Physical and Mental Health–Related Quality of Life Changes Among Insurer Subgroups Following Bariatric Surgery

Erin Takemoto, Bruce M. Wolfe, Corey L. Nagel, Janne Boone-Heinonen

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Objective: This study sought to determine improvements in mental and physical health–related quality of life (HRQOL) following bariatric surgery in Medicaid and commercially insured patients. Methods: Using data from the Longitudinal Assessment of Bariatric Surgery, an observational cohort study of adults undergoing bariatric surgery (2006-2009), changes in Short Form 36 mental component summary (MCS) and physical component summary (PCS) scores were examined in 1,529 patients who underwent Roux-en-Y gastric bypass, laparoscopic adjustable band, or sleeve gastrectomy and were followed for 5 years. Piecewise linear mixed-effects models estimated MCS and PCS scores as a function of insurance group (Medicaid, N = 177; commercial, N = 1,352) from 0 to 1 year and from 1 to 5 years after surgery, with interactions between insurance group and surgery type. Results: Patients with Medicaid had lower PCS and MCS scores at baseline. At 1 year after surgery, patients with Medicaid and commercial insurance experienced similar improvement in PCS scores (commercial-Medicaid difference in PCS change [95% CI]: Roux-en-Y gastric bypass, 1.5 [−0.2, 3.3]; laparoscopic adjustable band, 1.9 [−2.2, 6.0]; sleeve gastrectomy, 6.4 [0.0, 12.8]). One-year MCS score improvement was minimal and similar between insurance groups. In years 1 to 5, PCS and MCS scores were stable in all groups. Conclusions: Both insurance groups experienced improvements in physical HRQOL and minimal changes in mental HRQOL.

Original languageEnglish (US)
Pages (from-to)669-675
Number of pages7
JournalObesity
Volume28
Issue number3
DOIs
StatePublished - Mar 1 2020

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

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