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A systematic review of body contouring surgery in post‐bariatric patients to determine its prevalence, effects on quality of life, desire, and barriers
Author(s) -
Jiang Zhiyuan,
Zhang Guixiang,
Huang Jinming,
Shen Chaoyong,
Cai Zhaolun,
Yin Xiaonan,
Yin Yuan,
Zhang Bo
Publication year - 2021
Publication title -
obesity reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.845
H-Index - 162
eISSN - 1467-789X
pISSN - 1467-7881
DOI - 10.1111/obr.13201
Subject(s) - medicine , psychosocial , quality of life (healthcare) , weight loss , reimbursement , medline , body contouring , randomized controlled trial , physical therapy , surgery , obesity , health care , psychiatry , nursing , law , economics , economic growth , political science
Summary Many post‐bariatric patients have impaired health‐related quality of life (HRQoL) due to excess skin following weight loss; however, it is inconclusive whether body contouring surgery (BCS) improves this impairment. We aimed to comprehensively summarize existing evidence of the effect of BCS on the HRQoL (primary outcome) and determine the prevalence of, the desire for, and barriers to BCS (secondary outcomes). Randomized controlled trials, cohort, cross‐sectional, case–control, and longitudinal studies were systematically searched in PubMed, Embase, the Cochrane Central, and Web of Science. After screening 1923 potential records, 24 studies (representing 6867 participants) were deemed eligible. Only 18.5% of respondents from cross‐sectional studies underwent BCS, with abdominal BCS as the most common procedure. Most participants desired BCS but listed “cost” and “lacking reimbursement” as the main barriers. Results suggest that most post‐bariatric patients who underwent BCS experienced improvements in their HRQoL, which could be seen in almost every dimension evaluated, including body image and physical and psychosocial functions. Therefore, both bariatric and plastic surgeons should regard BCS not only as an aesthetic supplement but also as a vital part of functional recovery in the surgery‐mediated weight loss journey and, thus, provide it to more post‐bariatric patients.