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

Phillip J Dijkhorst¹, Valerie M Monpellier², Caroline B Terwee^{3

4}, Ronald S L Liem^{5

6}, Bart A van Wagensveld⁷, Ignace M C Janssen⁸, Johan Ottosson⁹, Bruno Halpern^{10

11}, Stuart W Flint^{12

13}, Elisabeth F C van Rossum^{14

15}, Alend Saadi^{16

17}, Lisa West-Smith¹⁸, Mary O'Kane¹⁹, Jason C G Halford¹², Karen D Coulman²⁰, Salman Al-Sabah²¹, John B Dixon²², Wendy A Brown²³, Ximena Ramos Salas^{24

25}, Sally Abbott^{26

27}, Alyssa J Budin^{23

28}, Jennifer F Holland²³, Lotte Poulsen^{29

30}, Richard Welbourn³¹, Natasja Wijling³², Laura Divine³³, Nadya Isack³⁴, Susie Birney³⁵, J M Bernadette Keenan³⁶, Theodore K Kyle³⁷, Melanie Bahlke³⁸, Andrew Healing³⁵, Ian Patton³⁹, Claire E E de Vries⁴⁰

Affiliations

¹ Department of Surgery, OLVG Hospital & Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands. phillip.dijkhorst@gmail.com.
² Department of Science, Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], Huis Ter Heide, the Netherlands.
³ Department of Epidemiology and Data Science, Amsterdam University Medical Center, Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
⁴ Amsterdam Public Health Research Institute, Methodology, Amsterdam, the Netherlands.
⁵ Department of Surgery, Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], The Hague, Gouda, the Netherlands.
⁶ Department of Surgery, Groene Hart Ziekenhuis, Gouda, the Netherlands.
⁷ Department of Surgery, NMC Royal Hospital, Abu Dhabi, United Arab Emirates.
⁸ Department of Surgery, Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], Huis Ter Heide, the Netherlands.
⁹ Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
¹⁰ Obesity Center, 9 de Julho Hospital, São Paulo, Brazil.
¹¹ Brazilian Association for the Study of Obesity (ABESO), São Paulo, Brazil.
¹² School of Psychology, University of Leeds, Leeds, UK.
¹³ Scales Insights, Nexus, University of Leeds, Leeds, UK.
¹⁴ Obesity Center CGG [Healthy Weight Centre], Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
¹⁵ Department of Internal Medicine, Division of Endocrinology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
¹⁶ Department of Surgery, Neuchâtel Hospital, Neuchâtel, Switzerland.
¹⁷ Biology and Medicine Faculty, Lausanne University, Lausanne, Switzerland.
¹⁸ Department of Surgery, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
¹⁹ Department of Nutrition and Dietetics, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
²⁰ National Institute for Health Research Bristol Biomedical Research Centre, and Bristol Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
²¹ Department of Surgery, Kuwait University, Kuwait City, Kuwait.
²² Iverson Health Innovation Research Institute, Swinburne University of Technology, Melbourne, Australia.
²³ Department of Surgery, Central Clinical School, Monash University, Melbourne, Australia.
²⁴ Obesity Canada, Edmonton, AB, Canada.
²⁵ European Association for the Study of Obesity, Teddington, UK.
²⁶ Specialist Weight Management Service, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
²⁷ Research Centre for Intelligent Healthcare, Coventry University, Coventry, UK.
²⁸ Bariatric Surgery Registry, Central Clinical School, Monash University, Melbourne, Australia.
²⁹ Research Unit for Plastic Surgery, University of Southern Denmark and Odense University Hospital, Odense, Denmark.
³⁰ Lontoft, Nyhoj and Poulsen Plastic Surgery, Odense, Denmark.
³¹ Department of Upper Gastrointestinal and Bariatric Surgery, Musgrove Park Hospital, Taunton, UK.
³² Dutch Association for Overweight and Obesity (NVOO), Utrecht, the Netherlands.
³³ People Living With Obesity Representative, Kuwait, Kuwait.
³⁴ Patient Advocate, Trustee of the Obesity Empowerment Network, London, UK.
³⁵ European Coalition for People Living With Obesity (ECPO), Dublin, Ireland.
³⁶ Irish Coalition for People Living With Obesity (ICPO), Dublin, Ireland.
³⁷ ConscienHealth, Obesity Action Coalition, Tampa, FL, USA.
³⁸ Adipositascirurgie Selbsthilfe Deutschland E.V. (Obesity Surgery Self-Help Organization), Mannheim, Germany.
³⁹ Obesity Canada, Edmonton, Canada.
⁴⁰ Department of Surgery, OLVG Hospital, Amsterdam, the Netherlands.

PMID: 39008218
PMCID: PMC11289183
DOI: 10.1007/s11695-024-07381-4

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

Phillip J Dijkhorst et al. Obes Surg. 2024 Aug.

. 2024 Aug;34(8):2980-2990.

doi: 10.1007/s11695-024-07381-4. Epub 2024 Jul 15.

Authors

Affiliations

¹ Department of Surgery, OLVG Hospital & Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands. phillip.dijkhorst@gmail.com.
² Department of Science, Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], Huis Ter Heide, the Netherlands.
³ Department of Epidemiology and Data Science, Amsterdam University Medical Center, Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
⁴ Amsterdam Public Health Research Institute, Methodology, Amsterdam, the Netherlands.
⁵ Department of Surgery, Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], The Hague, Gouda, the Netherlands.
⁶ Department of Surgery, Groene Hart Ziekenhuis, Gouda, the Netherlands.
⁷ Department of Surgery, NMC Royal Hospital, Abu Dhabi, United Arab Emirates.
⁸ Department of Surgery, Nederlandse Obesitas Kliniek [Dutch Obesity Clinic], Huis Ter Heide, the Netherlands.
⁹ Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
¹⁰ Obesity Center, 9 de Julho Hospital, São Paulo, Brazil.
¹¹ Brazilian Association for the Study of Obesity (ABESO), São Paulo, Brazil.
¹² School of Psychology, University of Leeds, Leeds, UK.
¹³ Scales Insights, Nexus, University of Leeds, Leeds, UK.
¹⁴ Obesity Center CGG [Healthy Weight Centre], Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
¹⁵ Department of Internal Medicine, Division of Endocrinology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
¹⁶ Department of Surgery, Neuchâtel Hospital, Neuchâtel, Switzerland.
¹⁷ Biology and Medicine Faculty, Lausanne University, Lausanne, Switzerland.
¹⁸ Department of Surgery, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
¹⁹ Department of Nutrition and Dietetics, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
²⁰ National Institute for Health Research Bristol Biomedical Research Centre, and Bristol Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
²¹ Department of Surgery, Kuwait University, Kuwait City, Kuwait.
²² Iverson Health Innovation Research Institute, Swinburne University of Technology, Melbourne, Australia.
²³ Department of Surgery, Central Clinical School, Monash University, Melbourne, Australia.
²⁴ Obesity Canada, Edmonton, AB, Canada.
²⁵ European Association for the Study of Obesity, Teddington, UK.
²⁶ Specialist Weight Management Service, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
²⁷ Research Centre for Intelligent Healthcare, Coventry University, Coventry, UK.
²⁸ Bariatric Surgery Registry, Central Clinical School, Monash University, Melbourne, Australia.
²⁹ Research Unit for Plastic Surgery, University of Southern Denmark and Odense University Hospital, Odense, Denmark.
³⁰ Lontoft, Nyhoj and Poulsen Plastic Surgery, Odense, Denmark.
³¹ Department of Upper Gastrointestinal and Bariatric Surgery, Musgrove Park Hospital, Taunton, UK.
³² Dutch Association for Overweight and Obesity (NVOO), Utrecht, the Netherlands.
³³ People Living With Obesity Representative, Kuwait, Kuwait.
³⁴ Patient Advocate, Trustee of the Obesity Empowerment Network, London, UK.
³⁵ European Coalition for People Living With Obesity (ECPO), Dublin, Ireland.
³⁶ Irish Coalition for People Living With Obesity (ICPO), Dublin, Ireland.
³⁷ ConscienHealth, Obesity Action Coalition, Tampa, FL, USA.
³⁸ Adipositascirurgie Selbsthilfe Deutschland E.V. (Obesity Surgery Self-Help Organization), Mannheim, Germany.
³⁹ Obesity Canada, Edmonton, Canada.
⁴⁰ Department of Surgery, OLVG Hospital, Amsterdam, the Netherlands.

PMID: 39008218
PMCID: PMC11289183
DOI: 10.1007/s11695-024-07381-4

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.

Keywords: Bariatric surgery; Clinical practice; Obesity treatment; Outcome reporting; Patient-reported outcome measures; Patient-reported outcomes; Quality of life.

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Conflict of interest statement

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’s 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.

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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical