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Evaluating the need for dermatological care in a postsurgical bariatric sample.
Melissa Butt1, Eiman Khesroh2, Jocelyn Simmers1
1Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania; Department of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Postbariatric surgery patients frequently experience skin issues like rashes due to excess skin. These dermatological concerns significantly impact quality of life, highlighting a need for better patient care and management strategies.
Area of Science:
- Dermatology
- Bariatric Surgery Outcomes
- Quality of Life Research
Background:
- Rising obesity rates in the US drive increased bariatric surgery procedures.
- Significant weight loss post-surgery can lead to excess skin (skin redundancy).
- Dermatological issues associated with post-bariatric skin redundancy are under-researched.
Purpose of the Study:
- Evaluate the prevalence and severity of skin concerns in postbariatric surgery patients.
- Assess the impact of these dermatological issues on patients' quality of life.
- Identify factors associated with skin problems after bariatric procedures.
Main Methods:
- Cross-sectional survey of adult patients at a surgical weight loss clinic.
- Data collected via self-report questionnaires, including the Dermatology Life Quality Index.
- Retest administered after approximately 72 hours to ensure data reliability.
Main Results:
- Nearly 70% of patients reported skin rashes or irritation from loose skin.
- Over 80% expressed interest in surgical removal of excess skin.
- Fewer than 6% of patients were referred to a dermatologist for their skin concerns.
Conclusions:
- Skin concerns are prevalent and significantly impair health-related quality of life (HRQOL) in postbariatric patients.
- There is a clear need for improved awareness and management of skin pathology within bariatric interdisciplinary teams.
- Addressing dermatological issues is crucial for optimizing outcomes and well-being after bariatric surgery.
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