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Recommendations on the most suitable quality-of-life measurement instruments for bariatric and body contouring surgery: a systematic review

Research output: Contribution to journalReview article

Original languageEnglish
Pages (from-to)1395-1411
Number of pages17
JournalObesity Reviews
Issue number10
Early online date8 Jun 2018
DateAccepted/In press - 26 Apr 2018
DateE-pub ahead of print - 8 Jun 2018
DatePublished (current) - Oct 2018


Objective: The objective of this study is to systematically assess the quality of existing patient-reported outcome measures developed and/or validated for Quality of Life measurement in bariatric surgery (BS) and body contouring surgery (BCS). Methods: We conducted a systematic literature search in PubMed, EMBASE, PsycINFO, CINAHL, Cochrane Database Systematic Reviews and CENTRAL identifying studies on measurement properties of BS and BCS Quality of Life instruments. For all eligible studies, we evaluated the methodological quality of the studies by using the COnsensus-based Standards for the selection of health Measurement INstruments checklist and the quality of the measurement instruments by applying quality criteria. Four degrees of recommendation were assigned to validated instruments (A–D). Results: Out of 4,354 articles, a total of 26 articles describing 24 instruments were included. No instrument met all requirements (category A). Seven instruments have the potential to be recommended depending on further validation studies (category B). Of these seven, the BODY-Q has the strongest evidence for content validity in BS and BCS. Two instruments had poor quality in at least one required quality criterion (category C). Fifteen instruments were minimally validated (category D). Conclusion: The BODY-Q, developed for BS and BCS, possessed the strongest evidence for quality of measurement properties and has the potential to be recommended in future clinical trials.

    Structured keywords

  • Centre for Surgical Research

    Research areas

  • Bariatric surgery, body contouring surgery, PRO measurement, quality of Life

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    Licence: CC BY-NC-ND


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