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Physical and Mental Health–Related Quality of Life Changes Among Insurer Subgroups Following Bariatric Surgery
Author(s) -
Takemoto Erin,
Wolfe Bruce M.,
Nagel Corey L.,
BooneHein Janne
Publication year - 2020
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.22718
Subject(s) - medicine , medicaid , quality of life (healthcare) , adjustable gastric band , mental health , sleeve gastrectomy , observational study , physical therapy , cohort , gastric bypass , surgery , obesity , weight loss , health care , psychiatry , nursing , economics , economic growth
Objective This study sought to determine improvements in mental and physical health–related quality of life (HRQOL) following bariatric surgery in Medicaid and commercially insured patients. Methods Using data from the Longitudinal Assessment of Bariatric Surgery, an observational cohort study of adults undergoing bariatric surgery (2006‐2009), changes in Short Form 36 mental component summary (MCS) and physical component summary (PCS) scores were examined in 1,529 patients who underwent Roux‐en‐Y gastric bypass, laparoscopic adjustable band, or sleeve gastrectomy and were followed for 5 years. Piecewise linear mixed‐effects models estimated MCS and PCS scores as a function of insurance group (Medicaid, N = 177; commercial, N = 1,352) from 0 to 1 year and from 1 to 5 years after surgery, with interactions between insurance group and surgery type. Results Patients with Medicaid had lower PCS and MCS scores at baseline. At 1 year after surgery, patients with Medicaid and commercial insurance experienced similar improvement in PCS scores (commercial‐Medicaid difference in PCS change [95% CI]: Roux‐en‐Y gastric bypass, 1.5 [−0.2, 3.3]; laparoscopic adjustable band, 1.9 [−2.2, 6.0]; sleeve gastrectomy, 6.4 [0.0, 12.8]). One‐year MCS score improvement was minimal and similar between insurance groups. In years 1 to 5, PCS and MCS scores were stable in all groups. Conclusions Both insurance groups experienced improvements in physical HRQOL and minimal changes in mental HRQOL.