Health Related Quality of Life in Patients Undergoing Body Contouring Plastic Surgery Following Massive Weight Loss - A Systematic Review and Meta-Analysis
Itay Wiser, MD, PHD1, Neta Israeli, MD1, Ella Ziv, MOcH1, Leonid Kogan, MD2, Tali Friedman, MD, MHA1, Lior Heller, MD1.
1Tel Aviv University, Tel Aviv, Israel, 2Tel Aviv University, Petah Tikva, Israel.
Purpose: Evidence exists regarding functional and aesthetic benefits of Body contouring plastic surgery (BCPS) following massive weight loss. Study objective was to perform a systematic review and meta-analysis to assess health related quality of life (HRQoL) following BCPS in massive weight loss population.
Methods: A literature search was performed using the databases OVID-Medline, Institute of Scientific Information Web of Science and EMBASE. The meta-analysis was conducted using the random effects model. Publication bias was explored using funnel plot and the Egger regression intercept.
Results: A total of 814 studies were identified. Thirty studies addressed HRQoL and BCPS, of which 10 were included in the meta-analysis. Pooled improvement in overall HRQoL was 0.63 (CI95% 0.42 - 0.84, p<0.0001). HRQoL domains who presented the highest improvement were body image (1.02, CI95% 0.75-1.3; p<0.001) and social (0.67, CI95% 0.4 - 0.94; p<0.001). Modest improvement was found in pain and work HRQoL domains (0.37, CI95% -0.02 - 0.76; p=0.06 and 0.38, CI95% 0.08 - 0.68; p=0.02). No publication bias was found.
Conclusions: Specific and overall improvement of HRQoL following BCPS was found. Most of the studies were lacking consistent methodology, had insufficient sample size and used non-specific or unvalidated questionnaires. Adopting an accepted, specific and validated assessment tool for HRQoL in BCPS would improve our ability to assess BCPS outcome.
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