PMID- 36609744 OWN - NLM STAT- MEDLINE DCOM- 20230308 LR - 20230423 IS - 1708-0428 (Electronic) IS - 0960-8923 (Linking) VI - 33 IP - 3 DP - 2023 Mar TI - Impact on Mid-Term Health-Related Quality of Life after Duodenal Switch: a Systematic Review and Meta-Analysis. PG - 769-779 LID - 10.1007/s11695-022-06449-3 [doi] AB - PURPOSE: Metabolic and bariatric surgery (MBS) could improve health-related quality of life (HrQoL) for selected patients with obesity. Although biliopancreatic diversion with duodenal switch (BPD-DS) is regarded as the most effective MBS technique in achieving weight loss, no consensus has been reached on the impact of BPD-DS on HrQoL. The aim of this meta-analysis is to assess the mid-term HrQoL after BPD-DS in the management of patients with obesity. MATERIALS AND METHODS: Cochrane, Embase, APA PsycInfo, PubMed, Scopus, and Web of Science were searched for articles from their inception to August 2022 by two independent reviewers using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) system. The review was registered prospectively with PROSPERO (CRD42022352073). RESULTS: From 223 studies screened, twelve studies met the eligibility criteria, with a total of 937 patients with obesity undergoing BPD-DS. Minimal clinically important differences (MCID) were reached for the physical component summary score (PCS) of the 36-Item Short-Form Health Survey (SF-36) (MD = 13.4) and impact of weight on quality of life (IWQOL)-Lite total score (MD = 48.7). Similarly, MCIDs were attained in the Laval questionnaire and SF-36 subscales. CONCLUSION: Our meta-analysis demonstrated an improvement in mid-term HrQoL after BPD-DS. Despite the promising trends demonstrated in this meta-analysis, further studies with large sample sizes are needed to evaluate the impact of HrQoL on patients with obesity after BPD-DS. CI - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Nakanishi, Hayato AU - Nakanishi H AD - St. George's University of London, London, SW17 0RE, UK. AD - University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus. FAU - Teixeira, Andre F AU - Teixeira AF AD - Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando, FL, 32806, USA. FAU - Matar, Reem H AU - Matar RH AD - St. George's University of London, London, SW17 0RE, UK. AD - University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus. AD - Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA. FAU - Hage, Karl AU - Hage K AD - Department of Surgery, Mayo Clinic, Rochester, MN, 55905, USA. FAU - Acosta, Andres J AU - Acosta AJ AD - Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA. FAU - Abu Dayyeh, Barham K AU - Abu Dayyeh BK AD - Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, 55905, USA. FAU - Pullatt, Rana AU - Pullatt R AD - Department of Surgery, Medical University of South Carolina, Charleston, SC, 29425, USA. FAU - Clapp, Benjamin AU - Clapp B AD - Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX, 79902, USA. FAU - Ghanem, Omar M AU - Ghanem OM AUID- ORCID: 0000-0003-2459-2621 AD - Department of Surgery, Mayo Clinic, Rochester, MN, 55905, USA. Ghanem.Omar@Mayo.Edu. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20230107 PL - United States TA - Obes Surg JT - Obesity surgery JID - 9106714 SB - IM MH - Humans MH - *Obesity, Morbid/surgery MH - Quality of Life MH - Obesity/surgery MH - *Biliopancreatic Diversion/methods MH - *Bariatric Surgery/methods MH - Duodenum/surgery OTO - NOTNLM OT - Bariatric surgery OT - DS OT - Duodenal switch OT - Meta-analysis OT - Quality of life EDAT- 2023/01/08 06:00 MHDA- 2023/03/09 06:00 CRDT- 2023/01/07 16:49 PHST- 2022/11/02 00:00 [received] PHST- 2022/12/30 00:00 [accepted] PHST- 2022/12/28 00:00 [revised] PHST- 2023/01/08 06:00 [pubmed] PHST- 2023/03/09 06:00 [medline] PHST- 2023/01/07 16:49 [entrez] AID - 10.1007/s11695-022-06449-3 [pii] AID - 10.1007/s11695-022-06449-3 [doi] PST - ppublish SO - Obes Surg. 2023 Mar;33(3):769-779. doi: 10.1007/s11695-022-06449-3. Epub 2023 Jan 7.