Health-related quality of life in bariatric and metabolic surgery

Karen D Coulman*, Jane M Blazeby

*Corresponding author for this work

Research output: Contribution to journalReview article (Academic Journal)peer-review

11 Citations (Scopus)
54 Downloads (Pure)


Purpose of Review
This review describes the latest evidence for the impact of bariatric surgery on Health-Related Quality of Life (HRQL).

Recent findings
The impact of bariatric surgery on HRQL is less well-understood than its clinical effectiveness on weight and co-morbidities. Poor quality study design and different HRQL measures challenge systematic reviews and meta-analyses. Available limited evidence suggests that physical aspects of HRQL may improve more than mental health aspects of HRQL after bariatric surgery, reaching maximal benefits 1-2 years post-surgery. Comparative HRQL analyses between bariatric procedures cannot be made due to a lack of randomised data. Qualitative research highlights the tensions patients experience after bariatric surgery, which provides insights to observed changes in HRQL.

Standardised HRQL measures are being developed and agreed to improve future evidence synthesis. Two multi-centre randomised trials of bariatric surgical procedures including detailed HRQL assessment are in progress. It is hoped that the combination of comparative high quality HRQL data and information from qualitative studies will provide new insights into patient well-being and health after bariatric surgery.
Original languageEnglish
Number of pages8
JournalCurrent Obesity Reports
Early online date18 Jun 2020
Publication statusE-pub ahead of print - 18 Jun 2020


  • Bariatric surgery
  • Obesity
  • Health-related quality of life
  • Psychosocial outcomes


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