Date of Award

2013

Degree Type

Selective Evidence-Based Medicine Review

Degree Name

Master of Science in Health Sciences - Physician Assistant

Department Chair

John Cavenagh, PhD, PA-C

Abstract

OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Is laparoscopic gastric banding an effective treatment for obesity in adolescents and adults as measured by physical functioning?”

STUDY DESIGN: Review of all English language primary studies from 2009, 2010, and 2011.

DATA SOURCES: Two randomized control trials and one cohort study were found using PubMed, Medline, and OVID.

OUTCOMES MEASURED: There were multiple outcomes measured in the studies but the outcome of concern is quality of life post-operatively, specifically, physical functioning as measured by surveys including SF-36, Moorehead-Ardelt, BAROS, and CHQ CF-50.

RESULTS: In a randomized control trial (RCT) by Nguyen et al. they found using those patients that underwent gastric banding had an increase in physical function compared to pre-operative measurements using the SF-36 survey. The O’Brien et al. RCT also found that patients who underwent gastric banding had in increase in physical function compared to pre-operative data using the CHQ
CF-50 survey. The Silberhumer et al. cohort study found the similar results as
the two RCTs using the Moorehead-Ardelt and BAROS surveys to collect their information.

CONCLUSIONS: Both randomized control trials and the cohort study included in this selective review indicate that laparoscopic gastric banding is an effective treatment for obesity in adolescents and adults when looking at physical function.

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