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Previous issue date: 2013-03-18 / BACKGROUND : Quality of life (QoL) is an important criterion in the follow-up of results of medical treatments. Works on the evaluation of QoL in the long term are scarce. The present study was a long-term cross-sectional observation of aspects of QoL of morbidly obese patients submitted to bariatric surgery. METHODS : The WHOQOL-100 instrument was administered to 295 grade II and III obese patients submitted to bariatric surgery grouped by up to 11 years of posoperative. RESULTS : The BMI of 47.5?8.2 kg/m? in the preoperative period was reduced to 31.6?6.5 kg/m? (P<0.001). The percentage of loss of excess weight was substantial and remained high (at least 63.6?26.6 %) in all groups. In the physical domain, the group operated 1 year ago showed a considerable increase in QoL score (10.5?2.4 to 14.6?2.9, P<0.001), while the group operated 11 years ago returned to preoperative scores (12.2?2.0 to 12.2?2.9, P=0.975), with results similar to those for the level of independence domain (11.6?2.8 to 16.3?3.0, P<0.001, and 13.0?2.5 to 14.5?2.8, P=0.087). In the psychological domain, there was a persistent gain. The other domains did not show considerable variations. CONCLUSION : The reduction in BMI and in percent loss of excess weight was maintained during 11 years. Bariatric surgery demonstrated a positive effect on the QoL of subjects mainly in the first 7 postoperative years in the physical and level of independence domains. In the psychological domain, the gains persisted up to 11 postoperative years. / INTRODU??O : A qualidade de vida (QV) ? um crit?rio importante no acompanhamento dos resultados de tratamentos m?dicos. Trabalhos de avalia??o de QV de longo prazo s?o escassos. A presente pesquisa realizou um estudo de observa??o transversal de longo prazo sobre aspectos da QV de pacientes obesos m?rbidos submetidos ? cirurgia bari?trica. M?TODOS : A escala de QV WHOQOL-100 foi aplicada em 295 pacientes obesos de graus II e III, submetidos ? cirurgia bari?trica, agrupados por at? 11 anos de p?s-operat?rio. RESULTADOS : O IMC de 47,5?8,2 kg/m? no pr?-operat?rio foi reduzido para 31,6?6,5 kg/m? (P<0,001). O percentual da perda do excesso de peso foi substancial e manteve-se elevado (pelo menos 63.6?26.6 %) em todos os grupos. No Dom?nio F?sico, o grupo operado h? 1 ano obteve importante acr?scimo no escore de QV (10,5?2,4 para 14,6?2,9, P<0,001), enquanto que o grupo operado h? 11 anos retornou ?s m?dias do pr?-operat?rio (12,2?2,0 para 12,2?2,9, P=0,975), com resultados semelhantes para o Dom?nio do N?vel de Independ?ncia (11,6?2,8 para 16,3?3,0, P<0,001 e 13,0?2,5 para 14,5?2,8, P=0,087). No Dom?nio Psicol?gico, houve ganho persistente na QV. Os demais Dom?nios do WHOQOL-100 n?o apresentaram varia??es estatisticamente significativas. CONCLUS?O : A redu??o do IMC e perda do excesso de peso foi mantida durante 11 anos. A cirurgia bari?trica demonstrou um efeito positivo sobre a QV dos pacientes, principalmente nos primeiros 7 anos de evolu??o no Dom?nios F?sico e N?vel de Independ?ncia. No Dom?nio Psicol?gico, os ganhos persistiram at? 11 anos de p?s-operat?rio.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1725 |
| Date | 18 March 2013 |
| Creators | Lang, Cristiane Maria da Fontoura |
| Contributors | Mottin, Cl?udio Cor? |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 600, -8624664729441623247 |
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