Patient experiences of outcomes of bariatric surgery: a systematic review and qualitative synthesis.

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obesity 608 5/2017AbstractSummaryAlthough bariatric surgery is the most effective treatment for severe and complex obesity , less is known about its psychosocial impact. This systematic review synthesizes qualitative studies
obesity 2463 mass index [BMI] of ≥30). This represents a doubling of figures since 1980 1. The health risks of obesity have been well documented, including an increased risk of type 2 diabetes, cardiovascular disease, certain
obesity 2763 premature death 2, 3, 4, 5, 6, 7, 8, 9, 10. Systematic reviews of quantitative evidence have shown that obesity (bariatric) surgery is the most effective treatment for severe and complex obesity, defined as a BMI
obesity 2846 have shown that obesity (bariatric) surgery is the most effective treatment for severe and complex obesity , defined as a BMI ≥40, or between 35 and 40 with another significant disease that could be improved
obesity 3056 by weight loss, such as diabetes 11, 12, 13, leading to greater weight loss and improvement in some obesity ‐related comorbidities (such as diabetes) in the short‐term (up to 2 years post‐surgery), compared
obesity 19249 quoted to illustrate particular aspects.Figure 3Thematic network describing the lived experience of obesity surgery.ControlParticipants underwent bariatric surgery in the hopes of achieving better control of
obesity 33688 USA]22(p.75)DiscussionBariatric surgery is the most clinically effective treatment for severe and complex obesity , in terms of both weight loss and the improvement of weight‐related comorbidities. However, it leads
obesity 39219 participants in the included studies, even several years after bariatric surgery, reinforces the view that obesity is a chronic disease that can be treated but never totally ‘cured’ 81. Therefore, patients require
obesity 39376 never totally ‘cured’ 81. Therefore, patients require access to life‐long support to manage their obesity and maximize the benefit of their treatments. In particular, it is important for bariatric surgery services
obesity 41205 lead to better outcomes of bariatric surgery, which would mean cost savings to health care in managing obesity ‐related health problems.Strengths and limitations of this synthesisThis qualitative synthesis is,
obesity 43305 habits, which were much more difficult than anticipated. Surgery was not the end of their journey with obesity but rather the beginning of a new and sometimes challenging path. These findings contribute to the knowledge
obesity 43461 challenging path. These findings contribute to the knowledge base about the long‐term outcomes of obesity surgery and demonstrate the importance of ongoing support to help people negotiate these challenges

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