after surgery. Results: The system defines five outcome groups (failure, fair, good, very good, and excellent), based on a scoring table that adds or subtracts points while evaluating three main areas: percentage of excess weight loss, changes in medical conditions, and QOL. To assess changes in QOL after treatment, this method incorporates a specifically designed patient questionnaire that addresses self-esteem and four daily activities. Complications and reoperative surgery deduct points, thus avoiding the controversy of considering reoperations as failures. Conclusions: The Bariatric Analysis and Reporting Outcome System (BAROS) analyzes outcomes in a simple, objective, unbiased, and evidence-based fashion. It can be adapted to evaluate other forms of medical intervention for the control of obesity. This method should be considered by international organizations for the adoption of standards for the outcome assessment of bariatric treatments, and for the comparison of results among surgical series. These standards could also be used to compare the long-term effects of surgery with nonoperative weight loss methods.read more
Citations
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Journal ArticleDOI
Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
TL;DR: Laparoscopic Roux-en-Y gastric bypass is effective in achieving weight loss and in improving comorbidities and quality of life while reducing recovery time and perioperative complications and in patients with more than 1 year of follow-up.
Journal ArticleDOI
Laparoscopic Versus Open Gastric Bypass: A Randomized Study of Outcomes, Quality of Life, and Costs
Ninh T. Nguyen,Charles R. Goldman,C. John Rosenquist,Andres Arango,Carol J. Cole,Steven J. Lee,Bruce M. Wolfe +6 more
TL;DR: Despite a longer operative time, patients undergoing laparoscopic GBP benefited from less blood loss, a shorter hospital stay, and faster convalescence, and the BAROS outcome was classified as good or better in 97% of LaparoscopicGBP patients compared with 82% of open GBP patients.
Journal ArticleDOI
Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SM-BOSS Randomized Clinical Trial
Ralph Peterli,Bettina K. Wölnerhanssen,Thomas Peters,Diana Vetter,Dino Kröll,Yves Michael Borbély,Bernd Schultes,Christoph Beglinger,Jürgen Drewe,Marc Schiesser,Philipp C. Nett,Marco Bueter +11 more
TL;DR: The Swiss Multicenter Bypass or Sleeve Study (SM-BOSS), a 2-group randomized trial, was conducted from January 2007 until November 2011 (last follow-up in March 2017) as mentioned in this paper.
Journal ArticleDOI
Long-term Results of Laparoscopic Sleeve Gastrectomy for Obesity
TL;DR: It appears that after 6+ years the mean excess weight loss exceeds 50%.
Journal ArticleDOI
Quality of life and obesity
TL;DR: The body of research on the quality of life of obese individuals has grown to a point that a review of this literature is warranted, and whether quality oflife differs among subsets of obese persons is needed.
References
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Journal ArticleDOI
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Journal ArticleDOI
Gastrointestinal surgery for severe obesity
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Journal ArticleDOI
The problem of quality of life in medicine.
Alain Leplège,Sonia Hunt +1 more
TL;DR: It is suggested that quality of life as an outcome could be explored more clearly ifquality of life were replaced with a more easily handled notion such as that of "subjective health status."
Journal ArticleDOI
Surgical treatment of obesity
J. Howard Payne,Loren T. DeWind +1 more
TL;DR: A jejunoileal shunt should definitely be considered as an investigative procedure, for the present, and should not be undertaken unless facilities are available to handle complications and to conduct significant research into the mechanism of obesity and its attendant complications over a long period of time.
Journal ArticleDOI
The problem of quality of life in medicine
Alain Leplège,Sonia Hunt +1 more
TL;DR: It is suggested that quality of life as an outcome could be explored more clearly ifquality of life were replaced with a more easily handled notion such as that of "subjective health status."