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Core Set of Patient-Reported Outcome Measures for Measuring Quality of Life in Clinical Obesity Care

  • Phillip J. Dijkhorst
  • , Valerie M. Monpellier
  • , Caroline B. Terwee
  • , Ronald S.L. Liem
  • , Bart A. van Wagensveld
  • , Ignace M.C. Janssen
  • , Johan Ottosson
  • , Bruno Halpern
  • , Stuart W. Flint
  • , Elisabeth F.C. van Rossum
  • , Alend Saadi
  • , Lisa West-Smith
  • , Mary O’Kane
  • , Jason C.G. Halford
  • , Karen D. Coulman
  • , Salman Al-Sabah
  • , John B. Dixon
  • , Wendy A. Brown
  • , Ximena Ramos Salas
  • , Sally Abbott
  • Alyssa J. Budin, Jennifer F. Holland, Lotte Poulsen, Richard Welbourn, Natasja Wijling, Laura Divine, Nadya Isack, Susie Birney, J. M.Bernadette Keenan, Theodore K. Kyle, Melanie Bahlke, Andrew Healing, Ian Patton, Claire E.E. de Vries
    • OLVG
    • Nederlandse Obesitas Kliniek
    • Amsterdam UMC
    • Groene Hart Ziekenhuis
    • NMC Royal Hospital
    • Örebro University
    • Hospital Nove de Julho
    • Brazilian Association for the Study of Obesity
    • University of Leeds
    • Erasmus University Medical Center
    • Neuchâtel Hospital
    • University of Lausanne
    • University of Cincinnati College of Medicine
    • Leeds Teaching Hospitals NHS Trust
    • University of Bristol
    • Kuwait University
    • Swinburne University of Technology
    • Monash University
    • Obesity Canada
    • European Association for the Study of Obesity
    • University Hospitals Coventry and Warwickshire NHS Trust
    • University of Southern Denmark
    • Lontoft, Nyhoj and Poulsen Plastic Surgery
    • Musgrove Park Hospital
    • Dutch Association for Overweight and Obesity
    • People Living With Obesity Representative
    • Obesity Empowerment Network
    • European Coalition for People Living With Obesity
    • Irish Coalition for People Living with Obesity
    • Obesity Action Coalition
    • Adipositascirurgie Selbsthilfe Deutschland E.V.
    • VU University Amsterdam

    Research output: Contribution to journal › Article › peer-review

    117 Downloads (Pure)

    Abstract

    Purpose: The focus of measuring success in obesity treatment is shifting from weight loss to patients’ health and quality of life. The objective of this study was to select a core set of patient-reported outcomes and patient-reported outcome measures to be used in clinical obesity care. Materials and Methods: The Standardizing Quality of Life in Obesity Treatment III, face-to-face hybrid consensus meeting, including people living with obesity as well as healthcare providers, was held in Maastricht, the Netherlands, in 2022. It was preceded by two prior multinational consensus meetings and a systematic review. Results: The meeting was attended by 27 participants, representing twelve countries from five continents. The participants included healthcare providers, such as surgeons, endocrinologists, dietitians, psychologists, researchers, and people living with obesity, most of whom were involved in patient representative networks. Three patient-reported outcome measures (patient-reported outcomes) were selected: the Impact of Weight on Quality of Life-Lite (self-esteem) measure, the BODY-Q (physical function, physical symptoms, psychological function, social function, eating behavior, and body image), and the Quality of Life for Obesity Surgery questionnaire (excess skin). No patient-reported outcome measure was selected for stigma. Conclusion: A core set of patient-reported outcomes and patient-reported outcome measures for measuring quality of life in clinical obesity care is established incorporating patients’ and experts’ opinions. This set should be used as a minimum for measuring quality of life in routine clinical practice. It is essential that individual patient-reported outcome measure scores are shared with people living with obesity in order to enhance patient engagement and shared decision-making. Graphical Abstract: (Figure presented.)

    Original languageEnglish
    Pages (from-to)2980-2990
    Number of pages11
    JournalObesity Surgery
    Volume34
    Issue number8
    Early online date15 Jul 2024
    DOIs
    Publication statusPublished - 1 Aug 2024

    Bibliographical note

    © The Author(s) 2024.
    This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/need to obtain permission directly from the copyright holder. To view a
    copy of this licence, visit http://creativecommons.org/licenses/by/4.0/

    Funder

    Claire E. E. de Vries and Valerie M. Monpellier founded the S.Q.O.T. initiative. The initiative was cofounded by Bart A. van Wagensveld, Ignace M. C. Janssen, and Ronald S. L. Liem. Phillip J Dijkhorst joined the board of the S.Q.O.T. initiative in 2021. Claire E. E. de Vries, Ronald S. L. Liem, and Lotte Poulsen were involved in developing the eating scales in the BODY-Q. Claire E.E. de Vries and Ronald S. L. Liem are members of the organizing committee and were not permitted to participate in, nor influence, discussions during the S.Q.O.T. consensus meetings or the voting rounds. Lotte Poulsen was not permitted to participate in the voting rounds if the BODY-Q was available for a specific patient-reported outcome domain. None of the aforementioned persons received financial compensation for developing the BODY-Q or for any other BODY-Q-related activity. Ignace M. C. Janssen was a consultant at Johnson & Johnson and the Dutch Obesity Clinic. Johan Ottosson previously sat on the advisory board of Novo Nordisk. The University of Leeds received payments for Professor Halford\u2019s work on ACTION-Teens. Over the last 3 years, Stuart W. Flint reported research grants from the National Institute for Health Research, the Office of Health Improvement & Disparities, Public Health England, Doncaster Council, West Yorkshire Combined Authority, Johnson & Johnson, Novo Nordisk, and the University of Leeds. He reported receiving personal fees from the Royal College of General Practitioners and institutional fees from Public Health England, and he received funding to attend meetings at the parliament of the UK, Novo Nordisk, Johnson & Johnson, and Safefood. Stuart W. Flint also reported unpaid roles with Obesity UK. Bruno Halpern sat on the advisory boards of Novo Nordisk, Lilly, and Astra Zeneca. Additionally, he received lecture fees from Novo Nordisk, Astra Zeneca, Merck, and Abbott Nutrition. Furthermore, BH conducted clinical trials in collaboration with Novo Nordisk, Lilly, and Boehringer Ingelheim. John B. Dixon was a consultant at and sat on the advisory boards of Nestle Health Science and Reshape Lifesciences. He also sat on the advisory boards and also received speaker fees from Novo Nordisk and Lilly.

    Funding

    Claire E. E. de Vries and Valerie M. Monpellier founded the S.Q.O.T. initiative. The initiative was cofounded by Bart A. van Wagensveld, Ignace M. C. Janssen, and Ronald S. L. Liem. Phillip J Dijkhorst joined the board of the S.Q.O.T. initiative in 2021. Claire E. E. de Vries, Ronald S. L. Liem, and Lotte Poulsen were involved in developing the eating scales in the BODY-Q. Claire E.E. de Vries and Ronald S. L. Liem are members of the organizing committee and were not permitted to participate in, nor influence, discussions during the S.Q.O.T. consensus meetings or the voting rounds. Lotte Poulsen was not permitted to participate in the voting rounds if the BODY-Q was available for a specific patient-reported outcome domain. None of the aforementioned persons received financial compensation for developing the BODY-Q or for any other BODY-Q-related activity. Ignace M. C. Janssen was a consultant at Johnson & Johnson and the Dutch Obesity Clinic. Johan Ottosson previously sat on the advisory board of Novo Nordisk. The University of Leeds received payments for Professor Halford\u2019s work on ACTION-Teens. Over the last 3 years, Stuart W. Flint reported research grants from the National Institute for Health Research, the Office of Health Improvement & Disparities, Public Health England, Doncaster Council, West Yorkshire Combined Authority, Johnson & Johnson, Novo Nordisk, and the University of Leeds. He reported receiving personal fees from the Royal College of General Practitioners and institutional fees from Public Health England, and he received funding to attend meetings at the parliament of the UK, Novo Nordisk, Johnson & Johnson, and Safefood. Stuart W. Flint also reported unpaid roles with Obesity UK. Bruno Halpern sat on the advisory boards of Novo Nordisk, Lilly, and Astra Zeneca. Additionally, he received lecture fees from Novo Nordisk, Astra Zeneca, Merck, and Abbott Nutrition. Furthermore, BH conducted clinical trials in collaboration with Novo Nordisk, Lilly, and Boehringer Ingelheim. John B. Dixon was a consultant at and sat on the advisory boards of Nestle Health Science and Reshape Lifesciences. He also sat on the advisory boards and also received speaker fees from Novo Nordisk and Lilly.

    Funders
    Johnson & Johnson
    Office of Health Improvement & Disparities
    Novo Nordisk
    Doncaster Council
    West Yorkshire Combined Authority
    National Institute for Health and Care Research
    University of Leeds
    Public Health England

      UN SDGs

      This output contributes to the following UN Sustainable Development Goals (SDGs)

      1. SDG 3 - Good Health and Well-being
        SDG 3 Good Health and Well-being

      Keywords

      • Bariatric surgery
      • Clinical practice
      • Obesity treatment
      • Outcome reporting
      • Patient-reported outcome measures
      • Patient-reported outcomes
      • Quality of life

      ASJC Scopus subject areas

      • Surgery
      • Endocrinology, Diabetes and Metabolism
      • Nutrition and Dietetics

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