Integrated health articlePredictors of satisfaction with excess skin and desire for body contouring after bariatric surgery
Section snippets
Methods
In the absence of a psychometrically validated instrument to assess BCS outcomes, the Post-Bariatric Surgery Appearance Questionnaire (PBSAQ) was previously developed for research in this area. The PBSAQ is a self-report questionnaire that takes approximately 15 minutes to complete. The PBSAQ can be viewed in a recent publication by Ertelt et al. [12], and contains questions on demographics (age, gender, height, weight pre- and post BS), level of desire for BCS, and current degree of
Participants
Data were collected from a total of 207 participants. Of those, 43 participants completed the survey within the first 18 months after gastric bypass and were excluded from the present analysis because they may not have achieved their weight nadir and would potentially be premature for BCS. Patients with missing data for the date of survey completion or BS or gender were not used in the analyses (n = 4). The final analyzable sample consisted of data from 160 participants. The demographic
Discussion
Contrary to our hypotheses, the only predictor of satisfaction with excess skin among patients who had not undergone BCS was the current BMI. The greater the patients' current BMI, the more likely they were to be dissatisfied with excess skin. Similarly, only 1 significant independent predictor of a desire for contouring was identified—the time elapsed since BS. The longer the interval from BS, the less likely the patients were to desire BCS.
The relationship between the current BMI and
Conclusion
Future research should attempt to prospectively determine the variables associated with more extreme difficulty with excess skin after surgery. This information would allow clinicians to tailor patient education to those at greatest risk and prospectively address any modifiable risk factors that might be present.
Disclosures
Dr. Sarwer has been a principal investigator/investigator and received research grants from ASMBS, ASPS, Ethicon Endo-Surgery, and National Institutes of Health; has received consulting fees as a consultant to Allergan, BaroNova, Enteromedics, and Ethicon Endo-Surgery; and has served on the Board of Directors of the Surgical Review Corporation. The other authors have no commercial associations that might be a conflict of interest in relation to this article.
Acknowledgments
Ross D. Crosby, Ph.D., Li Cao, M.S., and Ann L. Erickson, B.A. for statistical assistance and Troy Ertelt, Ph.D. for assistance with manuscript preparation.
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Supported by the Neuropsychiatric Research Institute, Fargo, North Dakota.