Highlights
- •Focus groups ranked health as the most important outcome for bariatric surgery.
- •Self-confidence, mobility, and every day activities were the next highest ranked.
- •The PROMIS-10 survey was selected as the general health measure.
- •The OP and the OWLQOL were the disease-specific measures selected for the MBSAQIP.
Abstract
Background
The Metabolic and Bariatric Surgery Accreditation Quality Improvement Program (MBSAQIP)
assesses safety after metabolic and bariatric surgery and the impact on weight and
obesity-related diseases. However, changes in quality of life are likely what matters
most to patients, and these are not currently assessed. The best way to measure health-related
quality of life (HRQoL) is to use validated patient-reported outcomes measures (PROMs),
which capture patients’ perspectives of their quality of life both before and after
surgery.
Objectives
Identify the outcomes most important to bariatric surgery patients and identify the
most appropriate validated PROMs to implement in a national program for the MBSAQIP.
Setting
Five hospitals from a single healthcare system in New England.
Methods
A series of 18 focus groups and/or interviews conducted with patients, patients’ family
members, and bariatric health providers determined the outcomes most important to
bariatric patients and which validated PROMs would accurately measure those outcomes.
Immersion crystallization was used to analyze focus group data and identify appropriate
PROMs.
Results
Focus group participants ranked health as the most important outcome for metabolic
and bariatric surgery. Self-confidence, mobility, and everyday activities were the
next highest ranked HRQoL domains. The Patient-Reported Outcomes Measurement Information
System 10-Item Global Health Survey was selected as the general health measure. The
Obesity-Related Problems scale and the Obesity and Weight-Loss Quality of Life Instrument
were the disease-specific measures selected for inclusion in the MBSAQIP PROMs program.
Conclusion
The addition of PROMs to the MBSAQIP provides a unique opportunity to monitor HRQoL
at the national level, which can foster improved shared decision-making before surgery.
Keywords
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Article info
Publication history
Published online: February 08, 2023
Accepted:
January 29,
2023
Received:
August 23,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Research reported in this work was funded through a Patient-Centered Outcomes Research Institute (PCORI) Award (CER-1503-29209).
Identification
Copyright
© 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
