Paid work increases and state benefit claims decrease after bariatric surgery
Paid work increases and state benefit claims decrease after bariatric surgery
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DOI：
10.1007/s11695-007-9073-7
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发表时间：
2007-04-01
期刊：
影响因子：
2.9
通讯作者：
Welbourn, Richard
中科院分区：
文献类型：
--
作者：
Hawkins, Simon C.;Osborne, Alan;Welbourn, Richard
背景：减肥手术是一种临床有效的治疗肥胖的方法，并且已被证明具有成本效益。减肥手术对随后的工作能力和国家资助的福利摄取的影响没有很好的documented.Methods：一个连续的79例患者谁经历了腹腔镜Roux-en-Y胃旁路术（LRYGBP）或腹腔镜可调节胃束带术（LAGB）进行了调查，以评估他们的工作能力和手术后声称的国家福利的数量和类型的变化。59例患者（75%）有反应，中位年龄45岁，中位随访14个月。术后从事有偿工作的人数增加了32%（P < 0.05）。平均每周工作时间由30.1小时增加到35.8小时（P < 0.01）。受访者还报告说，与肥胖有关的身体和情感限制减少了他们的工作能力（P < 0.01）。结论：LRYGBP和LAGB术后患者从事有偿劳动的人数较术前增加，每周工作时数增加。手术后，病人要求较少的国家福利。
Background: Bariatric surgery is a clinically effective treatment for obesity and has been shown to be cost-effective. The impact of bariatric surgery on the subsequent ability to work and the uptake of state-funded benefits is not well documented.Methods: A consecutive series of 79 patients who had undergone laparoscopic Roux-en-Y gastric bypass (LRYGBP) or laparoscopic adjustable gastric banding (LAGB) were surveyed to assess changes in their ability to work and the number and type of state benefits claimed after surgery.Results: 59 patients (75%) responded, median age 45, median follow-up 14 months. There was a 32% increase in the number of respondents in paid work after surgery (P < 0.05). The mean weekly hours worked increased from 30.1 to 35.8 hours (P < 0.01). Respondents also reported a decrease in obesity-related physical and emotional constraints on their ability to do work (P < 0.01). Fewer patients claimed state benefits postoperatively (P < 0.01).Conclusion: More patients perform paid work after LRYGBP and LAGB than beforehand, and the number of weekly hours they work increases. After surgery, patients claim fewer state benefits.