Patient-reported outcomes in bariatric surgery: a systematic review of standards of reporting

Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient‐reported outcomes (PROs). For PRO data to influence practice, well‐designed and reported studies are required. A systematic review identified prospective bariatric surgery st...

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Published inObesity reviews Vol. 14; no. 9; pp. 707 - 720
Main Authors Coulman, K. D., Abdelrahman, T., Owen-Smith, A., Andrews, R. C., Welbourn, R., Blazeby, J. M.
Format Journal Article
LanguageEnglish
Published England Blackwell Publishing Ltd 01.09.2013
Wiley Subscription Services, Inc
Subjects
Bariatric surgery
Bariatric Surgery - statistics & numerical data
health-related quality of life
Humans
Obesity, Morbid - surgery
Outcome Assessment (Health Care) - statistics & numerical data
patient-reported outcomes
Prospective Studies
Randomized Controlled Trials as Topic
reporting
Self Report - standards
Treatment Outcome
patient-reported outcomes
health-related quality of life
reporting
Bariatric surgery
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Abstract Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient‐reported outcomes (PROs). For PRO data to influence practice, well‐designed and reported studies are required. A systematic review identified prospective bariatric surgery studies that used validated PRO measures. Risk of bias in randomized controlled trials (RCTs) was assessed, and papers were examined for reporting of (i) who completed PRO measures; (ii) missing PRO data and (iii) clinical interpretation of PRO data. Studies meeting all criteria were classified as robust. Eighty‐six studies were identified. Of the eight RCTs, risk of bias was high in one and unclear in seven. Sixty‐eight different PRO measures were identified, with the Short Form (SF)‐36 questionnaire most commonly used. Forty‐one (48%) studies explicitly stated measures were completed by patients, 63 (73%) documented missing PRO data and 50 (58%) interpreted PRO data clinically. Twenty‐six (30%) met all criteria. Although many bariatric surgery studies assess PROs, study design and reporting is often poor, limiting data interpretation and synthesis. Well‐designed studies that include agreed PRO measures are needed with reporting to include integration with clinical outcomes to inform practice.
AbstractList Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient‐reported outcomes ( PRO s). For PRO data to influence practice, well‐designed and reported studies are required. A systematic review identified prospective bariatric surgery studies that used validated PRO measures. Risk of bias in randomized controlled trials ( RCT s) was assessed, and papers were examined for reporting of (i) who completed PRO measures; (ii) missing PRO data and (iii) clinical interpretation of PRO data. Studies meeting all criteria were classified as robust. Eighty‐six studies were identified. Of the eight RCT s, risk of bias was high in one and unclear in seven. Sixty‐eight different PRO measures were identified, with the S hort F orm ( SF )‐36 questionnaire most commonly used. Forty‐one (48%) studies explicitly stated measures were completed by patients, 63 (73%) documented missing PRO data and 50 (58%) interpreted PRO data clinically. Twenty‐six (30%) met all criteria. Although many bariatric surgery studies assess PRO s, study design and reporting is often poor, limiting data interpretation and synthesis. Well‐designed studies that include agreed PRO measures are needed with reporting to include integration with clinical outcomes to inform practice.
Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient-reported outcomes (PROs). For PRO data to influence practice, well-designed and reported studies are required. A systematic review identified prospective bariatric surgery studies that used validated PRO measures. Risk of bias in randomized controlled trials (RCTs) was assessed, and papers were examined for reporting of (i) who completed PRO measures; (ii) missing PRO data and (iii) clinical interpretation of PRO data. Studies meeting all criteria were classified as robust. Eighty-six studies were identified. Of the eight RCTs, risk of bias was high in one and unclear in seven. Sixty-eight different PRO measures were identified, with the Short Form (SF)-36 questionnaire most commonly used. Forty-one (48%) studies explicitly stated measures were completed by patients, 63 (73%) documented missing PRO data and 50 (58%) interpreted PRO data clinically. Twenty-six (30%) met all criteria. Although many bariatric surgery studies assess PROs, study design and reporting is often poor, limiting data interpretation and synthesis. Well-designed studies that include agreed PRO measures are needed with reporting to include integration with clinical outcomes to inform practice. [PUBLICATION ABSTRACT]
Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient-reported outcomes (PROs). For PRO data to influence practice, well-designed and reported studies are required. A systematic review identified prospective bariatric surgery studies that used validated PRO measures. Risk of bias in randomized controlled trials (RCTs) was assessed, and papers were examined for reporting of (i) who completed PRO measures; (ii) missing PRO data and (iii) clinical interpretation of PRO data. Studies meeting all criteria were classified as robust. Eighty-six studies were identified. Of the eight RCTs, risk of bias was high in one and unclear in seven. Sixty-eight different PRO measures were identified, with the Short Form (SF)-36 questionnaire most commonly used. Forty-one (48%) studies explicitly stated measures were completed by patients, 63 (73%) documented missing PRO data and 50 (58%) interpreted PRO data clinically. Twenty-six (30%) met all criteria. Although many bariatric surgery studies assess PROs, study design and reporting is often poor, limiting data interpretation and synthesis. Well-designed studies that include agreed PRO measures are needed with reporting to include integration with clinical outcomes to inform practice.
Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient‐reported outcomes (PROs). For PRO data to influence practice, well‐designed and reported studies are required. A systematic review identified prospective bariatric surgery studies that used validated PRO measures. Risk of bias in randomized controlled trials (RCTs) was assessed, and papers were examined for reporting of (i) who completed PRO measures; (ii) missing PRO data and (iii) clinical interpretation of PRO data. Studies meeting all criteria were classified as robust. Eighty‐six studies were identified. Of the eight RCTs, risk of bias was high in one and unclear in seven. Sixty‐eight different PRO measures were identified, with the Short Form (SF)‐36 questionnaire most commonly used. Forty‐one (48%) studies explicitly stated measures were completed by patients, 63 (73%) documented missing PRO data and 50 (58%) interpreted PRO data clinically. Twenty‐six (30%) met all criteria. Although many bariatric surgery studies assess PROs, study design and reporting is often poor, limiting data interpretation and synthesis. Well‐designed studies that include agreed PRO measures are needed with reporting to include integration with clinical outcomes to inform practice.
Author Abdelrahman, T.
Welbourn, R.
Blazeby, J. M.
Andrews, R. C.
Coulman, K. D.
Owen-Smith, A.
Author_xml – sequence: 1
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  surname: Coulman
  fullname: Coulman, K. D.
  email: Address for correspondence: KD Coulman, School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol BS8 2PS, UK., karen.coulman@bristol.ac.uk
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  organization: Centre for Surgical Research, School of Social and Community Medicine, University of Bristol, Bristol, UK
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  surname: Blazeby
  fullname: Blazeby, J. M.
  organization: Centre for Surgical Research, School of Social and Community Medicine, University of Bristol, Bristol, UK
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Keywords patient-reported outcomes
health-related quality of life
reporting
Bariatric surgery
Language English
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Notes Table S1. Patient-reported outcome reporting in 86 bariatric surgery studies*.
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PublicationYear 2013
Publisher Blackwell Publishing Ltd
Wiley Subscription Services, Inc
Publisher_xml – name: Blackwell Publishing Ltd
– name: Wiley Subscription Services, Inc
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Snippet Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient‐reported outcomes (PROs). For PRO...
Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient-reported outcomes (PROs). For PRO data to...
Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient‐reported outcomes ( PRO s). For...
Summary Bariatric surgery is increasingly being used to treat severe obesity, but little is known about its impact on patient-reported outcomes (PROs). For PRO...
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SubjectTerms Bariatric surgery
Bariatric Surgery - statistics & numerical data
health-related quality of life
Humans
Obesity, Morbid - surgery
Outcome Assessment (Health Care) - statistics & numerical data
patient-reported outcomes
Prospective Studies
Randomized Controlled Trials as Topic
reporting
Self Report - standards
Treatment Outcome
Title Patient-reported outcomes in bariatric surgery: a systematic review of standards of reporting
URI https://api.istex.fr/ark:/67375/WNG-VDHG38BH-G/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fobr.12041
https://www.ncbi.nlm.nih.gov/pubmed/23639053
https://www.proquest.com/docview/1427856932
https://search.proquest.com/docview/1434026898
https://search.proquest.com/docview/1664212256
Volume 14
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