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Impact of panniculectomy and/or abdominoplasty on quality of life: a retrospective cohort analysis of patient-reported outcomes.
Abstract
BACKGROUND: Panniculectomy and abdominoplasty are uptrending procedures to address excess skin after weight loss which affects patient-reported quality of life. The authors aimed to identify factors associated with low preoperative quality of life, quantify the benefit of these procedures, and evaluate benefits across grades of obesity. METHODS: Patients seeking panniculectomy and abdominoplasty between 2018 and 2019 with a completed preoperative BODY-Q questionnaire were identified. Stratification by quality of life in tertiles for each BODY-Q domain allowed identification of characteristics associated with low quality of life using chi-square tests. Wilcoxon signed-rank tests were used to compare preoperative to postoperative change in quality of life. Differences in quality of life by obesity class (1-2 vs. 3) were ascertained using chi-square tests. RESULTS: A total of 183 patients completed preoperative quality-of-life questionnaires. Preoperative factors associated with low quality of life included age older than 40 years, Black race, public insurance, hypertension, and American Society of Anesthesiologists class (all p < 0.05). Of patients who completed a preoperative BODY-Q and underwent surgery, 46 (63 percent) completed both surveys. Quality of life improved postoperatively across all domains ( p < 0.01). The presence of a surgical site occurrence (e.g., infection, delayed healing, hematoma, seroma) did not impact postoperative quality of life in any domain ( p > 0.05). Obesity classification did not affect change in quality of life preoperatively to postoperatively ( p > 0.05). CONCLUSION: Quality of life is significantly lower at baseline in older, Black, publicly insured patients, and multimorbid patients, but improves dramatically after panniculectomy and abdominoplasty regardless of incidence of complications or degree of obesity. . CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
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“Garvey et al,32 which describes abdominal wall reconstruction techniques following desmoid tumor removal.”
From Endometriosis in Patients Undergoing Plastic Surgical Procedures: A Case Report and Review of the Literature (2024) · cites this paper as [32]
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Cites
Patient reported outcome measures could help transform healthcare
Black, N. (2013) · BMJ · doi:10.1136/bmj.f167 · Cited by 1,960
Incorporating Patient-Reported Outcomes Into Health Care To Engage Patients And Enhance Care
Lavallee, D. C., Chenok, K. E., Love, R. M., Petersen, C. C., Holve, E., Segal, C. D., & Franklin, P. D. (2016) · Health Affairs · doi:10.1377/hlthaff.2015.1362 · Cited by 549
Pusic, A. L., Lemaine, V., Klassen, A. F., Scott, A., & Cano, S. (2010) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3182063276 · Cited by 195
Post-bariatric panniculectomy: pre-panniculectomy body mass index impacts the complication profile
Arthurs, Z. M., Cuadrado, D. G., Sohn, V. Y., et al. (2007) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2007.01.006 · Cited by 140
Psychosocial Consequences of Weight Loss following Gastric Banding for Morbid Obesity
Kinzl, J. F., Traweger, C. M., Trefalt, E., & Biebl, W. (2003) · Obesity Surgery · doi:10.1381/096089203321136683 · Cited by 116
Plastic Surgery After Gastric Bypass Improves Long-Term Quality of Life
Modarressi, A., Balagué, N., Huber, O., Chilcott, M., & Pittet-Cuenod, B. M. (2012) · Obesity Surgery · doi:10.1007/s11695-012-0735-8 · Cited by 112
Toma, T., Harling, L., Athanasiou, T., Darzi, A. W., & Ashrafian, H. (2018) · Obesity Surgery · doi:10.1007/s11695-018-3323-8 · Cited by 107
Quality of Life Long-Term after Body Contouring Surgery following Bariatric Surgery
van der Beek, E. S. J., Geenen, R., de Heer, F. A. G., van der Molen, A. B. M., & van Ramshorst, B. (2012) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e318267d51d · Cited by 99
de Vries, C. E. E., Kalff, M. C., Prinsen, C. A. C., Coulman, K. D., den Haan, C., Welbourn, R., Blazeby, J. M., Morton, J. M., & van Wagensveld, B. A. (2018) · Obesity Reviews · doi:10.1111/obr.12710 · Cited by 86
Quality of life among adults following bariatric and body contouring surgery: a systematic review
Gilmartin, J., Bath-Hextall, F. J., Maclean, J., Stanton, W., & Soldin, M. G. (2016) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2016-003182 · Cited by 75
Cited by
Harrah, P. C., Deering, A. J., Chung, M. T., Hughes, K., & Hosein, R. C. (2024) · Plastic and Reconstructive Surgery, Global Open · doi:10.1097/gox.0000000000005904
Metadata
- Authors
- Rios-Diaz, A. J., Morris, M. P., Elfanagely, O., Cunning, J. R., Davis, H., Shakir, S., Broach, R. B., & Fischer, J. P.
- Affiliations
- Thomas Jefferson University (US)
- ORCID
- Venue
- Plastic & Reconstructive Surgery
- Published
- 2022-07-26
- Volume
- 150
- Issue
- 4
- Pages
- 767e-775e
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W4287577067
- Cited by
- 20
- References
- 22
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 5
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- panniculectomy, abdominoplasty, quality of life, obesity, patient-reported outcomes, postoperative outcomes, surgical complications, multimorbidity, racial disparities, public insurance
- MeSH terms
- Patient Reported Outcome Measures, Adult, Aged, Humans, Obesity, Postoperative Complications, Quality of Life, Retrospective Studies, Cohort Studies, Abdominoplasty
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- CoChat. (2026). Citation check: Impact of panniculectomy and/or abdominoplasty on quality of life: a retrospective cohort analysis of patient-reported outcomes. https://app.cochat.ai/papers/10.1097/prs.0000000000009551
- The paper
- Rios-Diaz, A. J., Morris, M. P., Elfanagely, O., Cunning, J. R., Davis, H., Shakir, S., Broach, R. B., & Fischer, J. P. (2022). Impact of panniculectomy and/or abdominoplasty on quality of life: a retrospective cohort analysis of patient-reported outcomes. Plastic & Reconstructive Surgery. https://doi.org/10.1097/prs.0000000000009551
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
