Page 124 - When surgery alone won’t cut it - Valerie Maureen Monpellier

Chapter 7
Table 3:
Correlations between BODY-Q scales and screening tool scores in the total population.
Total score
Medical score
Psychological issues
-0.271**
-0.338**
-0.448**
-0.152
-0.360**
-0.150
-0.202*
-0.164
-0.349**
-0.210*
-0.215*
-0.392**
-0.207*
-0.228*
-0.322**
-0.156
0.365**
-0.283**
-0.390**
-0.488**
-0.491**
BODY-Q scale
Functional issues
Body image -0.386** Physical function -0.258** Psychological function -0.256** Sexual function -0.432** Social function -0.239** Physical symptoms -0.244** Excess skin -0.482**
** significant correlation p<0.01; * significant correlation p<0.05
Qualification for reimbursement
Age, gender, BMI before bariatric surgery, and type of bariatric surgery were not sig- nificantly different when comparing the patients who qualified for BCS (n=25) with the patients who did not qualify (n=71).
Patients who qualified for reimbursement had a TWL of 33.5%, whereas patients who did not had a TWL of 28.1% (p=0.014, Table 4). Mean BMI was also lower: 29.3 kg/m2 versus 31.4 kg/m2 (p=0.062). Twenty-one patients who qualified also met the Dutch weight criteria; the patients who did not meet the criteria all had a BMI > 35 kg/m2. Scores on the modified BAPRAS questionnaire ranged from 9-10 points in this group. BMI before bariatric surgery ranged from 49.8 kg/m2 to 65.6 kg/m2. Mean score for skin conditions was 3.4 (±1.7) in the patients who qualified and 2.2 (±1.6) in patients who did not (p=0.002). In addition, 88% of the patients who qualified for BCS experi- enced psychological complaints because of the excess skin, compared to 61% in the patients with a score ≤ 7 (p=0.009).
In the group with a score ≥ 8 one patient was an active smoker and none of the patients had a recent life-event. There were two patients with current psychological issues in the group with a score ≥ 8.
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